Philadelphia Positive Acute Lymphoblastic Leukemia Clinical Trial
Official title:
Open Label Phase II Study to Evaluate the Safety of Standard Induction and Consolidation Therapy in Combination With Dasatinib in Newly Diagnosed Adult Patients With Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia (PH+ALL)
Verified date | January 2022 |
Source | Goethe University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The current standard treatment approach for young patients with Positive Acute Lymphoblastic Leukemia (Ph+ALL) is the combination of a chemotherapy protocol employing four to five cytotoxic agents typically used for ALL together with imatinib. It is recommended to propose allogeneic Standard Induction and Consolidation Therapy (SCT) to all eligible patients with a suitable donor and to continue imatinib with or without additional therapy in patients not undergoing SCT. This protocol is a study for newly diagnosed Philadelphia chromosome positive acute lymphoblastic leukemia in patients aged 18 to 55 years. The objective of this strategy is to improve the overall results in the treatment of adult ALL with the addition of specific molecules to the common chemotherapeutic schedule.
Status | Completed |
Enrollment | 19 |
Est. completion date | September 2015 |
Est. primary completion date | September 2015 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 55 Years |
Eligibility | Inclusion Criteria: - Confirmed new diagnosis of Philadelphia chromosome or BCR-ABL positive acute lymphoblastic leukemia - Male or female patients aged 18-55 years - Not previously treated except for prephase (corticosteroids, cyclophosphamide, single dose VCR will be permitted) therapy during establishment of the diagnosis - Signed written inform consent, willingness and ability to comply with all study procedures - Molecular detection of BCR-ABL transcripts - Willingness of women of child-bearing potential (WOCBP) and male subjects whose sexual partners are WOCBP, to use an effective form of contraception (pearl index < 1%), such as complete sexual abstinence, combined oral contraceptive, hormone IUCD, vaginal hormone ring, transdermal contraceptive patch, contraceptive implant or depot contraceptive injection in combination with a second method of contraception like a condom or a cervical cap / diaphragm with spermicide or surgical sterilisation (vasectomy) in male patients or male partners during the study and at least 6 months thereafter. WOCBP are defined as sexually mature women who have not undergone a hysterectomy or surgical sterilization or who have not been naturally postmenopausal for at least 12 consecutive months (i.e., who has had menses any time in the preceding 12 consecutive months). - Negative pregnancy test for women of child-bearing potential. Exclusion Criteria: - Patients with ECOG status > 2 - Patients with QTcF > 470 ms - Cardiac insufficiency NYHA grade III/IV, LEVF < 50%, myocardial infarction within the past 6 months prior to study - Active secondary malignancy requiring treatment - Patients with active, uncontrolled bacterial, viral or fungal infection - Known infection with HIV, Hepatitis B (except post vaccinal profile) or C - Inadequate hepatic functions defined as ASAT or ALAT > 2,5 times the institutional upper limit of normal and total bilirubin > 2 fold the institutional upper limit unless considered to be due to organ involvement by the leukemia - Concurrent severe diseases which exclude the administration of therapy - Expected non-compliance or inability to understand informed consent - Female patients who are pregnant or breast feeding - Treatment with other investigational antileukemic agents after informed consent. |
Country | Name | City | State |
---|---|---|---|
Germany | Uniklinik Aachen | Aachen | |
Germany | Charité Universitätsmedizin Berlin | Berlin | |
Germany | Universitätsklinik Dresden | Dresden | Sachsen |
Germany | University Hospital Düsseldorf | Düsseldorf | |
Germany | Universitätsklinikum Essen | Essen | NRW |
Germany | University Hospital of Frankfurt, Medical Dept. II | Frankfurt | Hessen |
Germany | Universitätsklinikum Göttingen | Göttingen | |
Germany | Asklepios Klinik St. Georg | Hamburg | |
Germany | Medizinische Hochschule Hannover | Hannover | Niedersachsen |
Germany | Universitätsklinik Köln | Köln | |
Germany | Universität Leipzig, José-Carreras-Haus | Leipzig | |
Germany | Universitätskliniken Mainz | Mainz | |
Germany | Klinikum Mannheim | Mannheim | |
Germany | Universitätsklinikum Großhadern | München | |
Germany | Universitätsklinik Münster | Münster | NRW |
Germany | Klinikum Nürnberg Nord | Nürnberg | |
Germany | Klinikum Oldenburg | Oldenburg | |
Germany | Klinikum der Universität Regensburg | Regensburg | Bayern |
Germany | Universität Rostock | Rostock | |
Germany | Robert Bosch Krankenhaus | Stuttgart | Baden-Württemberg |
Germany | Medizinische Universitätsklinik Ulm | Ulm | |
Germany | Medizinische Poliklinik der Universität Würzburg | Würzburg |
Lead Sponsor | Collaborator |
---|---|
Goethe University |
Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Treatment-related discontinuation of study treatment (Proportion of Patients) | Day 120 | ||
Secondary | Molecular complete remission rate (CR) | Day 120 | ||
Secondary | Hematologic complete remission rate | Day 120 | ||
Secondary | Grade III and IV txicity by Common Terminology Criteria for Adverse Events Version 3 | Day 120 |
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