Leukemia, Myeloid, AcutePhase 3AMLNCT01246752
Haematopoietic Stem Cell Transplantation (HSCT) in Comparison to Conventional Consolidation Therapy for Patients With Acute Myeloid Leukemia (AML) (Intermediate Risk) </= 60y. After First CR
A Phase 3 study testing Human Stem Cell Transplantation and Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC) in people with Leukemia, Myeloid, Acute, run by University Hospital Carl Gustav Carus at 19 sites in Germany.
Trial summary
Hematopoietic stem cell transplantation in patients with newly diagnosed AML ≤60 years of age in intermediate risk, after first complete response in comparison to standard consolidation chemotherapy Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Leukemia, Myeloid, Acute
- What is being tested?
- Human Stem Cell Transplantation and Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 143 participants
- Where
- 19 sitesGermany
- Study dates
- 10 Feb 2011to 30 Apr 2020
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- AML in first remission
- cytological standard risk, i.e. karyotype not listed under exclusion criteria
- Identification of HLA-identical sibling or HLA-compatible related or unrelated donor (9/10 HLA-alleles matched, high resolution typing for HLA-A, B, Cw, DRB1 and DQB1)
- age: 18 - 60 years
- medically fit for allogeneic stem cell transplantation
- CR / CRi after induction therapy
Who cannot join
- core-binding factor leukemia (t(8;21), inv16)
- acute promyelocytic leukemia (t(15;17)
- complex aberrant karyotype
- karyotypes: -7; -5; del5q; t(3;3); t(6;11), t(6;9), 11q aberrations, trisomy 8 ± one single additional aberration
- pregnancy / nursing
- non-compliance
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
Germany19 sites
Universitätsklinikum Aachen
Aachen
Klinikum Augsburg
Augsburg
Klinikum Chemnitz gGmbH
Chemnitz
University Hospital Carl Gustav Carus
Dresden, 01307
Universitätsklinikum Erlangen
Erlangen
Universitätsklinikum Essen - Westdeutsches Tumorzentrum
Essen
Klinikum Frankfurt (Oder) GmbH
Frankfurt (Oder)
Klinikum der Johann-Wolfgang-Goethe Universität
Frankfurt am Main
Universitätsklinikum Halle
Halle
Asklepios Klinik St. Georg
Hamburg
Universitaetsklinikum Leipzig - AöR
Leipzig
Universitätsklinikum Magdeburg
Magdeburg
Universitätsklinikum Mannheim
Mannheim
Universitätsklinikum Gießen und Marburg GmbH
Marburg
Klinikum der LMU Universität - Campus Großhadern
München
Universitätsklinikum Münster
Münster
Städtisches Klinikum Nord
Nuremberg
Ernst-von-Bergmann-Klinikum Potsdam
Potsdam
Robert-Bosch-Krankenhaus
Stuttgart
About this study
Official title: Randomised Trial on Allogeneic Haematopoietic Stem Cell Transplantation in Patients Under the Age of 60 Years With Acute Myeloid Leukemia of Intermediate Risk in First Complete Remission and a Matched Sibling or Unrelated Donor (ETAL-1)
Hematopoietic stem cell transplantation in patients with newly diagnosed AML ≤60 years of age in intermediate risk, after first complete response in comparison to standard consolidation chemotherapy
- Conditions
- Leukemia, Myeloid, Acute
- Being tested
- Human Stem Cell Transplantation, Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC)
- Keywords
- AML, Leukemia, Acute Myeloid Leukemia, HSCT, Stem Cell Transplantation, Tx, Chemotherapy
- Medical subject headings
- Leukemia, Myeloid, Acute, Leukemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Human Stem Cell TransplantationBiological
Human allogenic stem cells
Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC)Drug
Consolidation chemotherapy, recommended regimen: HiDAC = 3 x 2g/sqm BID on days 1,3,5
| Study group | Role | What they receive |
|---|---|---|
| Human Stem Cell Transplantation | Experimental | Patients receive an allogenic stem cell transplantation from an HLA-matched unrelated or related donor Receives: Biological: Human Stem Cell Transplantation |
| Consolidating Chemotherapy | Active comparator | Patients receive a standard chemotherapy as consolidation therapy Receives: Drug: Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent of Patients alive after 4 years (Overall Survival)
The status of each patient alive/not alive is surveyed every 3 months in year 1+2 and every 6 months in year 3+4 after randomisation.
Measured: 4 years
Secondary outcomes (4)
Disease-free survival
Measured: 4 years
Cumulative incidence of relapse
Measured: 4 years
Cumulative incidence of non-relapse mortality
Measured: 4 years
Quality of life assessed by questionnaires
Scores assessed by validated questionnaires (8 subscales: physical function, role physical, bodily pain, general health, vitality, social functioning, role emotional, mental health)
Measured: 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2010 (estimated)
- Study start10 Feb 2011
- Primary completion30 Apr 2020
- Study completion30 Apr 2020
Why it stopped: decreased recrucial rate as the likelihood of achieving the envisioned patient number in a realistic time-frame was very low.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Leukemia, Myeloid, AcuteStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 143 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital Carl Gustav Carus
- Sponsor type
- University, hospital or other
- Collaborators
- German Research Foundation
- Responsible party
- Sponsor
- Investigators
- Martin Bornhaeuser, Prof. (MD), Principal investigator, Universitätsklinikum Dresden, Medizinische Klinik und Poliklinik I, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01246752
- Sponsor's protocol ID
- TUD-ETAL-1-045
- Acronym
- AML
- Status last verified
- Oct 2021
- First submitted
- 22 Nov 2010
- Last updated
- 29 Oct 2021
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Bornhauser M, Schliemann C, Schetelig J, Rollig C, Kramer M, Glass B, Platzbecker U, Burchert A, Hanel M, Muller LP, Klein S, Bug G, Beelen D, Rosler W, Schafer-Eckart K, Schmid C, Jost E, Lenz G, Tischer J, Spiekermann K, Pfirrmann M, Serve H, Stolzel F, Alakel N, Middeke JM, Thiede C, Ehninger G, Berdel WE, Stelljes M. Allogeneic Hematopoietic Cell Transplantation vs Standard Consolidation Chemotherapy in Patients With Intermediate-Risk Acute Myeloid Leukemia: A Randomized Clinical Trial. JAMA Oncol. 2023 Apr 1;9(4):519-526. doi: 10.1001/jamaoncol.2022.7605.
PubMed 36757706
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomised Trial on Allogeneic Haematopoietic Stem Cell Transplantation in Patients Under the Age of 60 Years With Acute Myeloid Leukemia of Intermediate Risk in First Complete Remission and a Matched Sibling or Unrelated Donor (ETAL-1)
- ClinicalTrials.gov ID
- NCT01246752
- Acronym / sponsor ID
- AML / TUD-ETAL-1-045
- Conditions
- Leukemia, Myeloid, Acute
- Keywords
- AML, Leukemia, Acute Myeloid Leukemia, HSCT, Stem Cell Transplantation, Tx, Chemotherapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: decreased recrucial rate as the likelihood of achieving the envisioned patient number in a realistic time-frame was very low.
- Enrolment
- 143 participants (actual)
- Lead sponsor
- University Hospital Carl Gustav CarusUniversity, hospital or other
- Collaborators
- German Research Foundation
- Study start
- 10 Feb 2011 (actual)
- Primary completion
- 30 Apr 2020 (actual)
- Study completion
- 30 Apr 2020 (actual)
- First posted
- 23 Nov 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Hematopoietic stem cell transplantation in patients with newly diagnosed AML ≤60 years of age in intermediate risk, after first complete response in comparison to standard consolidation chemotherapy
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Human Stem Cell Transplantation | Experimental | Biological: Human Stem Cell TransplantationPatients receive an allogenic stem cell transplantation from an HLA-matched unrelated or related donor |
| Consolidating Chemotherapy | Active comparator | Drug: Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC)Patients receive a standard chemotherapy as consolidation therapy |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- AML in first remission
- cytological standard risk, i.e. karyotype not listed under exclusion criteria
- Identification of HLA-identical sibling or HLA-compatible related or unrelated donor (9/10 HLA-alleles matched, high resolution typing for HLA-A, B, Cw, DRB1 and DQB1)
- age: 18 - 60 years
- medically fit for allogeneic stem cell transplantation
Key exclusion criteria (6 listed)
- core-binding factor leukemia (t(8;21), inv16)
- acute promyelocytic leukemia (t(15;17)
- complex aberrant karyotype
- karyotypes: -7; -5; del5q; t(3;3); t(6;11), t(6;9), 11q aberrations, trisomy 8 ± one single additional aberration
- pregnancy / nursing
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Human Stem Cell TransplantationHuman allogenic stem cells | Biological | Human Stem Cell Transplantation |
| Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC)Consolidation chemotherapy, recommended regimen: HiDAC = 3 x 2g/sqm BID on days 1,3,5 | Drug | Consolidating Chemotherapy |
Primary outcome
Percent of Patients alive after 4 years (Overall Survival)
Time frame: 4 years
The status of each patient alive/not alive is surveyed every 3 months in year 1+2 and every 6 months in year 3+4 after randomisation.
4 secondary outcomes
Disease-free survival
Time frame: 4 years
Cumulative incidence of relapse
Time frame: 4 years
Cumulative incidence of non-relapse mortality
Time frame: 4 years
Quality of life assessed by questionnaires
Time frame: 4 years
Results and safety
The study was stopped early (reason given: decreased recrucial rate as the likelihood of achieving the envisioned patient number in a realistic time-frame was very low.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2021.
- Derived from this study: PubMed 36757706Bornhauser M, Schliemann C, Schetelig J, Rollig C, Kramer M, Glass B, Platzbecker U, Burchert A, Hanel M, Muller LP, Klein S, Bug G, Beelen D, Rosler W, Schafer-Eckart K, Schmid C, Jost E, Lenz G, Tischer J, Spiekermann K, Pfirrmann M, Serve H, Stolzel F, Alakel N, Middeke JM, Thiede C, Ehninger G, Berdel WE, Stelljes M. Allogeneic Hematopoietic Cell Transplantation vs Standard Consolidation Chemotherapy in Patients With Intermediate-Risk Acute Myeloid Leukemia: A Randomized Clinical Trial. JAMA Oncol. 2023 Apr 1;9(4):519-526. doi: 10.1001/jamaoncol.2022.7605.
- Study Alliance Leukemia (coordinating study group)Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Martin Bornhaeuser, Prof. (MD) principal investigator
Universitätsklinikum Dresden, Medizinische Klinik und Poliklinik I, Germany
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Human Stem Cell Transplantation and Consolidation chemotherapy, i.e. High-dose Cytarabine (HiDAC) in people with Leukemia, Myeloid, Acute, run by University Hospital Carl Gustav Carus at 19 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 29 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: decreased recrucial rate as the likelihood of achieving the envisioned patient number in a realistic time-frame was very low.). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent of Patients alive after 4 years (Overall Survival) (time frame: 4 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01246752, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2021.