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CompletedNCT00931138ALFA 9801Updated Jul 2, 2009

Treatment of Acute Myeloid Leukemia (AML) in Adults 50 to 70 Years, Study of Two Anthracyclines and the Interest of Maintenance Treatment With Interleukin 2

A Phase 3 interventional study of chemotherapy (Aracytine + Daunorubicin) and chemotherapy (Aracytine + Daunorubicin) in Acute Myeloid Leukemia, sponsored by Acute Leukemia French Association. Completed at 16 sites in France. Open to participants aged 50 Years to 70 Years. Per ClinicalTrials.gov, last updated 2009-07-02.

Sponsored by Acute Leukemia French Association · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
420
Allocation
Randomized
Ages
50 Years to 70 Years
Sex
All
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Study summary

Randomized comparison of standard induction treatment with daunorubicin for 3 days and Idarubicin for 3 or 4 days in adult AML patients between 50 and 70 years. Study of maintenance treatment with IL2

Read the detailed description

Patients from 50 to 70 years with de novo AML were randomized to receive ARAC 200 mg / m² / d IV x 7 d with either DNR 80 mg/m²/dx3d (arm 1) or IDA 12 mg / m²/d x 3 d (arm 2) or 4 d (arm 3). The pts received a failing course of remedial Mitoxantrone involving x 2 and j ARAC 1g / m 2 x / d x 4 days The pts in CR then received 2 courses of consolidation with, according to initial randomization either DNR 80 mg / m² IDA 12 mg / sqm x 1 d (1st treatment) or 2 d (2nd treatment) and ARAC 1 gsm 2/jx x 4 days The pts in CR were then randomized persistent IL2 (5 million IU / m² x 5 d / month in SC for 12 months) or no treatment.

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Conditions studied

  • Acute Myeloid Leukemia

Keywords

  • Acute Myeloid Leukemia in adults
  • Newly-diagnosed untreated AML
  • Patient aged 50 to 70 years
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In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 420 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Acute Leukemia French Association is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
50 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient from 50 to 70 years
  • AML de Novo
  • No prior therapy for AML
  • Absence of severe infection (WHO grade greater than 2), independent of the AML
  • Cardiac function determined by radionucleotide or echography within normal limits.
  • total bilirubin less than or equal 2N and Serum creatinin less than or equal 2N
  • ECOG performance status 0 to 3
  • Signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • M3-AML
  • history of neoplasia treated by radiotherapy or chemotherapy
  • Myelodysplasia diagnosed more than 6 months before the diagnosis of AML
  • Prior treatment for AML
  • Uncontrolled infection
  • Other active malignancy
  • Patient unable to undergo regular surveillance
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Study design

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

Study arms

  • Active comparator
    Arm1 = Aracytine + Daunorubicin

    Aracytine : 200 mg/m2 d1-d7 Daunorubicin : 80 mg/m2 d1-d3

    Drug: chemotherapy (Aracytine + Daunorubicin)

  • Active comparator
    Arm 3 = Aracytine And Idarubicin

    Aracytine : 200 mg/m2 d1-d7 Idarubicin : 12 mg/m2 d1-d4

    Drug: chemotherapy (Aracytine + Daunorubicin)

  • Active comparator
    Arm 2 = Aracytine And Idarubicin

    Aracytine : 200 mg/m2 d1-d7 Idarubicin :12 mg/m2 d1-d3

    Drug: chemotherapy (Aracytine + Daunorubicin)

Interventions

  • Drugchemotherapy (Aracytine + Daunorubicin)

    Aracytine : 200 mg/m2 d1-d7 Daunorubicin : 80 mg/m2 d1-d3

  • Drugchemotherapy (Aracytine + Daunorubicin)

    Aracytine : 200 mg/m2 d1-d7 Idarubicin :12 mg/m2 d1-d3

  • Drugchemotherapy (Aracytine + Daunorubicin)

    Aracytine : 200 mg/m2 d1-d7 Idarubicin : 12 mg/m2 d1-d4

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What researchers measure

Primary outcomes

  1. To compare idarubicin versus daunorubicin: the duration of the event-free survival (EFS) to compare IL2 versus abstention : the relapse rate assessed during the first year following the start of maintenance treatment with interleukin

Secondary outcomes

  1. Frequency and severity of adverse events

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Study locations

16 sites
  • CH
    Caen, 14033, France
  • Hopital Percy
    Clamart, 92141, France
  • CHU
    Creteil, 94010, France
  • CH
    Lens, 62307, France
  • CHU
    Lille, 59037, France
  • CH
    Limoges, 87042, France
  • Hopital Edouard Herriot
    Lyon, France
  • St Antoine Hospital
    Paris, 75012, France
  • Hopital Pitie-Salpetriere
    Paris, 75651, France
  • Hopital Saint-Louis
    Paris, France
  • CH
    Roubaix, 59100, France
  • CHU
    Rouen, 76038, France
  • CNLCC
    Saint-Cloud, 92210, France
  • CH
    Valenciennes, 59322, France
  • CH
    Versailles, France
  • IGR
    Villejuif, 94805, France
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References and documents

Publications

  • Sarkozy C, Gardin C, Gachard N, Merabet F, Turlure P, Malfuson JV, Pautas C, Micol JB, Thomas X, Quesnel B, Celli-Lebras K, Preudhomme C, Terre C, Fenaux P, Chevret S, Castaigne S, Dombret H. Outcome of older patients with acute myeloid leukemia in first relapse. Am J Hematol. 2013 Sep;88(9):758-64. doi: 10.1002/ajh.23498. Epub 2013 Aug 7. PubMed 23749683 ↗
  • Gardin C, Chevret S, Pautas C, Turlure P, Raffoux E, Thomas X, Quesnel B, de Revel T, de Botton S, Gachard N, Renneville A, Boissel N, Preudhomme C, Terre C, Fenaux P, Bordessoule D, Celli-Lebras K, Castaigne S, Dombret H. Superior long-term outcome with idarubicin compared with high-dose daunorubicin in patients with acute myeloid leukemia age 50 years and older. J Clin Oncol. 2013 Jan 20;31(3):321-7. doi: 10.1200/JCO.2011.40.3642. Epub 2012 Dec 17. PubMed 23248249 ↗
  • Itzykson R, Gardin C, Pautas C, Thomas X, Turlure P, Raffoux E, Terre C, Fenaux P, Castaigne S, Dombret H, Boissel N; Acute Leukemia French Association (ALFA). Impact of post-remission therapy in patients aged 65-70 years with de novo acute myeloid leukemia: a comparison of two concomitant randomized ALFA trials with overlapping age inclusion criteria. Haematologica. 2011 Jun;96(6):837-44. doi: 10.3324/haematol.2010.036921. Epub 2011 Apr 1. PubMed 21459791 ↗
  • Boissel N, Nibourel O, Renneville A, Gardin C, Reman O, Contentin N, Bordessoule D, Pautas C, de Revel T, Quesnel B, Huchette P, Philippe N, Geffroy S, Terre C, Thomas X, Castaigne S, Dombret H, Preudhomme C. Prognostic impact of isocitrate dehydrogenase enzyme isoforms 1 and 2 mutations in acute myeloid leukemia: a study by the Acute Leukemia French Association group. J Clin Oncol. 2010 Aug 10;28(23):3717-23. doi: 10.1200/JCO.2010.28.2285. Epub 2010 Jul 12. PubMed 20625116 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00931138
Lead sponsor
Acute Leukemia French Association
Collaborators
Assistance Publique - Hôpitaux de Paris
First posted
Jul 2, 2009
Start date
Dec 1999
Completion
Dec 2006
Last update
Jul 2, 2009

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 1999. You cannot join it, but the record below documents what was studied.

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