Clinical trial • Phase III • Haematology

GEMTUZUMAB OZOGAMICIN for Acute myeloid leukemia (favorable-intermediate risk)

Phase III trial of GEMTUZUMAB OZOGAMICIN for Acute myeloid leukemia (favorable-intermediate risk). 414 participants.

Overview

Trial Therapeutic Area
Haematology
Trial Disease
Acute myeloid leukemia (favorable-intermediate risk)
Trial Stage
Phase III
Drug Modality
ADC | Small molecule

Key dates

Initial CTIS Submission Date
20-11-2024
First CTIS Authorization Date
10-01-2025

Trial design

Phase III trial in Italy.

Target Sample Size
414

Eligibility

Recruits 414 Vulnerable population selected; consent required: "Signed written informed consent according to ICH/EU/GCP and national/local laws".

Pregnancy Exclusion
Patients who are pregnant or adults of reproductive potential not employing an effective method of birth control
Vulnerable Population
Vulnerable population selected; consent required: "Signed written informed consent according to ICH/EU/GCP and national/local laws"

Inclusion criteria

  • {"criterion_text":"-Signed written informed consent according to ICH/EU/GCP and national/local laws"}
  • {"criterion_text":"-Absence of any psychological, familial, sociological and geographical condition potentially hampering compliance with the study protocol and the follow-up schedule."}
  • {"criterion_text":"-Women of childbearing potential with a negative serum pregnancy test within 48 hrs prior to administration of chemotherapy. Post-menopausal women with amenorrhoic for at least 12 months to be considered of non-childbearing potential. Male and female patients agreed to employ an effective barrier method of birth control throughout the study and for at least 6 months following discontinuation of study drug."}
  • {"criterion_text":"-Patients aged between 18 and 60 years"}
  • {"criterion_text":"-Patients previously untreated for their AML by other chemotherapeutic agents (except for no more than 14 days HU) or radiotherapy"}
  • {"criterion_text":"-Unequivocal diagnosis of de novo AML according to WHO diagnostic criteria (at least 20% blasts in the bone marrow), other than acute promyelocytic leukemia, documented by bone marrow aspiration (or biopsy in case of dry tap) (not supervening after other myeloproliferative disease or myelodysplastic syndromes of = 6 months duration)"}
  • {"criterion_text":"-Patients with favorable-intermediate AML according to ELN 2017 (except for FLT3- ITD/TKD positive AML)"}
  • {"criterion_text":"-WHO performance status 0-3"}
  • {"criterion_text":"-Adequate renal (serum creatinine = 2 x the institutional ULN) and liver (total serum bilirubin = 2 x ULN; serum ALT and AST = 2.5 x ULN) function, unless considered due to organ leukemic involvement"}
  • {"criterion_text":"-Left Ventricular Ejection Fraction (LVEF) = 50%, as determined by echocardiogram"}
  • {"criterion_text":"-Absence of severe concomitant neurological or psychiatric diseases and congestive heart failure or active uncontrolled infection"}

Exclusion criteria

  • {"criterion_text":"-Patients already treated for their AML by other chemotherapeutic agents (except for no more than 14 days HU) or radiotherapy"}
  • {"criterion_text":"-Severe heart failure requiring diuretics"}
  • {"criterion_text":"-Ejection fraction < 50%"}
  • {"criterion_text":"-Uncontrolled infections"}
  • {"criterion_text":"-HIV positive serology"}
  • {"criterion_text":"-Severe concomitant neurological or psychiatric diseases"}
  • {"criterion_text":"-Patients who are pregnant or adults of reproductive potential not employing an effective method of birth control"}
  • {"criterion_text":"-Acute promyelocytic leukemia"}
  • {"criterion_text":"-Blast crisis of chronic myeloid leukemia"}
  • {"criterion_text":"-FLT3-ITD/TKD positive AML"}
  • {"criterion_text":"-AML supervening after other myeloproliferative disease."}
  • {"criterion_text":"-AML supervening after antecedent myelodysplastic syndromes ≥ 6 months duration"}
  • {"criterion_text":"-Therapy-related AML"}
  • {"criterion_text":"-Other active or progressive malignant diseases."}
  • {"criterion_text":"-Inadequate renal or liver function (see no. 7 Inclusion )"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Percentage of MRD negativity after consolidation in patients treated in induction and consolidation with GO","definition_or_measurement_approach":"Not specified in record"}

Secondary endpoints

  • {"endpoint_text":"-Overall Survival (OS) at 24 months","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-Event Free Survival (EFS) at 24 months","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-Cumulative incidence of relapse (CIR) at 24 months","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-Response rate in terms of patients who achieve CR after induction therapy","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-Safety in terms of number and type of adverse events (AE) and serious AE (SAE)","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-OS, EFS, DFS and CIR in favorable and intermediate risk groups","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-OS, EFS, DFS and CIR according to the MRD level after induction and consolidation","definition_or_measurement_approach":"Not specified in record"}
  • {"endpoint_text":"-Response rate, OS, EFS, DFS and CIR according to morphology, cytogenetic and molecular baseline characteristics.","definition_or_measurement_approach":"Not specified in record"}

Recruitment

Planned Sample Size
414
Recruitment Window Months
78
Consent Approach
Signed written informed consent according to ICH/EU/GCP and national/local laws; subject information and informed consent form documents are listed (Italian language documents present). No assent information provided.

Geography

Total Number Of Participants
414

Italy

Earliest CTIS Part Ii Submission Date
22-12-2023
Latest Decision Or Authorization Date
13-05-2026
Processing Time Days
873
Number Of Participants
414

Sponsor

Primary sponsor

Full Name
Fondazione Gimema Franco Mandelli Onlus
Organisation Type
Patient organisation/association
Country Of Registered Address
Italy

Third parties

  • {"country":"Italy","full_name":"Laboratorio di Diagnostica Integrata Oncoematologica “OPPO”","duties_or_roles":"4","organisation_type":"Health care"}
  • {"country":"","full_name":"Pfizer","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
MYLOTARG 5 mg powder for concentrate for solution for infusion
Active Substance
GEMTUZUMAB OZOGAMICIN
Modality
ADC
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
Authorised (EU/1/18/1277/001)
Starting Dose
3 mg/m2
Maximum Dose
12 mg/m2
Combination Treatment
Yes

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