MedPath

Risk-Group Classification of Patients With Newly Diagnosed Acute Lymphoblastic Leukemia

Completed
Conditions
Untreated Childhood Acute Lymphoblastic Leukemia
Untreated Adult Acute Lymphoblastic Leukemia
Interventions
Other: laboratory biomarker analysis
Registration Number
NCT00482352
Lead Sponsor
Children's Oncology Group
Brief Summary

This clinical trial is studying risk-group classification of patients with newly diagnosed acute lymphoblastic leukemia. Developing a risk-group classification guide may help doctors assign patients with newly diagnosed acute lymphoblastic leukemia to treatment clinical trials.

Detailed Description

OBJECTIVES:

I. Provide a classification guide that will organize the clinical and laboratory data necessary for assigning each patient with newly diagnosed acute lymphoblastic leukemia (ALL) to a specific treatment clinical trial.

II. Provide an administrative base to capture classification data for correlative studies accompanying current Children's Oncology Group (COG) ALL treatment clinical trials.

III. Provide a central reference guide for all required and research only ALL studies that will be conducted at local and reference laboratories.

IV. Provide a mechanism for optional banking of leukemia and germline specimens for current and future research.

OUTLINE:

Patients undergo blood collection and bone marrow biopsies at baseline and at the end of induction therapy for immunophenotyping for marker identification; molecular testing for translocations; trisomy analysis by fluorescence in situ hybridization (FISH); and DNA ploidy. Immunophenotype results obtained on this study are used to determine the patient's assignment to specific treatment clinical trials (consistent with acute lymphoblastic leukemia).

After completion of induction therapy, patients are followed once or twice annually.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
11196
Inclusion Criteria
  • Newly diagnosed acute lymphoblastic leukemia, defined by any of the following:

    • At least 25% blasts in the bone marrow
    • Absolute blast count at least 10,000/mm^3, if bone marrow aspiration is not performed
  • No prior registration on this study

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Ancillary-Correlative (marker identification, molecular test)laboratory biomarker analysisPatients undergo blood collection and bone marrow biopsies at baseline and at the end of induction therapy for immunophenotyping for marker identification; molecular testing for translocations; trisomy analysis by fluorescence in situ hybridization (FISH); and DNA ploidy. Immunophenotype results obtained on this study are used to determine the patient's assignment to specific treatment clinical trials (consistent with acute lymphoblastic leukemia).
Primary Outcome Measures
NameTimeMethod
Development of a classification guide to help determine patient assignment to a specific treatment clinical trial for newly diagnosed acute lymphoblastic leukemia (ALL)Up to 5 years
Development of a classification database for correlative studiesUp to 5 years
Development of a central reference guide for all required and research only ALL studiesUp to 5 years
Development of a leukemia and germline specimen bank for current and future researchUp to 5 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (200)

Sinai Hospital of Baltimore

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

University of Illinois

🇺🇸

Chicago, Illinois, United States

Massachusetts General Hospital Cancer Center

🇺🇸

Boston, Massachusetts, United States

Rainbow Babies and Childrens Hospital

🇺🇸

Cleveland, Ohio, United States

University of South Alabama

🇺🇸

Mobile, Alabama, United States

Children's Hospital Los Angeles

🇺🇸

Los Angeles, California, United States

University of Arizona Health Sciences Center

🇺🇸

Tucson, Arizona, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Children's Hospital Central California

🇺🇸

Madera, California, United States

Southern California Permanente Medical Group

🇺🇸

Downey, California, United States

City of Hope Medical Center

🇺🇸

Duarte, California, United States

Loma Linda University Medical Center

🇺🇸

Loma Linda, California, United States

Miller Children's Hospital

🇺🇸

Long Beach, California, United States

Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

David Geffen School of Medicine at UCLA

🇺🇸

Los Angeles, California, United States

Memorial Healthcare System - Joe DiMaggio Children's Hospital

🇺🇸

Hollywood, Florida, United States

Children's Hospital and Research Center at Oakland

🇺🇸

Oakland, California, United States

Kaiser Permanente-Oakland

🇺🇸

Oakland, California, United States

Childrens Hospital of Orange County

🇺🇸

Orange, California, United States

Lucile Packard Children's Hospital Stanford University

🇺🇸

Palo Alto, California, United States

Alfred I duPont Hospital for Children

🇺🇸

Wilmington, Delaware, United States

Children's National Medical Center

🇺🇸

Washington, District of Columbia, United States

Connecticut Children's Medical Center

🇺🇸

Hartford, Connecticut, United States

Lombardi Comprehensive Cancer Center at Georgetown University

🇺🇸

Washington, District of Columbia, United States

Broward Health Medical Center

🇺🇸

Fort Lauderdale, Florida, United States

Nemours Children's Clinic - Jacksonville

🇺🇸

Jacksonville, Florida, United States

Lee Memorial Health System

🇺🇸

Fort Myers, Florida, United States

Baptist Hospital of Miami

🇺🇸

Miami, Florida, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

All Children's Hospital

🇺🇸

Saint Petersburg, Florida, United States

Nemours Children's Clinic - Pensacola

🇺🇸

Pensacola, Florida, United States

Saint Luke's Mountain States Tumor Institute

🇺🇸

Boise, Idaho, United States

Saint Mary's Hospital

🇺🇸

West Palm Beach, Florida, United States

Children's Healthcare of Atlanta - Egleston

🇺🇸

Atlanta, Georgia, United States

Georgia Regents University

🇺🇸

Augusta, Georgia, United States

Advocate Lutheran General Hospital.

🇺🇸

Park Ridge, Illinois, United States

Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Southern Illinois University

🇺🇸

Springfield, Illinois, United States

Saint Jude Midwest Affiliate

🇺🇸

Peoria, Illinois, United States

Advocate Children's Hospital-Oak Lawn

🇺🇸

Oak Lawn, Illinois, United States

Lurie Children's Hospital-Chicago

🇺🇸

Chicago, Illinois, United States

University of Iowa Hospitals and Clinics

🇺🇸

Iowa City, Iowa, United States

Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Baystate Medical Center

🇺🇸

Springfield, Massachusetts, United States

Maine Children's Cancer Program

🇺🇸

Scarborough, Maine, United States

University of Maryland Greenebaum Cancer Center

🇺🇸

Baltimore, Maryland, United States

Cardinal Glennon Children's Medical Center

🇺🇸

Saint Louis, Missouri, United States

University of Massachusetts Medical School

🇺🇸

Worcester, Massachusetts, United States

Michigan State University - Breslin Cancer Center

🇺🇸

Lansing, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Helen DeVos Children's Hospital at Spectrum Health

🇺🇸

Grand Rapids, Michigan, United States

William Beaumont Hospital-Royal Oak

🇺🇸

Royal Oak, Michigan, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

University of Missouri-Columbia

🇺🇸

Columbia, Missouri, United States

Kalamazoo Center for Medical Studies

🇺🇸

Kalamazoo, Michigan, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

The Steven and Alexandra Cohen Children's Medical Center of New York

🇺🇸

New Hyde Park, New York, United States

Overlook Hospital

🇺🇸

Summit, New Jersey, United States

Brooklyn Hospital Center

🇺🇸

Brooklyn, New York, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

Roswell Park Cancer Institute

🇺🇸

Buffalo, New York, United States

Newark Beth Israel Medical Center

🇺🇸

Newark, New Jersey, United States

Dartmouth Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Winthrop University Hospital

🇺🇸

Mineola, New York, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Saint Peter's University Hospital

🇺🇸

New Brunswick, New Jersey, United States

UMDNJ - Robert Wood Johnson University Hospital

🇺🇸

New Brunswick, New Jersey, United States

Ny Cancer%

🇺🇸

Valhalla, New York, United States

Mount Sinai Medical Center

🇺🇸

New York, New York, United States

The Children's Medical Center of Dayton

🇺🇸

Dayton, Ohio, United States

Saint Joseph's Regional Medical Center

🇺🇸

Paterson, New Jersey, United States

Memorial Sloan-Kettering Cancer Center

🇺🇸

New York, New York, United States

Albany Medical Center

🇺🇸

Albany, New York, United States

Children's Hospital Medical Center of Akron

🇺🇸

Akron, Ohio, United States

New York University Langone Medical Center

🇺🇸

New York, New York, United States

Weill Medical College of Cornell University

🇺🇸

New York, New York, United States

Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

Mission Hospitals

🇺🇸

Asheville, North Carolina, United States

University of Rochester

🇺🇸

Rochester, New York, United States

Stony Brook University Medical Center

🇺🇸

Stony Brook, New York, United States

State University of New York Upstate Medical University

🇺🇸

Syracuse, New York, United States

Presbyterian Hospital

🇺🇸

Charlotte, North Carolina, United States

East Carolina University

🇺🇸

Greenville, North Carolina, United States

Sanford Medical Center-Fargo

🇺🇸

Fargo, North Dakota, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

The Toledo Hospital/Toledo Children's Hospital

🇺🇸

Toledo, Ohio, United States

Mercy Children's Hospital

🇺🇸

Toledo, Ohio, United States

Natalie W Bryant Cancer Center

🇺🇸

Tulsa, Oklahoma, United States

Lehigh Valley Hospital - Muhlenberg

🇺🇸

Bethlehem, Pennsylvania, United States

Geisinger Medical Center

🇺🇸

Danville, Pennsylvania, United States

Penn State Hershey Children's Hospital

🇺🇸

Hershey, Pennsylvania, United States

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Palmetto Health Richland

🇺🇸

Columbia, South Carolina, United States

Saint Christopher's Hospital for Children

🇺🇸

Philadelphia, Pennsylvania, United States

Texas Tech University Health Science Center-Amarillo

🇺🇸

Amarillo, Texas, United States

East Tennessee Childrens Hospital

🇺🇸

Knoxville, Tennessee, United States

Children's Hospital of Pittsburgh of UPMC

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical City Dallas Hospital

🇺🇸

Dallas, Texas, United States

University of Vermont

🇺🇸

Burlington, Vermont, United States

T C Thompson Children's Hospital

🇺🇸

Chattanooga, Tennessee, United States

Greenville Cancer Treatment Center

🇺🇸

Greenville, South Carolina, United States

Driscoll Children's Hospital

🇺🇸

Corpus Christi, Texas, United States

University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

Cook Children's Medical Center

🇺🇸

Fort Worth, Texas, United States

Covenant Children's Hospital

🇺🇸

Lubbock, Texas, United States

Scott and White Memorial Hospital

🇺🇸

Temple, Texas, United States

Inova Fairfax Hospital

🇺🇸

Falls Church, Virginia, United States

Carilion Clinic Children's Hospital

🇺🇸

Roanoke, Virginia, United States

University of Virginia

🇺🇸

Charlottesville, Virginia, United States

Madigan Army Medical Center

🇺🇸

Tacoma, Washington, United States

Childrens Hospital-King's Daughters

🇺🇸

Norfolk, Virginia, United States

Providence Sacred Heart Medical Center and Children's Hospital

🇺🇸

Spokane, Washington, United States

West Virginia University Charleston

🇺🇸

Charleston, West Virginia, United States

Naval Medical Center - Portsmouth

🇺🇸

Portsmouth, Virginia, United States

The Children's Hospital at Westmead

🇦🇺

Westmead, New South Wales, Australia

Royal Children's Hospital

🇦🇺

Parkville, Victoria, Australia

Women's and Children's Hospital-Adelaide

🇦🇺

North Adelaide, South Australia, Australia

Hospital for Sick Children

🇨🇦

Toronto, Ontario, Canada

University of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

CancerCare Manitoba

🇨🇦

Winnipeg, Manitoba, Canada

Starship Children's Hospital

🇳🇿

Grafton, Auckland, New Zealand

British Columbia Children's Hospital

🇨🇦

Vancouver, British Columbia, Canada

Marshfield Clinic

🇺🇸

Marshfield, Wisconsin, United States

Alberta Children's Hospital

🇨🇦

Calgary, Alberta, Canada

Mary Bridge Children's Hospital and Health Center

🇺🇸

Tacoma, Washington, United States

Saskatoon Cancer Centre

🇨🇦

Saskatoon, Saskatchewan, Canada

Royal Brisbane and Women's Hospital

🇦🇺

Herston, Queensland, Australia

Saint Vincent Hospital

🇺🇸

Green Bay, Wisconsin, United States

Princess Margaret Hospital for Children

🇦🇺

Perth, Western Australia, Australia

Janeway Child Health Centre

🇨🇦

Saint John's, Newfoundland and Labrador, Canada

IWK Health Centre

🇨🇦

Halifax, Nova Scotia, Canada

Cancer Centre of Southeastern Ontario at Kingston General Hospital

🇨🇦

Kingston, Ontario, Canada

Swiss Pediatric Oncology Group - Geneva

🇨🇭

Geneva, Switzerland

Children's Hospital

🇨🇦

London, Ontario, Canada

Children's Hospital of Eastern Ontario

🇨🇦

Ottawa, Ontario, Canada

The Montreal Children's Hospital of the MUHC

🇨🇦

Montreal, Quebec, Canada

San Jorge Children's Hospital

🇵🇷

Santurce, Puerto Rico

Swiss Pediatric Oncology Group - Lausanne

🇨🇭

Lausanne, Switzerland

Allan Blair Cancer Centre

🇨🇦

Regina, Saskatchewan, Canada

Christchurch Hospital

🇳🇿

Christchurch, New Zealand

Swiss Pediatric Oncology Group - Bern

🇨🇭

Bern, Switzerland

M D Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

Nevada Cancer Research Foundation CCOP

🇺🇸

Las Vegas, Nevada, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

University of Miami Miller School of Medicine-Sylvester Cancer Center

🇺🇸

Miami, Florida, United States

Miami Children's Hospital

🇺🇸

Miami, Florida, United States

Indiana University Medical Center

🇺🇸

Indianapolis, Indiana, United States

Saint Vincent Hospital and Health Services

🇺🇸

Indianapolis, Indiana, United States

Rady Children's Hospital - San Diego

🇺🇸

San Diego, California, United States

University of California San Francisco Medical Center-Parnassus

🇺🇸

San Francisco, California, United States

Children's Hospitals and Clinics of Minnesota - Minneapolis

🇺🇸

Minneapolis, Minnesota, United States

University of Minnesota Medical Center-Fairview

🇺🇸

Minneapolis, Minnesota, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

Primary Children's Hospital

🇺🇸

Salt Lake City, Utah, United States

University of Texas Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

Methodist Children's Hospital of South Texas

🇺🇸

San Antonio, Texas, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Phoenix Childrens Hospital

🇺🇸

Phoenix, Arizona, United States

Wayne State University-Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Saint John Hospital and Medical Center

🇺🇸

Detroit, Michigan, United States

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center

🇺🇸

Denver, Colorado, United States

Legacy Emanuel Hospital and Health Center

🇺🇸

Portland, Oregon, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Children's Hospital and Medical Center of Omaha

🇺🇸

Omaha, Nebraska, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Midwest Children's Cancer Center

🇺🇸

Milwaukee, Wisconsin, United States

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

Saint Joseph Children's Hospital of Tampa

🇺🇸

Tampa, Florida, United States

Walter Reed National Military Medical Center

🇺🇸

Bethesda, Maryland, United States

University of Hawaii

🇺🇸

Honolulu, Hawaii, United States

Blank Children's Hospital

🇺🇸

Des Moines, Iowa, United States

UC Davis Comprehensive Cancer Center

🇺🇸

Sacramento, California, United States

C S Mott Children's Hospital

🇺🇸

Ann Arbor, Michigan, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

Florida Hospital

🇺🇸

Orlando, Florida, United States

Nemours Childrens Clinic - Orlando

🇺🇸

Orlando, Florida, United States

UF Cancer Center at Orlando Health

🇺🇸

Orlando, Florida, United States

Kosair Children's Hospital

🇺🇸

Louisville, Kentucky, United States

The Childrens Mercy Hospital

🇺🇸

Kansas City, Missouri, United States

University of North Carolina

🇺🇸

Chapel Hill, North Carolina, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Dell Children's Medical Center of Central Texas

🇺🇸

Austin, Texas, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Children's Hospital-Main Campus

🇺🇸

New Orleans, Louisiana, United States

Virginia Commonwealth University

🇺🇸

Richmond, Virginia, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Tripler Army Medical Center

🇺🇸

Honolulu, Hawaii, United States

University of Kentucky

🇺🇸

Lexington, Kentucky, United States

University of Wisconsin Hospital and Clinics

🇺🇸

Madison, Wisconsin, United States

Montefiore Medical Center

🇺🇸

Bronx, New York, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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