This study evaluates the addition of BL-8040 to the standard consolidation therapy with cytarabine in the treatment of acute myeloid leukemia (AML) in adults. Half of participants will receive BL-8040 and cytarabine in combination, while the other half will receive placebo and cytarabine.
The majority of AML patients in first complete Remission (CR) do relapse despite the current consolidation therapy. Leukemic stem cells that are dormant in the bone marrow are presumed to be a major reason for AML relapse. Allogenic stem cell transplantation is an option only for a minority of AML patients in 1st CR. BL-8040 is a novel CXCR4 inhibitor that has a dual mechanism of action: inducing mobilization of leukemic blasts from the bone marrow which enhances cytotoxic effects of chemotherapy and has direct antileukemic, pro-apoptotic properties. The treatment with BL-8040 in combination with consolidation therapy (standard consolidation with high-dose cytarabine) should improve the efficacy of the consolidation therapy resulting in longer lasting remissions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
194
Univeritätsklinikum Halle, Klinik Innere Medizin 4
Halle, Germany
RECRUITINGRelapse Free Survival time
Relapse is defined as recurrence of leukemic blasts (more than 5%) in the bone marrow after confirmed complete remission
Time frame: 18 months
Overall Survival
Time frame: 18 months
Time to relapse
Time frame: 18 months
Relapse free survival
Time frame: 6, 9, 12 and 18 months
Relapse
Defined as recurrence of leukemic blasts (more than 5%) in the bone marrow after confirmed complete remission
Time frame: 6, 9, 12 and 18 months
Minimal residual disease
Immunophenotypic characterization of human bone marrow cells will be done to determine MRD
Time frame: 6, 9, 12 and 18 months
Toxicity
Number and CTC grade of all adverse events related to study treatment analyzed in an descriptive way
Time frame: enitire study course until 18 months
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