Randomized Phase III Study of Decitabine +/- Hydroxyurea (HY) Versus HY in Advanced Proliferative CMML
NCT02214407 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 170
Last updated 2021-11-19
Summary
This is a phase III, two-arm, randomized, stratified, multicenter, open-label study with individual therapeutic benefit aim:
Decitabine (DAC) with or without Hydroxyurea (HY) versus HY in patients with advanced proliferative Chronic Myelomonocytic Leukemia (CMML)
The primary objective of the study is to compare between the two arms Event-free Survival (EFS).
Secondary objectives are to compare between both arms:
Overall Survival (OS) Cumulative incidence of AML Overall and Complete Response Rates at 3 and 6 cycles according to IWG 2006 criteria modified for CMML Response duration Toxicity (hematological and non hematological) Prognostic factors
Conditions
Interventions
- DRUG
-
Decitabine
Decitabine (DAC) will be administered at 20 mg/m2 intravenously daily for 5 days every 28 days. Hydroxyurea may be added during the first 3 cycles if WBC counts \> 30 G/L, and mandatory if WBC \> 50 G/L. The daily dose will be adapted to maintain WBC below 15 to 20 G/L. Treatment will be continued until an event is reached. Events and thus study exit will be acknowledged only after agreement between the investigator and a Trial Committee.
- DRUG
-
HYDROXYUREA
Hydroxyurea (HY) 1g/d once daily, with dose adjustments (up to 4g/d) to maintain a WBC count between 5 and 10 G/L. Allopurinol, 300mg/d started at the time of inclusion will be administered to all patients. Treatment will be continued until an event is reached. Events and thus study exit will be acknowledged only after agreement between the investigator and a Trial Committee.
Sponsors & Collaborators
-
Janssen-Cilag Ltd.
collaborator INDUSTRY -
Groupe Francophone des Myelodysplasies
lead OTHER
Principal Investigators
-
ITZYKSON Raphael, PHD · Hopital Saint-Louis, Service hematologie Senior
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-10-14
- Primary Completion
- 2021-07-05
- Completion
- 2021-08-16
Countries
- France
Study Locations
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