Study to Improve OS in 18 to 60 Year-old Patients, Comparing Daunorubicin Versus High Dose Idarubicin Induction Regimens, High Dose Versus Intermediate Dose Cytarabine Consolidation Regimens, and Standard Versus MMF Prophylaxis of GvHD in Allografted Patients in First CR

PHASE2/PHASE3RecruitingINTERVENTIONAL
Enrollment

3,100

Participants

Timeline

Start Date

January 31, 2015

Primary Completion Date

July 31, 2025

Study Completion Date

January 31, 2032

Conditions
Acute Myeloid Leukemia (AML)
Interventions
DRUG

Idarubicin

"Induction chemotherapy :~Idarubicin 9mg/m² /day, from D1 to D5 (IV, 30min)~\+ cytarabine 200mg/m²/day from D1 to D7 (IV 24 h)~Bone marrow aspirate on D15 : if medullary blasts rate \< 5% → G-CSF (5 μg/kg/day) until hematopoietic recovery (PNN ≥ 1 G/L)."

DRUG

Daunorubicin

"Induction chemotherapy :~Daunorubicin 90mg/m²/day, from D1 to D3 (IV, 30min)~\+ cytarabine 200mg/m² /day from D1 to D7 (IV 24 h)~Bone marrow aspirate on D15 : if medullary blasts rate \< 5% → G-CSF (5 μg/kg/day) until hematopoietic recovery (PNN ≥ 1 G/L)."

DRUG

HD Cytarabine

"Consolidation chemotherapy course (s) :~-High dose cytarabine: 3g/m² /12h on D1, D3 and D5~For all patients, G-CSF (5 μg/kg/day) : SC or IV (30 min) from D8 until hematopoietic recovery (PNN ≥ 1 G/L)~Up to 3 consolidation courses, depending on the patient AML risk group"

DRUG

Cyclosporine

"GvHD prophylaxis post allogeneic SCT :~-Cyclosporine : 3 mg/kg /day from D-1 (IV) or 6 mg/kg/day from D-3 (PO). Not to be stopped before D100"

DRUG

Methotrexate

"GvHD prophylaxis post allogeneic SCT :~-15 mg/m² on D+1 then 10 mg/m² on D+3, D+6 and D+11"

DRUG

Mycophenolic acid (MPA)

"GvHD prophylaxis post allogeneic SCT :~* 720 mg BID from D0 to D+28 for HLA-identical siblings~* 720 mg BID from D0 to D+45 for 10/10 HLA allele-matched unrelated donors"

DRUG

vosaroxin

"Consolidation chemotherapy course (s) :~-70 mg/m² on D1 and D4"

DRUG

ID cytarabine

"Consolidation chemotherapy course (s) :~-Intermediate dose cytarabine: 1.5g/m² /12h on D1, D3 and D5~For all patients, G-CSF (5 μg/kg/day) : SC or IV (30 min) from D8 until hematopoietic recovery (PNN ≥ 1 G/L)~Up to 3 consolidation courses, depending on the patient AML risk group"

DRUG

Dexamethasone

"Consolidation chemotherapy course (s) :~-10 mg/12h on D1, D3 and D5"

DRUG

Venetoclax

"Consolidation chemotherapy course (s) :~Once RP2D has been determined from the results of the dose selection phase (phase 1), the optimal dose level retained for randomized phase 2 will be one of the following:~* 100 mg/d on D1 to D8 (selection phase dose level 1)~* or 200 mg/d on D1 to D8 (selection phase dose level 2)~* or 400 mg/d on D1 to D8 (selection phase dose level 3)~* or 400 mg/d on D1 to D14 (selection phase dose level 4)"

Trial Locations (56)

13005

RECRUITING

Marseille La Conception, Marseille

34170

WITHDRAWN

Clinique du parc, Castelnau-le-Lez

49100

RECRUITING

CHU Angers, Angers

Unknown

RECRUITING

CH Amiens Hôpital Sud, Amiens

RECRUITING

CH Victor Dupouy, Argenteuil

RECRUITING

Centre Hospitalier de la Côte Basque, Bayonne

RECRUITING

Hôpital Jean Minjoz, Besançon

RECRUITING

CH Beziers, Béziers

RECRUITING

Hôpital Avicenne, Bobigny

RECRUITING

CH Bordeaux, Bordeaux

RECRUITING

Hôpital du Dr Duchenne, Boulogne-sur-Mer

RECRUITING

Hôpital Morvan, Brest

RECRUITING

CH Caen, Caen

RECRUITING

Centre Hospitalier René Dubos, Cergy-Pontoise

RECRUITING

HIA Percy, Clamart

RECRUITING

CHU Estaing, Clermont-Ferrand

RECRUITING

Centre Hospitalier Sud Francilien, Corbeil-Essonnes

RECRUITING

Hôpital Henri Mondor, Créteil

RECRUITING

CHU de Dijon, Dijon

RECRUITING

CH Dunkerque, Dunkirk

RECRUITING

Hôpital Michallon, Grenoble

RECRUITING

CH Versailles, Le Chesnay

RECRUITING

CH Lens, Lens

RECRUITING

CHRU de Lille, Hôpital Huriez, Lille

RECRUITING

Hôpital St Vincent de Paul, Lille

RECRUITING

CHU de Limoges, Limoges

RECRUITING

Centre Leon Berard (CLB), Lyon

RECRUITING

CH Lyon Sud, Lyon

RECRUITING

Institut Paoli Calmettes, Marseille

RECRUITING

CH Meaux, Meaux

RECRUITING

CHR Metz Thionville_Hôpital de Mercy, Metz

RECRUITING

Hôpital Saint Eloi, Montpellier

RECRUITING

CH Mulhouse, Mulhouse

RECRUITING

CH Hôtel Dieu, Nantes

RECRUITING

Centre Antoine Lacassagne, Nice

RECRUITING

CHU Nice, Nice

RECRUITING

CHRU de Nîmes, Nîmes

RECRUITING

Hôpital Cochin, Paris

RECRUITING

Hôpital La Pitié Salpêtrière, Paris

RECRUITING

Hôpital Necker Enfants Malades, Paris

RECRUITING

Hôpital Saint Antoine, Paris

RECRUITING

Hôpital St Louis, Paris

RECRUITING

Centre Hospitalier Saint Jean, Perpignan

RECRUITING

CHU de Poitiers, Poitiers

RECRUITING

Hôpital Robert Debré, Reims

RECRUITING

CH Pontchaillou, Rennes

RECRUITING

Hopital Victor Provo, Roubaix

RECRUITING

Centre Henri Becquerel, Rouen

RECRUITING

Hôpital René Huguenin, Saint-Cloud

RECRUITING

Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez

RECRUITING

Hôpital Hautepierre, Strasbourg

RECRUITING

IUCT Toulouse, Toulouse

RECRUITING

CHU Bretonneau, Tours

RECRUITING

CH Valenciennes, Valenciennes

RECRUITING

Hôpitaux de Brabois_CHU Nancy, Vandœuvre-lès-Nancy

RECRUITING

Institut de Cancérologie Gustave Roussy, Villejuif

All Listed Sponsors
lead

University Hospital, Angers

OTHER_GOV