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Treatment Outcome in Elderly Patients

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ClinicalTrials.gov Identifier: NCT00700544
Recruitment Status : Completed
First Posted : June 18, 2008
Last Update Posted : June 18, 2008
Sponsor:
Collaborators:
French Innovative Leukemia Organisation
BGMT
Information provided by:
University Hospital, Grenoble

Tracking Information
First Submitted Date  ICMJE June 13, 2008
First Posted Date  ICMJE June 18, 2008
Last Update Posted Date June 18, 2008
Study Start Date  ICMJE June 2002
Actual Primary Completion Date April 2005   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 13, 2008)
The primary objective of this study was to assess the ability of androgens to increase DFS. [ Time Frame: 3 years ]
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: June 13, 2008)
The secondary objective was to improved EFS and OS and to assess side effects and toxicity of androgenotherapy [ Time Frame: 3 years ]
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Treatment Outcome in Elderly Patients
Official Title  ICMJE Adjonction of Androgenotheapy for Post-Remission Treatment of Elderly Patients With Acute Myeloid Leukemia - Results of the Multicenter Goelams SA-2002 Trial.
Brief Summary A multicenter randomized trial evaluating the possible benefit of androgens during post remission therapy in an attempt to improve the outcome of AML in older patients.All patients received the ICL regimen as induction and were randomized to receive, after achieving CR or PR, a maintenance therapy including or not androgens. Patients randomized with androgens additionally received 10 to 20 mg according to body weigh of norethandrolone daily for up to 2 years
Detailed Description
  • Induction Therapy:

    • Idarubicin, 8mg/m2 d1-5; Cytarabine, 100mg/m2 d1-7 and Lomustine, 200mg/m d1
    • if CR or PR: randomisation = maintenance therapy including or not androgens
  • Maintenance therapy :

    • 6 courses of reinduction with idarubicin (8mg/m2 d1) and cytarabine (100mg/m2d1-5, subcutaneously) every 3 months, and, between these courses, a continuous regimen of methotrexate and 6-mercaptopurine.
    • Patients randomized with androgens additionally received 10 to 20 mg according to body weigh of norethandrolone daily for up to 2 years
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 3
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • AML
  • Elderly Patients
Intervention  ICMJE
  • Drug: chemotherapy treatment (see arm) + norethandrolone

    oral form

    Dosage:

    10 mg in patients with a weight < 60 kgs 20 mg in patients with a weight > 60 kgs frequency: every day Duration: 2 years

    Other Name: norethandrolone = nilevar®
  • Drug: chemotherapy treatment (see arms)
    Induction chemotherapy + maintenance chemotherapy
    Other Name: Induction chemotherapy + maintenance chemotherapy
Study Arms  ICMJE
  • Active Comparator: B
    • Induction therapy Idarubicin, 8mg/m2 d1-5; Cytarabine, 100mg/m2 d1-7 and Lomustine, 200mg/m d1) If CR ou PR
    • maintenance therapy every 3 months = 6 courses of reinduction with :

      -idarubicin (8mg/m2 d1),cytarabine (100mg/m2d1-5 ), subcutaneously

    • between the courses, a continuous regimen of methotrexate and 6-mercaptopurine.
    Intervention: Drug: chemotherapy treatment (see arms)
  • Experimental: A
    • Induction therapy Idarubicin, 8mg/m2 d1-5; Cytarabine, 100mg/m2 d1-7 and Lomustine, 200mg/m d1) If CR ou PR
    • maintenance therapy every 3 months = 6 courses of reinduction with :

      • idarubicin (8mg/m2 d1),cytarabine (100mg/m2d1-5, subcutaneously)
      • 10 to 20 mg (according to body weigh) of norethandrolone daily
    • between the courses, a continuous regimen of methotrexate and 6-mercaptopurine.
    Intervention: Drug: chemotherapy treatment (see arm) + norethandrolone
Publications * Pigneux A, Bene MC, Guardiola P, Recher C, Hamel JF, Sauvezie M, Harousseau JL, Tournilhac O, Witz F, Berthou C, Escoffre-Barbe M, Guyotat D, Fegueux N, Himberlin C, Hunault M, Delain M, Lioure B, Jourdan E, Bauduer F, Dreyfus F, Cahn JY, Sotto JJ, Ifrah N. Addition of Androgens Improves Survival in Elderly Patients With Acute Myeloid Leukemia: A GOELAMS Study. J Clin Oncol. 2017 Feb;35(4):387-393. doi: 10.1200/JCO.2016.67.6213. Epub 2016 Oct 24.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: June 13, 2008)
330
Original Actual Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE May 2008
Actual Primary Completion Date April 2005   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Patients aged 60 years or more
  • "de novo" AML according to FAB criteria
  • AML with 20% or more myeloid marrow blasts
  • signed and dated informed consent
  • OMS score < 3
  • Life expectancy > 1 month

Exclusion Criteria:

  • Patients aged < 60 years
  • or AML M3
  • or not classificated according to FAB criteria
  • or extramedular localisation of AML
  • OMS score ≥ 3
  • clinical Abnormal Cardiac fonction or with left ejection fraction < 40 %
  • abnormal renal function with creatinine clearance < 50/ml/mn/m²
  • abnormal hepatic function
  • previous cerebral stroke
  • previous malignancy : prostate, breast cancer (males)
  • PSA dosage > 4
  • Any coexisting medical or psychological condition that would pleclude participation in the required study procedures
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 60 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE France
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT00700544
Other Study ID Numbers  ICMJE LAM SA 2002
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Current Responsible Party CHU Grenoble Pr Jean Jacques SOTTO, GOELAMS BGMT
Original Responsible Party Same as current
Current Study Sponsor  ICMJE University Hospital, Grenoble
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE
  • French Innovative Leukemia Organisation
  • BGMT
Investigators  ICMJE
Principal Investigator: Jean jacques SOTTO, MD GOELAMS/BGMT
Principal Investigator: Arnaud PIGNEUX, MS GOELAMS/BGMT
Principal Investigator: Francis WITZ, MS French Innovative Leukemia Organisation
PRS Account University Hospital, Grenoble
Verification Date June 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP