CPX-351 vs Intensive Chemotherapy in Patients With de Novo Intermediate or Adverse Risk AML Stratified by Genomics

Recruiting now · Phase 2

Conditions studied: Acute Myeloid Leukemia

In brief

The trial is a randomized, open-label phase II study comparing CPX-351 vs conventional intensivechemotherapy in patients with newly diagnosed de novo AML and intermediate- or adverse-risk genetics

Key facts

Study ID: NCT05260528
Run by: Centre Hospitalier Universitaire de Nice
People needed: 248
Starts: 2023-05-03
Expected to finish: 2030-02-02
Last updated by the study team: 2026-03-27

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

De novo AML
No MRC-defining cytogenetic lesion
No t(15;17), t(8;21), inv(16) or t(16;16)
No NPM1 gene mutation
No FLT3 mutated AML (FLT3 ITD or TKD)
Not previously treated except for short course hydroxyurea in patients presenting with high WBC count and/or tumor symptoms,
Age ≥ 50 years,
Performance status ≤ 2 (ECOG grading),
Patient must have adequate organ function as indicated detailed with laboratory values in the section IV of the protocol
Female patient of childbearing potential with a negative serum pregnancy test (β-hCG) within 72 hours prior to receiving the first dose of CPX-351 or 7+3. Female patient who is not actively breastfeeding at the time of study entry.
Female patient is either post-menopausal, free from menses for > 2 years, surgically sterilized or willing to use 2 adequate barrier methods of contraception to prevent pregnancy, or agrees to not become pregnant throughout the study, starting with study screening
Male patient agrees to use an adequate method of contraception for the duration of the study. Men should be advised not to father a child while receiving CPX-351 or 7+3 and for 3 months after the last dose of study treatment .
Patient is available for periodic blood sampling, study related assessments, and appropriate clinical management at the treating institution for the duration of the study.
Patient has the ability to understand and willingness to sign an informed consent form indicating the investigational nature of the study.
Patient registered to the French Social Security.

You may not qualify if…

Prior history of documented MDS, MPN or MDS/MPN, tAML
Prior history of radiation therapy or chemotherapy for a solid tumor or lymphoma (exceptions to be considered: local radiotherapy for prostate cancer)
Patient has active and uncontrolled infection.
Patient has uncontrolled intercurrent illness or circumstances that could limit compliance with the study, including but not limited to the following: symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmia, pancreatitis, or psychiatric or social conditions that may interfere with patient compliance.
Patient is currently participating or has participated in a study with an investigational compound or device within 30 days of initial dosing with study drug.
Patient has known human immunodeficiency virus (HIV) infection or HIV-related malignancy.
Patient has clinically active hepatitis B or hepatitis C infection.
Patient has a known allergy or hypersensitivity to any component of CPX-351, idarubicin or cytarabine.
Patient with a "currently active" second malignancy, other than nonmelanoma skin cancer and carcinoma in situ of the cervix, should not be enrolled. Patients are not considered to have a "currently active" malignancy if they have completed therapy for a prior malignancy, are disease free from prior malignancies for >1 year or are considered by their physician to be at less than 30% risk of relapse.
Patients with clinical evidence of CNS leukemia.
Cardiac ejection fraction <50% or considered as abnormal by echocardiography or multi-gated acquisition (MUGA) scan.
Patient is pregnant or breastfeeding within the projected duration of the study.

Where it is running

Institut Gustave Roussy — Villejuif, France (enrolling)
CHU de Toulouse — Toulouse, France (enrolling)
Hopital Bretonneau — Tours, France (enrolling)
CHU Amiens Picardie site Sud — Amiens, France (enrolling)
CH Avignon — Avignon, France (enrolling)
CHRU Jean Minjoz — Besançon, France (enrolling)
Centre Hospitalier de Béziers — Béziers, France (enrolling)
Hôpital Avicenne APHP — Bobigny, France (enrolling)
Institut d'hématologie de Basse Normandie (IHBN) — Caen, France (enrolling)
Hôpital d'Instruction des Armée (HIA) — Clamart, France (enrolling)
CHU Estaing — Clermont-Ferrand, France (enrolling)
Centre Hospitalier Sud Francilien (CHSF) — Corbeil-Essonnes, France (enrolling)
CHU Henri Mondor — Créteil, France (enrolling)
Centre Hospitalier de Versailles, Site André Mignot — Le Chesnay, France (enrolling)
Hôpital Claude HURIEZ, CHU Lille — Lille, France (enrolling)
CHU de Limoges — Limoges, France (enrolling)
Hoptial de la Conception APHM — Marseille, France (enrolling)
Institut Paoli Calmettes — Marseille, France (enrolling)
CHR Metz-Thionville Site Mercy — Metz, France (enrolling)
Groupe hospitalier de la région de Mulhouse et Sud-Alsace, Hôpital Emile Muller — Mulhouse, France (enrolling)
CHU de Nice — Nice, France (enrolling)
Institut de cancérologie du Gard — Nîmes, France (enrolling)
CHR Orléans — Orléans, France (enrolling)
Hopital Necker — Paris, France (enrolling)
Hôpital de la Pitié Salpêtrière — Paris, France (enrolling)

Full record on ClinicalTrials.gov

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