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.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 302 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2023
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Age ≥ 18 years' old * De novo or secondary AML (according to ELN 2022 classification) in complete cytological remission at time of transplant (bone marrow blast count \< 5%) or MDS/LAM with bone marrow blast count ≤ 5% * Patients in first or second line therapy are allowed * Patient eligible to a RIC regimen : patients aged ≥ 60 year old or \<60 with co-morbidity(ies). * Patient with a related or an unrelated matched donor * Graft using only peripheral blood stem cells * Performance status ECOG 0 - 2 * Who provide their written informed consent * Previous allograft allowed * Affiliated with French social security system or beneficiary from such system * Women must meet one of the following criteria at the time of inclusion: * use adequate contraceptive measures as recommended by the CTFG (Recommendations related to contraception and pregnancy testing in clinical trials v1.1; includes injectable implants, dual hormone birth control pills, intrauterine devices, abstinence from sex, or a sterilized partner), and have a negative pregnancy test (urine or serum pregnancy test) prior to receiving the first dose of study drug; * or be post-menopausal (over 50 years of age with amenorrhea for at least 12 months after discontinuation of all exogenous hormonal therapy) * or (if under 50 years of age) have been amenorrheic for at least 12 months after discontinuation of exogenous hormonal therapy and with luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels corresponding to post-menopausal levels * or have undergone irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy (this operation must be documented). * Contraception methods must be prescribed using effective contraceptive methods during treatment and within 6 months for women of childbearing age (WOCB) and 6 months for men in case they have sexual relations with WOCB after the last dose of Fludarabine/Clofarabine. Exclusion Criteria: * Pro-myelocytic leukemia * Patient eligible to a myeloablative conditioning regimen * Patient with haploidentical, mismatched unrelated donor or umbilical cord blood * Pregnant or breastfeeding woman or patient refusing contraceptive mesures * HIV positive * Active Hepatitis B or C * Left ventricular ejection fraction \< 50%. * DLCOc \<40% * Uncontrolled infection * Uncontrolled haemolytic anaemia * Creatinine clearance \< 50 ml/min (evaluated by MDRD or CKDEPI). * Serum bilirubine \> 30 mmol/l, Cytolysis \> 5 the upper limit range * Previous or concurrent second malignancy except for adequately treated basal cell carcinoma of the skin, curatively treated in situ carcinoma of the cervix, curatively treated solid cancer, with no evidence of disease for at least 2 years * Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule * Participation to another interventional study during the last month or expected participation to another interventional study during participation to the FLUCLORIC study.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
23 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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APHP Créteil
RECRUITINGCréteil, France
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CHRU Lille
NOT_YET_RECRUITINGLille, France
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CHRU Nancy
RECRUITINGNancy, France
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CHU Amiens
RECRUITINGAmiens, France
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CHU Angers
RECRUITINGAngers, France
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CHU Besançon
RECRUITINGBesançon, France
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CHU Bordeaux
NOT_YET_RECRUITINGBordeaux, France
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CHU Brest
RECRUITINGBrest, France
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CHU Clermont-Ferrand
RECRUITINGClermont-Ferrand, France
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CHU Grenoble
RECRUITINGGrenoble, France
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CHU Limoges
RECRUITINGLimoges, France
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CHU Lyon
RECRUITINGLyon, France
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CHU Montpellier
RECRUITINGMontpellier, France
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CHU Paris St-Louis
RECRUITINGParis, France
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CHU Poitiers
NOT_YET_RECRUITINGPoitiers, France
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CHU Rennes
RECRUITINGRennes, France
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CHU St-Etienne
RECRUITINGSaint-Etienne, France
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CHU de Nantes
RECRUITINGNantes, Loire Atlantique, 44000, France
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CRLC Caen
RECRUITINGCaen, France
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CRLC Toulouse
RECRUITINGToulouse, France
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Institut Paoli Calmettes
RECRUITINGMarseille, France
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Pitie-Salpetriere, APHP
RECRUITINGParis, France
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St-Antoine, APHP
RECRUITINGParis, France
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Other studies related to the condition(s) this trial covers.
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