Study Evaluating Sorafenib Added to Standard Primary Therapy in Patients With Newly Diagnosed Acute Myeloid Leukemia Less Than 60 Years of Age (SORAML)
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Purpose
Sorafenib is a multikinase inhibitor which is acting on various cellular pathways involved in the genesis of acute myeloid leukemia (AML). Sorafenib is therefore a promising candidate for improvement of chemotherapy results in AML. This clinical trial evaluates the efficacy of sorafenib added to standard chemotherapy for AML in patients between 18 and 60 years of age. Patients are randomised to receive either sorafenib capsules or placebo in addition to their chemotherapy. The placebo and the sorafenib group will be compared regarding event-free survival and other clinical outcomes. An event is either treatment failure or relapse or death. According to the study hypothesis, the sorafenib group will have less events than the placebo group.
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Myeloid Leukemia (AML) |
Drug: sorafenib Drug: placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Double-blind, Placebo-controlled, Randomized, Multicenter Phase-II Trial to Assess the Efficacy of Sorafenib Added to Standard Primary Therapy in Patients With Newly Diagnosed AML ≤60 Years of Age |
- Event-free survival [ Time Frame: 36 months ] [ Designated as safety issue: Yes ]
- Overall survival [ Time Frame: 36 months ] [ Designated as safety issue: Yes ]
- Rate of complete remissions [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Toxicity [ Time Frame: 36 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 276 |
| Study Start Date: | March 2009 |
| Primary Completion Date: | November 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Sorafenib
Induction, Consolidation and Maintenance plus Sorafenib 2x 400 mg/d
|
Drug: sorafenib
Standard AML chemotherapy plus sorafenib 400 mg BID
|
|
Placebo Comparator: Placebo
Induction, Consolidation and Maintenance plus Placebo
|
Drug: placebo
Standard AML chemotherapy plus placebo
|
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria
- Patients with newly diagnosed AML (except APL) according to the FAB and WHO classification, including AML evolving from MDS or other hematologic diseases and AML after previous cytotoxic therapy or radiation (secondary AML)
- Bone marrow aspirate or biopsy must contain ≥ 20% blasts of all nucleated cells or differential blood count must contain ≥ 20% blasts. In AML FAB M6 ≥ 30% of nonerythroid cells in the bone marrow must be leukemic blasts. In AML defined by cytogenetic aberrations, the proportion of blasts may be < 20%.
- Age ≥ 18 and ≤ 60 years
- Informed consent, personally signed and dated to participate in the study
- ECOG performance status of 0-1
- Life expectancy of at least 12 weeks
- Adequate liver and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to screening:
Contacts and Locations| Germany | |
| University Hospital Dresden | |
| Dresden, Germany, 01307 | |
| Principal Investigator: | Gerhard Ehninger, Prof, MD | University Hospital Dresden |
More Information
Additional Information:
No publications provided
| Responsible Party: | Dresden University of Technology |
| ClinicalTrials.gov Identifier: | NCT00893373 History of Changes |
| Other Study ID Numbers: | TUD-SORAML-034 |
| Study First Received: | May 4, 2009 |
| Last Updated: | February 2, 2012 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Dresden University of Technology:
|
AML sorafenib |
Additional relevant MeSH terms:
|
Leukemia Leukemia, Myeloid, Acute Leukemia, Myeloid Neoplasms by Histologic Type Neoplasms Sorafenib |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Protein Kinase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 21, 2013