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Study for Safety and Efficacy Evaluation of Imatinib Mesylate in Children With Acute Lymphoblastic Leukemia (ALL) Philadelphia Chromosome-positive (Ph+)

Phase 2
Suspended
Conditions
Acute Lymphoblastic Leukemia (ALL) Philadelphia Chromosome-positive (Ph+)
Interventions
Registration Number
NCT01222013
Lead Sponsor
Renato Melaragno
Brief Summary

The purpose of this study is to evaluate the efficacy, through molecular response and event-free survival, about the use of Imatinib in conjunction with chemotherapy after BFM "like" Induction in children with ALL Ph+.

Detailed Description

Not available

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Diagnose: therapy-naïve ALL, except for patients that performed Induction for ALL (33 days) exactly as this protocol and; documented Ph+, to be confirmed by conventional cytogenetic - t(9;22) (q34;q11) or FISH and/or gene BCR-ABL presence by RT-PCR or FISH.
  2. Female patients of childbearing age, should have pregnancy test (blood βhCG) performed before treatment initiation. Effective contraception must be used during treatment. Pregnant women won't be included.
  3. Life expectation > 8 weeks.
  4. Medications: antineoplastic treatment-naïve, including corticotherapy, except for patients that performed Induction for ALL (33 days) exactly as this protocol.
  5. Signed ICF by child legal responsible.
  6. Laboratory: renal function (serum creatinine ≤ 1,5 x ULN and/or Clearance ≥70 ml/min/1,73m2), hepatic function (total bilirubin ≤ 1,5 x ULN, TGP/TGO < 10 x ULN and albumin > 2 g/dl.
Exclusion Criteria
  1. Any inclusion criteria missing.
  2. Pregnant patient or breastfeeding.
  3. Patient considered incapable to follow purposed treatment.
  4. Subject with infectious process, in activity, grade IV.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Imatinib MesylateImatinib Mesylate-
Primary Outcome Measures
NameTimeMethod
Evaluate the efficacy, through molecular response and event-free survival, about the use of Imatinib in conjunction with chemotherapy after BFM "like" Induction in children with ALL Ph+.Up to 24 months.

Cytogenetic and molecular response will be evaluate at the end of Induction I (D33), before each consolidation block (HR 1, 2 and 3), before re-induction, before maintenanceand at the end of therapy.

Secondary Outcome Measures
NameTimeMethod
Evaluate toxicity and tolerability in the administration of Imatinib in conjunction with chemotherapy in children with ALL Ph+.Up to 24 months

Toxicity and tolerability will be verified in every visit according through:

* Adverse events during the study.

* Laboratory exams.

* Vital signs and body weight.

* Physical evaluation.

* Concomitant medication.

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