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Trial of Oncaspar® and Three Doses of Pegylated Recombinant Asparaginase in Adult Patients With Newly Diagnosed Acute Lymphoblastic Leukaemia

Phase 1
Terminated
Conditions
Acute Lymphoblastic Leukaemia
Interventions
Drug: PEG-rASNase
Registration Number
NCT01251809
Lead Sponsor
medac GmbH
Brief Summary

This is an assessment of efficacy and safety of three different doses of pegylated recombinant asparaginase (PEG-rASNase) in comparison to Oncaspar® during treatment of adults with de novo acute lymphoblastic leukaemia (ALL). This study will provide first data for determining specific asparaginase doses to yield various durations of L-asparagine (ASN) depletion which are required within different treatment phases of ALL therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
56
Inclusion Criteria
  • Previously untreated acute lymphoblastic leukaemia (pro-B, common, pre-B, early T, thymic T, mature T)
  • Age 18 years - 55 years
  • Treatment according to German Multicenter Trials for adult Acute Lymphoblastic Leukaemia (GMALL) 07/2003 protocol or subsequent GMALL protocols for patients with de novo ALL
  • Written informed consent
  • Women of child-bearing potential or partner of men with child-bearing potential must use a highly effective method of contraception
  • Negative pregnancy test for women of child-bearing potential
Exclusion Criteria
  • Patients with Philadelphia chromosome (BCR-ABL) positive ALL
  • Severe comorbidity or leukaemia-associated complications
  • Known hypersensitivity to asparaginase
  • History of severe pancreatitis
  • History of thrombosis or pulmonary embolism
  • Pre-existing clinically relevant coagulopathy
  • Liver dysfunction (e.g. acute or current hepatitis, alcohol or drug abuse) or history of clinically relevant liver disease
  • Bilirubin > 1.5 x Upper Limit Norm (ULN)
  • Other current malignancies
  • Severe psychiatric illness or other circumstances which may compromise the cooperation of the patient or the ability to give informed consent
  • Body mass index > 30 kg/m²
  • Known pregnancy, breast feeding

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PEG-rASNase 1000PEG-rASNase1000 U/m2 BSA at day 0
PEG-rASNase 500PEG-rASNase500 U/m2 BSA at day 0
PEG-rASNase 1500PEG-rASNase1500 U/m2 at day 0
OncasparOncaspar2000 U/m2 at day 0
Primary Outcome Measures
NameTimeMethod
To compare the rate of patients with asparagine depletion 3 weeks after infusion of PEG-rASNase or Oncaspar® in the induction phase.3 weeks

To compare the rate of patients with asparagine depletion 3 weeks after infusion of PEG-rASNase or Oncaspar® in the induction phase.

Secondary Outcome Measures
NameTimeMethod
Comparing of treatment arms62 days

the incidence of all other adverse events

Trial Locations

Locations (30)

Charité Campus Benjamin Franklin Hämatologie, Onkologie, Transfusionsmedizin Medizinische Klinik III

🇩🇪

Berlin, Germany

Universitätsklinikum Heidelberg

🇩🇪

Heidelberg, Germany

Universitätsklinikum Frankfurt Medizinische Klinik II

🇩🇪

Frankfurt, Germany

Charité University Hospital Campus Virchow

🇩🇪

Berlin, Germany

Evangelisches Krankenhaus Medizinische Klinik Hämatologie/Onkologie

🇩🇪

Hamm, Germany

Universität Bonn, Medizinische Klinik & Poliklinik III

🇩🇪

Bonn, Germany

Katholisches Krankenhaus Hagen gGmbH Klinik für Hämatologie und Onkologie

🇩🇪

Hagen, Germany

Universitätsklinikum Essen Westdeutsches Tumorzentrum

🇩🇪

Essen, Germany

Klinikum Rechts der Isar der TU München III. Medizinische Klinik

🇩🇪

München, Germany

Städtisches Klinikum Braunschweig Medizinische Klinik III

🇩🇪

Braunschweig, Germany

Universität Erlangen-Nürnberg Med. Klinik V/Hämatologie

🇩🇪

Erlangen, Germany

Asklepios Klinik Altona II. Medizinische Abteilung

🇩🇪

Hamburg, Germany

Universitätsmedizin Göttingen Hämatologie / Onkologie

🇩🇪

Göttingen, Germany

Klinikum Carl Gustav Carus der Technischen Universität

🇩🇪

Dresden, Germany

St. Johannes-Hospital

🇩🇪

Duisburg, Germany

Asklepios Klinik St. Georg Hämatologie & Stammzelltransplantation

🇩🇪

Hamburg, Germany

Medical University Hannover

🇩🇪

Hannover, Germany

Universität Leipzig José-Carreras-Haus Abt. Hämatologie / Onkologie

🇩🇪

Leipzig, Germany

Klinikum Schwabing, Klinik für Hämatologie, Onkologie, Immunologie, Palliativmedizin, Infektiologie & Tropenmedizin

🇩🇪

München, Germany

Klinikum Nürnberg, 5. Medizinische Klinik

🇩🇪

Nürnberg, Germany

Klinikum Oldenburg Innere Medizin II

🇩🇪

Oldenburg, Germany

Klinikum Ernst von Bergmann, Zentrum für Hämatologie, Onkologie und Strahlenheilkunde

🇩🇪

Potsdam, Germany

Klinikum der Universität Regensburg

🇩🇪

Regensburg, Germany

Universitätsklinikum Schleswig-Holstein

🇩🇪

Kiel, Germany

Universitätsklinikum Münster

🇩🇪

Münster, Germany

Universität Rostock, Zentrum für Innere Medizin, Klinik III

🇩🇪

Rostock, Germany

Universitätsmedizin Mainz III. Medizinische Klinik

🇩🇪

Mainz, Germany

Robert Bosch-Krankenhaus Abt. Hämatologie / Onkologie

🇩🇪

Stuttgart, Germany

Universitätsklinik Ulm Klinik für Innere Medizin III Zentrum für Innere Medizin

🇩🇪

Ulm, Germany

Klinikum der Universität Würzburg

🇩🇪

Würzburg, Germany

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