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Acute Myeloid LeukemiaeTHEMANCT05326919

The Patient Cohort of the National Center for Precision Medicine in Leukemia

An observational study of Acute Myeloid Leukemia and Acute Lymphoblastic Leukemia, run by Assistance Publique - Hôpitaux de Paris at 3 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

If for years the treatment strategy of leukemia and related disorders (LRDs, including acute leukemias and predisposition syndromes) has been based solely on whether the patient could receive or not intensive chemotherapy and transplantation, the advent of new targeted or less targeted drugs has led to the development… Read more about this study

Who is it for?
Any age
What is being tested?
Biobanking
How many people
3,000 participants
Where
3 sitesFrance
Study dates
28 Mar 2022to Mar 2042
Phase
Observational
Are there results?
Not yet: the study is under way

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients with newly diagnosed acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), high-risk myelodysplastic syndrome (MDS), or myeloproliferative neoplasm (MPN)-related myelofibrosis, when managed and treated according to standard diagnosis and care practices

Who may be able to join

  • Patient with newly diagnosed previously untreated de novo, secondary or therapy-related leukemia or related disorders (LRD), including AML, ALL, HR-MDS (according to the international score IPSS), and MNP-related myelofibrosis
  • Patient informed and not opposed to participating
  • Affiliation to social security or any health insurance

Who cannot join

  • LRD which is not morphologically proven (patients with granulocytic sarcoma may be included)
  • Previous treatment for LRD, apart from:
  • Hydroxyurea or previous MDS/MPN-CML therapy in AML patients
  • Steroids, vincristine, intrathecal prophylactic or curative injection or previous CML therapy in ALL patients
  • Erythroid stimulating agents (ESAs), luspatercept, granulocyte colony-stimulating factor (G-CSF), eltrombopag or other TPO agonist, iron chelation therapy, hypomethylating agents (HMAs), lenalidomide or any investigational drug previously used to treat MDS in HR-MDS patients
  • Hydroxyurea, standard or pegylated interferon alpha, ruxolitinib or other JAK inhibitors, busulfan, anagrelide, ESAs or any investigational drug previously used to treat MPN in MPN-related myelofibrosis patients
Show all 9Show fewer
  • Patient under guardianship / curatorship
  • Patient under AME
  • Opposition of the patient to be enrolled in the eTHEMA cohort

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

France3 sites, 3 recruiting
  • Hôpital Avicenne

    Bobigny

    Thorsten Braun, Pr, thorsten.braun@aphp.fr

    Recruiting
  • Hopital Robert Debré

    Paris

    André Baruchel, Pr, andre.baruchel@aphp.fr

    Recruiting
  • Hôpital Saint Louis

    Paris

    Hervé Dombret, Pr, 1 57 27 68 47 ext. +33, herve.dombret@aphp.fr

    Recruiting

Other trials in France

About this study

If for years the treatment strategy of leukemia and related disorders (LRDs, including acute leukemias and predisposition syndromes) has been based solely on whether the patient could receive or not intensive chemotherapy and transplantation, the advent of new targeted or less targeted drugs has led to the development of a growing number of new therapeutic approaches, very often offered to specific patient/disease subsets, justifying the generic term of 'precision medicine'.

As an international leukemia center of excellence, THEMA, the French National Center for Precision Medicine in Leukemia (selected as IHUB-2 by the French National Agency for Research), is a care, research, transfer and education initiative located at the Saint-Louis Research Institute (IRSL) in Paris and devoted to precision medicine in leukemia in a real-life environment.

Read more

The present non-interventional study (eTHEMA) is a pillar of the whole THEMA project. As a prerequisite for precision medicine, this program focuses on individual data collection, aiming to collect high-quality data not only in patients treated into prospective clinical trials, but in every THEMA patient with a special interest in outpatients' care and research.

The primary objective of this non-interventional study is to describe the baseline characteristics planned treatments and outcomes of patients newly diagnosed with acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), high-risk myelodysplastic syndrome (MDS), or myeloproliferative neoplasm (MPN)-related myelofibrosis, when managed and treated according to standard diagnosis and care practices.

Being tested
Biobanking
Medical subject headings
Leukemia, Myeloid, Acute, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Myeloproliferative Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BiobankingOther

    For storage,limited volumes of blood or bone marrow aspirate will be added to usual sampling and stored.

Study groups in NCT05326919
Study groupRoleWhat they receive
Acute myeloid Leukemia (AML)Standard and routine care. For storage,limited volumes of blood or bone marrow aspirate will be added to usual sampling and stored.
Receives: Other: Biobanking
Acute lymphoblastic leukemia (ALL)Standard and routine care. For storage,limited volumes of blood or bone marrow aspirate will be added to usual sampling and stored.
Receives: Other: Biobanking
High-risk myelodysplastic syndrome (MDS)Standard and routine care. For storage,limited volumes of blood or bone marrow aspirate will be added to usual sampling and stored.
Receives: Other: Biobanking
Myeloproliferative neoplasm -related myelofibrosisStandard and routine care. For storage,limited volumes of blood or bone marrow aspirate will be added to usual sampling and stored.
Receives: Other: Biobanking

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event Free Survival

    Measured: at 5 years

  2. Relapse Free Survival

    Measured: at 5 years

  3. Overall Survival

    Measured: at 5 years

Secondary outcomes (32)
  1. Standardized evaluation of hematological response

    Measured: After induction cycle which is between between day 25 and day 42 for patients treated intensively and between Month 1 and Month 6 for patients treated treated with low intensity regimen

  2. Standardized evaluation of hematological response

    Measured: After first consolidation cycle which is between 1 and 2 months

  3. Standardized evaluation of hematological response

    Measured: After last consolidation cycle which is between 3 and 8 months

  4. Standardized evaluation of hematological response

    Measured: Before HSCT

  5. Standardized evaluation of hematological response

    Measured: at day 100 after HSCT

  6. Standardized evaluation of hematological response

    Measured: at 5 years

  7. Minimal measurable residual disease (MRD) response

    Measured: After induction which is between day 25 and day 42 for patients treated intensively and between month 1 and month 6 for patients with low intensity regimen

  8. Minimal measurable residual disease (MRD) response

    Measured: After first consolidation cycle which is between 1 and 2 months

  9. Minimal measurable residual disease (MRD) response

    Measured: After last consolidation cycle which is between 3 and 8 months

  10. Minimal measurable residual disease (MRD) response

    Measured: Before HSCT

  11. Minimal measurable residual disease (MRD) response

    Measured: at day 100 after HSCT

  12. Minimal measurable residual disease (MRD) response

    Measured: at 5 years

  13. Incidence of allogeneic HSCT

    Measured: at 5 years

  14. Modalities of allogeneic HSCT

    Measured: at 5 years

  15. Incidence of hematological relapses

    Measured: at 5 years

  16. Type of hematological relapses

    Measured: at 5 years

  17. Incidence of hematological progressions

    Measured: at 5 years

  18. Type of hematological progressions

    Measured: at 5 years

  19. Incidence of MRD relapses

    Measured: at 5 years

  20. Incidence of MRD progressions

    Measured: at 5 years

  21. Proportions of patients with treatment-related toxicities

    Treatment-related toxicities will be Evaluated by the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0

    Measured: at 5 years

  22. Cumulative incidences of relapse

    Measured: at 5 years

  23. Cumulative incidences of non-relapse mortality

    Measured: at 5 years

  24. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: at inclusion

  25. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality-of-life will be assessed using the EORTC-QLQ-C30 v3 questionnaire.Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: at the end of induction which is between day 25 and day 42 for patients treated intensively and between month 1 and month 6 for patients with low intensity regimen

  26. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality-of-life will be assessed using the EORTC-QLQ-C30 v3 questionnaire. Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: after 2 consolidations courses which is between 3 months and 8 months

  27. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality-of-life will be assessed using the EORTC-QLQ-C30 v3 questionnaire. Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: at 3 months after the end of treatment

  28. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality-of-life will be assessed using the EORTC-QLQ-C30 v3 questionnaire. Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: at 6 months after the end of treatment

  29. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality-of-life will be assessed using the EORTC-QLQ-C30 v3 questionnaire. Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: at 12 months after the end of treatment

  30. Quality-of-life assessed using the EORTC-QLQ-C30 v3 questionnaire

    Quality-of-life will be assessed using the EORTC-QLQ-C30 v3 questionnaire. Quality of life evaluated using questionnaire "European Organization for Research and Treatment of Cancer Quality of Life Questionnaire" (EORTC QLQ-C30- v3). The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/ QoL represents a high QoL and a high score for a symptom scale/item represents a high level of symptomatology/problems.

    Measured: at day 100 after hematopoietic stem cell transplant

  31. Incidence of secondary cancer

    Measured: at 5 years

  32. Incidence of secondary cancer

    Measured: up to 15 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Apr 2022
  2. Study start28 Mar 2022
  3. Primary completionMar 2042 (estimated)
  4. Study completionMar 2042 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
3,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05326919
Sponsor's protocol ID
APHP210850
Acronym
eTHEMA
Status last verified
May 2024
First submitted
28 Jan 2022
Last updated
29 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Zhao LP, Dumas-Rivero T, Barette L, Aguinaga L, Cheffai A, Chauvel C, Dal Bello R, Raffoux E, Clappier E, Duchmann M, Fenaux P, Lemaire P, Mathis S, Sebert M, Ades L, Itzykson R. Prognostic significance of monocytic-like phenotype in patients with AML treated with venetoclax and azacytidine. Blood Adv. 2025 Jul 22;9(14):3556-3565. doi: 10.1182/bloodadvances.2024015734.

    PubMed 40249917

Questions about this trial

What is this clinical trial studying?

An observational study of Acute Myeloid Leukemia and Acute Lymphoblastic Leukemia, run by Assistance Publique - Hôpitaux de Paris at 3 sites in France.

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 3 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 29 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in France. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hervé DOMBRET, Pr (1 57 27 68 47 ext. +33, herve.dombret@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event Free Survival (time frame: at 5 years). The study lists 3 primary outcomes in all. 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 NCT05326919, 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 May 2024.

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