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To search for a Maximum Tolerated Dose (MTD) for the combination of daratumumab and induction chemotherapy with Idarubicin and cytarabine or CPX-351 in patients with Acute Myeloblastic Leukemia (AML) of poor prognosis
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Darzalex | Experimental | DARZALEX® Dose level 1 : 1800 mg Day 1 Dose level 2 : 1800 mg Day 1 and 8 (+/- 2 days) Dose level 3 : 1800 mg à Day 1, 8 (+/- 2 days) and D15 (+/- 2 days) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Darzalex | Drug | DARZALEX® = Daratumumab. Solution for injection, 1800 mg/15 mL, single vial. Sub-cutaneous administration.
|
| Measure | Description | Time Frame |
|---|---|---|
| DLT | Dose at which no toxic effect is observed, by determination of the LDT (Toxic Limit Dose). A TLD is defined by the occurrence of grade ≥ 3 daratumumab related toxicity that is not reversible after 7 days (except for haematological toxicity) or the absence of emergence from aplasia at D45 of induction (in the absence of treatment failure). Toxicity is assessed according to NCI-CTCAE version 5 criteria. The search for DLT is continued until D45 of induction. | DAY 45 |
| Measure | Description | Time Frame |
|---|---|---|
| response to the induction treatment | calculation of the rate of complete remission (CR) with negative residual disease (CR MRD-), CR, CR with incomplete haematological recovery (CRi), MLFS (morphological leukemia free state), partial response (PR) or treatment failure according to the 2022 NLE definition between D30 and D45. | DAY 45 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| PIERRE PETERLIN | Contact | 02 40 08 32 71 | Pierre.PETERLIN@chu-nantes.fr |
| Name | Affiliation | Role |
|---|---|---|
| MATHILDE HUNAULT | University Hospital, Angers | Principal Investigator |
| MARC BERNARD | Rennes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nantes | Recruiting | Nantes | 44093 | France |
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Continual Reassessment Method for MTD
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| Assessment of myelotoxicity |
Neutrophil recovery time (>1.0 × 109/L) from D1 - Recovery time of platelets (>100 × 109/L) from D1 |
| Day 1 |
| Overall survival (OS) | time from D1 of induction to date of last contact or death | 6 months |
| Event-free survival (EFS) | time from D1 of induction to date of relapse, death or date of last | 6 months |
| Relapse incidence | 6 months |
| Flow cytometry (FCM) investigation of myeloid-derived suppressor cells | Day 45 |
| Comparison of MDSC values in CMF | Day 45 |
| research on the level of CD38 expression on blasts | Day 1 |
| ID | Term |
|---|---|
| C556306 | daratumumab |
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