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LAL-Ph-2000: Treatment of Acute Lymphoblastic Leukemia Chromosome Philadelphia Positive

Basic Trial Information
Trial Description
     Summary
     Further Trial Information
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

Phase
Type
Status
Age
Sponsor
Protocol IDs

Phase IV


Treatment


Active


65 and under


Other


LAL-Ph-2000
NCT00526305

Trial Description

Summary

Due to ALL Ph+ patients should receive a different treatment, is proposed a therapeutical protocol with: intensification treatment of induction to increment the CR rate, allogenic transplantation in first CR, autologous transplantation follow by alfa interferon in patients cannot done allogenic transplantation.

Further Study Information

Remission Induction:

  • Vincristine (VCR): 1,5 mg/m2 i.v., days 1 and 8
  • Daunorubicin (DNR): 60 mg/m2 i.v., days 1 and 8.
  • Prednisone (PDN): 60 mg/m2/day, i.v. or p.o., days 1 to 14
  • L-asparaginase (L-ASA): 10.000 UI/m2, i.v.days 5-7 and 11-13

Results:

1. Standard response: The induction treatment will be completed with the same drugs, changing L-ASA to ARA-C, during two more weeks

2 Slow response. Chemotherapy with mitoxantrone and high dose ARA-C

Intrathecal chemotherapy:

Treatment with mitoxantrone, ARA-C e hydrocortisone, days 1 and 22

CONSOLIDATION TREATMENT 1

Start in two weeks after last dose of induction chemotherapy:

  • Mercaptopurine (MP) 50 mg/m2, p.o., days 1-7, 28-35 and 56-63
  • Mitoxantrone (MTX): 3g/m2, i.v., in 24 hours, day 1, 28 and 56.
  • VM-26: 150 mg/m2 every 12 horas, i.v. (infusión 1 hora), días 14 y 42
  • ARA-C: 500 mg/m2 cada 12 hours, i.v., in 3 hours, days 14-15 and 42-43
  • Intrathecal treatment, days 28 and 56.

6.4. CONSOLIDATION TREATMENT 2

Start in a week after last dose of mercaptopurine of previous cycle

  • Dexamethasone (DXM):
  • 10 mg/m2 day, p.o. or i.v. days 1-14
  • 5 mg/m2 day, p.o. or i.v., days 15-21
  • Vincristine (VCR): 1,5 mg/m2 i.v., days 1 and 8 and 15
  • Daunorubicin (DNR): 30 mg/m2 i.v., days 1, 2, 8 and 9.
  • CFM 600 mg/m2 day, i.v., days 1 and 15
  • L-asparaginase (L-ASA): 10.000 UI/m2, i.v.or im , days 1-3 and 15-17
  • Intrathecal treatment days 1 and 15.

TRANSPLANTATION

Hematopoietic autologous transplantation with related donor, one or two months after last dose of consolidation treatment.

Hematopoietic autologous transplantation with unrelated donor, in patients younger than 45, and with PS 0-1

Hematopoietic autologous transplantation in patients without related donor and without unrelated donor after six months searching

Eligibility Criteria

Inclusion Criteria:

ALL BCR/ABL+ patients Age < 65 years No previous treatment

Exclusion Criteria:

1. Other LLA variability

2. Previous history of coronary valvular, hypertensive cardiopathy illness

3. Chronic hepatic illness

4. Chronic respiratory insufficiency

5. Renal insufficiency not caused by LLA

6. Severe neurological problems not caused by LLA

7. Severe affection of the performance status (grade 3-4 OMS gradation) not caused by LLA

Trial Contact Information

Trial Lead Organizations/Sponsors

Program for the Study and Treatment of Hematological Malignancies

Ribera Josep Mª, DrStudy Chair

Ribera Josep Mª, DrPh: 34 93 4978987
  Email: jribera@iconcologia.net

Trial Sites

Spain
  Albacete
 Hospital General de Albacete
 Santiago José, DrPrincipal Investigator
  Alicante
 Hospital General - Alicante
 Rivas Concepción, DrPrincipal Investigator
  Avila
 Hospital Nuestra Senora de Sonsoles
 Barez Abelardo, Dr
 Barez Abelardo, DrPrincipal Investigator
  Badalona
 Hospital Universitari Germans Trias i Pujol
 Oriol Albert, DRPrincipal Investigator
  Barcelona
 Hospital Clinic de Barcelona
 Rovira Montserrat, DrPrincipal Investigator
 Hospital de la Santa Cruz i Sant Pau
 Brunet Salut, DrPrincipal Investigator
 Hospital Del Mar
 Besses Carles, Dr
 Besses Carles, DrPrincipal Investigator
 Vall d'Hebron University Hospital
 Font Julià, DrPrincipal Investigator
  Basurto
 Hospital de Basurto
 Beltran de Heredia José Mª, Dr
 Beltran de Heredia Jose Mª, DrPrincipal Investigator
  Bilbao
 Hospital de Cruces
 García Juan Carlos, DrPrincipal Investigator
  Castello
 Hospital General de Castellon
 García Raimundo, Dr
 Garcia Raimundo, DrPrincipal Investigator
  Jerez de la Frontera
 Hospital General de Jerez de la Frontera
 León Angel, DrPrincipal Investigator
  Leon
 Complejo Hospitalario de Leon
 Ramos Fernando, DrPrincipal Investigator
  Lleida
 Hospital Universitari Arnau de Vilanova
 Sanchez Juan Manuel, Dr
 Sanchez Juan Manuel, DrPrincipal Investigator
  Lugo
 Hospital Xeral de Lugo
 Arias Jesús, DrPrincipal Investigator
  Madrid
 Clinica Puerta de Hierro
 Krisnk Isabel, DrPrincipal Investigator
 Hospital de la Princesa
 Adrián Alegre, Dr
 Alegre Adrián, Dr
 Alegre Adrián, DrPrincipal Investigator
 Hospital General Universitario Gregorio Maranon
 Serrano David, Dr
 Serrano David, DrPrincipal Investigator
 Hospital Universitario 12 de Octubre
 de la Serna Javier, DrPrincipal Investigator
 Hospital Universitario San Carlos
 Diaz Mediavilla Joaquin, Dr
 Díaz Mediavilla Joaquín, DrPrincipal Investigator
  Málaga
 Hospital Regional Carlos Haya De Malaga
 Negri Silvia, DrPrincipal Investigator
 Hospital Universitario Virgen de la Victoria
 Moreno Mª José, DrPrincipal Investigator
 del Castillo Santiago, Dr
 del Castillo Santiago, DrPrincipal Investigator
  Manresa
 Althaia Xarxa Asistencial de Manresa
 Subira Maricel, DrPrincipal Investigator
  Murcia
 Hospital General Universitario Morales Meseguer
 De Arriba Felipe, DrPrincipal Investigator
 Heras Inmaculada, DrPrincipal Investigator
 Hospital Santa Maria del Rosell
 Ibañez Jerónima, DrPrincipal Investigator
  Oviedo
 Hospital Universitario Central de Asturias
 Carrera Dolores, Dr
 Carrera Dolores, DrPrincipal Investigator
  Palma de Mallorca
 Hospital Son Dureta
 Sampol AntoniaPrincipal Investigator
 Hospital Son Llatzer
 Bargay Joan, DrPrincipal Investigator
  Pamplona
 Clinica Universitaria
 Prosper Felipe, DrPrincipal Investigator
 Perez Equiza Encarnación, Dr
 Perez Equiza Encarnación, DrPrincipal Investigator
  Pontevedra
 Complejo Hospitalario de Pontevedra
 Allegue Mª José, DrPrincipal Investigator
  Sabadell
 Hospital de Sabadell
 Rámila Elena, DrPrincipal Investigator
  Sagunto
 Hospital de Sagunto
 Navarro Isabel, DrPrincipal Investigator
  Salamanca
 University Hospital - Salamanca
 Hernández Rivas Jesús Mª, DrPrincipal Investigator
  Santiago de Compostela
 Santiago de Compostela University Hospital
 Bello Jose Luis, DrPrincipal Investigator
  Segovia
 Hospital General de Segovia
 Hernández José MarianoPrincipal Investigator
  Sevilla
 Hospital Universidad Virgen Del Rocio
 Parody Ricardo, DrPrincipal Investigator
  Tenerife
 Hospital Universitario de Canarias
 Bernardo Gonzalez, DrPrincipal Investigator
  Tortosa
 Hospital de Tortosa Verge de la Cinta
 Font llorenç, Dr
 Font Llorenç, DrPrincipal Investigator
  Valencia
 Hospital Clinico Universitario de Valencia
 Terol Maria José, Dr
 Terol Mª José, DrPrincipal Investigator
 Solano Carlos, Dr
 Solano Carlos, DrPrincipal Investigator
 Hospital General Universitario Valencia
 Sanchez Magdalena, Dr
 Sanchez Magdalena, DrPrincipal Investigator
 Hospital Universitario Dr. Peset
 Ferrer Secundino, Dr
 Ferrer Secundino, DrPrincipal Investigator
 Hospital Universitario La Fe
 Sanz Miguel Angel, DrPrincipal Investigator
  Valladolid
 Universidad de Valladolid
 Fernandez Calvo Francisco, DrPrincipal Investigator
  Vigo
 Complejo Hospitalario Xeral de Vigo
 Poderós Concepción, DrPrincipal Investigator
  Vizcaya
 Hospital de Galdakao
 Ojanguren Jesús, DrPrincipal Investigator
  Zaragoza
 Hospital Clinico Universitario Lozano Blesa
 Palomera Luis, Dr
 Palomera Luis, DrPrincipal Investigator

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00526305
Information obtained from ClinicalTrials.gov on July 16, 2008

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

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