New drug combo aims to beat back leukemia relapse after transplant

NCT ID NCT05917405

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether replacing fludarabine with clofarabine in the chemotherapy given before a stem cell transplant can help more adults with acute myeloid leukemia (AML) stay alive longer. About 302 patients whose AML is in remission will be randomly assigned to one of two reduced-intensity chemo regimens. The goal is to see if the clofarabine-based regimen improves two-year survival compared to the standard fludarabine-based regimen.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Clofarabine and Busulfan (compared to Fludarabine and Busulfan)
What this could lead to
If clofarabine works better, this could lead to a new standard pre-transplant regimen that lowers relapse risk and improves survival for AML patients.
What could go wrong
This is a mid-stage trial with 302 participants, so results are not yet proven. Clofarabine may cause more side effects, and the survival benefit may not hold up in larger studies.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • APHP Créteil

    RECRUITING

    Créteil, France

  • CHRU Lille

    NOT_YET_RECRUITING

    Lille, France

  • CHRU Nancy

    RECRUITING

    Nancy, France

  • CHU Amiens

    RECRUITING

    Amiens, France

  • CHU Angers

    RECRUITING

    Angers, France

  • CHU Besançon

    RECRUITING

    Besançon, France

  • CHU Bordeaux

    NOT_YET_RECRUITING

    Bordeaux, France

  • CHU Brest

    RECRUITING

    Brest, France

  • CHU Clermont-Ferrand

    RECRUITING

    Clermont-Ferrand, France

  • CHU Grenoble

    RECRUITING

    Grenoble, France

  • CHU Limoges

    RECRUITING

    Limoges, France

  • CHU Lyon

    RECRUITING

    Lyon, France

  • CHU Montpellier

    RECRUITING

    Montpellier, France

  • CHU Paris St-Louis

    RECRUITING

    Paris, France

  • CHU Poitiers

    NOT_YET_RECRUITING

    Poitiers, France

  • CHU Rennes

    RECRUITING

    Rennes, France

  • CHU St-Etienne

    RECRUITING

    Saint-Etienne, France

  • CHU de Nantes

    RECRUITING

    Nantes, Loire Atlantique, 44000, France

  • CRLC Caen

    RECRUITING

    Caen, France

  • CRLC Toulouse

    RECRUITING

    Toulouse, France

  • Institut Paoli Calmettes

    RECRUITING

    Marseille, France

  • Pitie-Salpetriere, APHP

    RECRUITING

    Paris, France

  • St-Antoine, APHP

    RECRUITING

    Paris, France

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