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Efficacy and Safety of Recombinant Asparaginase in Infants With Previously Untreated Acute Lymphoid Leukemia (ALL)

Phase 2
Completed
Conditions
Acute Lymphoid Leukemia
Interventions
Registration Number
NCT00983138
Lead Sponsor
medac GmbH
Brief Summary

This non-controlled multicentre phase II study is designed to assess the safety and to describe (in relation to children of higher age) the pharmacodynamics of recombinant ASNase (rASNase) for first-line treatment of infants (\< 1 year of age at diagnosis) with de novo acute lymphoblastic leukaemia

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Previously untreated T-lineage or precursor B-lineage ALL or biphenotypic leukaemia according to EGIL criteria.
  • Morphological verification of the diagnosis, confirmed with cyto¬chemistry and immunophenotyping.
  • Age < 1 year at diagnosis.
  • Written informed consent of the parents or other legally authorised guardian of the patient.
  • Treatment according to protocol INTERFANT 06
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Exclusion Criteria
  • Mature B-lineage ALL, defined by the immunophenotypical presence of surface immunoglobulins or t(8;14) and breakpoint as in B-ALL.
  • The presence of the t(9;22)(q34;q11) or bcr-abl fusion in the leukaemic cells.
  • Systemic use of corticosteroids less than 4 weeks before diagnosis. Patients who received corticosteroids by aerosol are eligible.
  • Known allergy to any ASNase preparation.
  • Pre-existing known coagulopathy (e.g. haemophilia).
  • Pre-existing pancreatitis.
  • Liver insufficiency (bilirubin > 50 µmol/L; SGOT/SGPT > 10 x the upper limit of normal).
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
recombinant asparaginaserecombinant asparaginase-
Primary Outcome Measures
NameTimeMethod
number of patients with hypersensitivity reactions to rASNasewithin 2 months
Secondary Outcome Measures
NameTimeMethod
pharmacodynamic of rASNasewithin 33 days

Trial Locations

Locations (17)

University Hospital Erlangen

🇩🇪

Erlangen, Germany

Sophia Children's Hospital

🇳🇱

Rotterdam, Netherlands

University Hospital Bonn

🇩🇪

Bonn, Germany

University Hospital Schleswig-Holstein, Campus Kiel

🇩🇪

Kiel, Germany

Medical University Hannover

🇩🇪

Hannover, Germany

University Hospital Münster

🇩🇪

Münster, Germany

Hospital Charité Virchow

🇩🇪

Berlin, Germany

University Hospital Freiburg

🇩🇪

Freiburg, Germany

Academic Medical Centre AMC/EK2

🇳🇱

Amsterdam, Netherlands

University of Groningen

🇳🇱

Groningen, Netherlands

University Children's Hospital Nijmegen

🇳🇱

Nijmegen, Netherlands

University Hospital Hamburg-Eppendorf

🇩🇪

Hamburg, Germany

University Medical Centre Utrecht

🇳🇱

Utrecht, Netherlands

University Hospital Johann Wolfgang Goethe

🇩🇪

Frankfurt, Germany

Olga Hospital

🇩🇪

Stuttgart, Germany

VU University Medical Centre

🇳🇱

Amsterdam, Netherlands

University Hospital Essen

🇩🇪

Essen, Germany

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