Clinical trial Recruiting at 1 site Interventional Ages 16 to 65

MRD response-adapted treatment for high-risk acute myeloid leukemia

Official title: Measurable Residual Disease Response-adapted Allogeneic Hematopoietic Stem Cell Transplantation for Adverse-risk Acute Myeloid Leukemia: an Open-label, Randomized, Controlled Trial(TROPHY-AML01)

Run by Peking University People's Hospital · NCT06301425 · Data updated 2026-11-12

This study is testing a new way to treat high-risk acute myeloid leukemia by personalizing stem cell transplant plans based on how much leukemia is still detectable after initial treatment.

Quick facts

Study typeInterventional
Ages16 Years to 65 Years
SexAll
Enrollment178 (estimated)
SponsorPeking University People's Hospital
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Beijing)
StatusRecruiting
StartedMay 24, 2024
Main results expectedMay 1, 2027
Study endsMay 1, 2028
Registry record updatedJuly 10, 2024
Trial IDNCT06301425 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 16-65 newly diagnosed with adverse-risk acute myeloid leukemia who achieve complete remission after one or two courses of chemotherapy.

Probably not a fit

Patients who are categorized as having favorable or intermediate-risk AML or those who do not achieve complete remission after induction chemotherapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial evaluates the effectiveness and safety of a regimen that adapts allogeneic hematopoietic stem cell transplantation (allo-HSCT) based on measurable residual disease (MRD) response in patients with adverse-risk acute myeloid leukemia (AML). The study is open-label and randomized, focusing on patients who have achieved complete remission after one or two courses of induction chemotherapy. Given the high relapse rates in this patient population, the trial aims to improve long-term leukemia-free survival by tailoring post-chemotherapy treatment based on MRD levels. The trial is conducted at multiple hospitals in China, including Peking University People's Hospital.

Why it matters

Potential benefit: If successful, this approach could significantly improve survival rates and reduce relapse in patients with high-risk acute myeloid leukemia.

How similar studies have gone: Other studies have shown promise in using MRD as a predictor for relapse in AML, suggesting that this adaptive approach may be beneficial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Newly diagnosed AML;
2. Categorized into adverse-risk group according to ELN 2022 criteria;
3. 16-65 years of age at the time of diagnosis;
4. achieving CR after 1 or 2 courses of induction chemotherapies;

4\) ECOG PS score of 0 to 1 5) It needs consent from the patients or/and legal guardian, and signature on the Informed Consent.

Exclusion Criteria:

1. Newly diagnosed AML, but categorized into favorite- or intermediate-risk group according to ELN 2022 criteria;
2. \< 16 years, or older than 65 years at the time of diagnosis;
3. Achieving CR after 3 or more courses of induction chemotherapies, or could not achieve CR after induction chemotherapies;
4. ECOG PS score of 2 or more;
5. Patients with other comorbidities or mental diseases that influence the life safety and compliance of patients as well as affect informed consent, enrollment in the research, follow-up visit or result interpretation.

Where it's running

  • Peking University People's Hospital
    Beijing, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.