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Applying Pediatric Regimens to Younger Adult Patients With Acute Lymphoblastic Leukemia (ALL)

This study is currently recruiting participants.
Verified by Japan Adult Leukemia Study Group, May 2008

Sponsored by: Japan Adult Leukemia Study Group
Information provided by: Japan Adult Leukemia Study Group
ClinicalTrials.gov Identifier: NCT00131053
  Purpose

The purpose of this study is to investigate the efficacy and safety for treating adult ALL patients with the pediatric protocol.


Condition Intervention Phase
Lymphoblastic Leukemia, Acute
Drug: Methotrexate
Drug: Prednisolone
Drug: Dexamethasone
Drug: Vincristine
Drug: Pirarubicin
Drug: Cyclophosphamide
Drug: L-asparaginase
Drug: Cytarabine
Drug: Hydrocortisone
Drug: Mercaptopurine
Phase II

MedlinePlus related topics:   Leukemia, Adult Acute    Leukemia, Adult Chronic    Leukemia, Childhood   

ChemIDplus related topics:   Cyclophosphamide    Cytarabine    Cytarabine hydrochloride    Mercaptopurine    6-Mercaptopurine    L-Asparaginase    Dexamethasone    Dexamethasone acetate    Dexamethasone Sodium Phosphate    Doxiproct plus    Hydrocortisone    Cortisol 21-phosphate    Cortisol succinate    Hydrocortamate    Hydrocortisone 21-sodium succinate    Hydrocortisone acetate    Hydrocortisone cypionate    Hydrocortisone hemisuccinate    Proctofoam-HC    Methotrexate    Prednisolone    6-Methylprednisolone    Depo-medrol    Medrol veriderm    Methylprednisolone    Methylprednisolone hemisuccinate    Methylprednisolone Sodium Succinate    Prednisolone acetate    Prednisolone sodium phosphate    Prednisolone Sodium Succinate    Vincristine sulfate    Vincristine    Pirarubicin   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study
Official Title:   Phase 2 Study of Applying Pediatric Regimens to Younger Adult Patients With BCR-ABL-Negative Acute Lymphoblastic Leukemia

Further study details as provided by Japan Adult Leukemia Study Group:

Primary Outcome Measures:
  • Disease-free survival [ Time Frame: 3 years ]

Secondary Outcome Measures:
  • Toxicity [ Time Frame: During the follow-up period ]
  • The rate of complete remission [ Time Frame: After remission induction therapy ]

Estimated Enrollment:   120
Study Start Date:   September 2002
Estimated Study Completion Date:   September 2011
Estimated Primary Completion Date:   May 2011 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
A: Experimental Drug: Methotrexate Drug: Prednisolone Drug: Dexamethasone Drug: Vincristine Drug: Pirarubicin Drug: Cyclophosphamide Drug: L-asparaginase Drug: Cytarabine Drug: Hydrocortisone Drug: Mercaptopurine

Detailed Description:

The prognosis for adult acute lymphoblastic leukemia (ALL) remains poor, which contrasts with that for pediatric ALL. It is regarded that the prognostic diversity is attributable to several differences between adults and children with respect to biological characteristics of leukemic cells, tolerance to anticancer drugs, treatment itself, and so on. It has been reported that adolescent ALL patients who were treated according to the pediatric protocol had a significantly better survival than those who were treated according to the adult protocol, indicating that the difference of treatment may be of considerable importance. To test the hypothesis, the Japan Adult Leukemia Study Group (JALSG) has planned a phase 2 study to treat younger ALL patients who are negative for BCR-ABL with the pediatric regimen which was used by the Japan Association of Childhood Leukemia Study. Those who are positive for BCR-ABL can participate in a separate protocol. The regimen is especially characterized by dose-intensified L-asparaginase, high-dose methotrexate, and intensified maintenance therapy.

  Eligibility
Ages Eligible for Study:   15 Years to 24 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Previously untreated BCR-ABL-negative ALL
  • Age between 15 and 24 years
  • Performance status between 0 and 3 (ECOG criteria)
  • Adequate functioning of the liver (serum bilirubin level < 2.0 mg/dL); kidneys (serum creatinine level < 2.0 mg/dL); and heart (left ventricular ejection fraction greater than 50% and no severe abnormalities detected on electrocardiograms and echocardiographs).
  • Written informed consent to participate in the trial

Exclusion Criteria:

  • Uncontrolled active infection
  • Another severe and/or life-threatening disease
  • Positive for HIV antibody and/or hepatitis B surface (HBs) antigen tests
  • Another primary malignancy which is clinically active and/or requires medical interventions
  • Pregnant and/or lactating women
  • Past history of renal failure
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00131053

Contacts
Contact: Masamitsu Yanada, MD     myanada@med.nagoya-u.ac.jp    

Locations
Japan
Department of Hematology, Nagoya University Graduate School of Medicine     Recruiting
      Nagoya, Japan, 466-8550
      Contact: Masamitsu Yanada, MD         myanada@med.nagoya-u.ac.jp    
      Principal Investigator: Masamitsu Yanada, MD            

Sponsors and Collaborators
Japan Adult Leukemia Study Group

Investigators
Study Director:     Masamitsu Yanada, MD     Nagoya University Graduate School of Medicine    
Study Chair:     Tomoki Naoe, MD     Nagoya University Graduate School of Medicine    
  More Information


The JALSG homepage  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   JALSG ALL202-U
First Received:   August 15, 2005
Last Updated:   May 6, 2008
ClinicalTrials.gov Identifier:   NCT00131053
Health Authority:   Japan: Ministry of Health, Labor and Welfare

Keywords provided by Japan Adult Leukemia Study Group:
acute lymphoblastic leukemia  
newly diagnosed  
BCR-ABL-negative  
Acute lymphoblastic leukemia  

Study placed in the following topic categories:
Dexamethasone
Leukemia, Lymphoid
Hydrocortisone
Methylprednisolone
Prednisolone acetate
Cyclophosphamide
6-Mercaptopurine
Leukemia
Methotrexate
Lymphoma
Dexamethasone acetate
Cytarabine
Methylprednisolone Hemisuccinate
Pirarubicin
Asparaginase
Immunoproliferative Disorders
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Cortisol succinate
Methylprednisolone acetate
Vincristine
Folic Acid
Lymphatic Diseases
Prednisolone
Hydrocortisone acetate
Lymphoproliferative Disorders

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Antiemetics
Reproductive Control Agents
Hormones
Therapeutic Uses
Abortifacient Agents
Dermatologic Agents
Alkylating Agents
Nucleic Acid Synthesis Inhibitors
Neoplasms by Histologic Type
Antineoplastic Agents, Hormonal
Immune System Diseases
Mitosis Modulators
Gastrointestinal Agents
Enzyme Inhibitors
Antimitotic Agents
Folic Acid Antagonists
Abortifacient Agents, Nonsteroidal
Glucocorticoids
Immunosuppressive Agents
Antiviral Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 03, 2008




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