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CompletedNCT00700544Updated Jun 18, 2008

Treatment Outcome in Elderly Patients

A Phase 3 interventional study of chemotherapy treatment (see arm) + norethandrolone and chemotherapy treatment (see arms) in AML and Elderly Patients, sponsored by University Hospital, Grenoble. Completed at 1 site in France. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2008-06-18.

Sponsored by University Hospital, Grenoble · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
330
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study 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

Read the 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
02

Conditions studied

  • AML
  • Elderly Patients

Keywords

  • AML
  • elderly patients
  • Treatment outcome
03

In context

Lead sponsor

University Hospital, Grenoble is the lead sponsor of 815 studies on the registry; 205 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

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
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
330 participants (actual)

Study arms

  • 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.

    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.

    Drug: chemotherapy treatment (see arm) + norethandrolone

Interventions

  • Drugchemotherapy 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

    Also known as: norethandrolone = nilevar®

  • Drugchemotherapy treatment (see arms)

    Induction chemotherapy + maintenance chemotherapy

    Also known as: Induction chemotherapy + maintenance chemotherapy

06

What researchers measure

Primary outcomes

  1. The primary objective of this study was to assess the ability of androgens to increase DFS.

    Time frame: 3 years

Secondary outcomes

  1. The secondary objective was to improved EFS and OS and to assess side effects and toxicity of androgenotherapy

    Time frame: 3 years

07

Study locations

1 site
  • Arnaud PIGNEUX
    Pessac, 33604, France
08

References and documents

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. PubMed 28129526 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00700544
Lead sponsor
University Hospital, Grenoble
Collaborators
French Innovative Leukemia Organisation, BGMT
First posted
Jun 18, 2008
Start date
Jun 2002
Primary completion
Apr 2005
Completion
May 2008
Last update
Jun 18, 2008

Study contacts

Jean jacques SOTTO, MD
principal investigator · GOELAMS/BGMT
Arnaud PIGNEUX, MS
principal investigator · GOELAMS/BGMT
Francis WITZ, MS
principal investigator · French Innovative Leukemia Organisation

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2008. You cannot join it, but the record below documents what was studied.

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