Poly(Ethylene Glycol)(PEG)-Asparaginase During Two Treatment Courses

NCT ID: NCT00192673

Last Updated: 2009-09-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-06-30

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is

1. to determine the correct dose for intramuscular administration
2. to compare the frequency of antibody formation after intramuscular administration of native E.coli asparaginase and PEG-asparaginase during two treatment courses in the treatment of childhood lymphoblastic leukemia

Detailed Description

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Asparaginase is used in the treatment of childhood lymphoblastic leukemia. Approximately 1/3 of the patients develops blocking antibodies against native E.coli asparaginase during the second exposure, so that they do not benefit from treatment and thus may have a worse prognosis.

PEG-asparaginase is less immunogenic so that fewer patients may develop antibodies during the second exposure.

There is no published study about the antibody formation after treatment of children with PEG-asparaginase during two treatment courses.

The first part of the study is a description of the pharmacokinetics of PEG-asparaginase after intramuscular administration in order to determine the correct dose.

The second part of the study is a comparison of antibody formation during two treatment courses after intramuscular administration og native E.coli asparaginase and PEG-asparaginase.

Other side effects than antibodies will be registered during treatment with PEG-asparaginase. Finally comparison of the 5-year EFS between the groups (native E.coli asparaginase and PEG-asparaginase as well as patients who have and have not developed antibodies) will be evaluated.

Conditions

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Acute Lymphoblastic Leukemia

Keywords

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Asparaginase intramuscular administration Silent antibodies Childhood acute lymphoblastic leukemia Side effects 5-year EFS

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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PEG-asparaginase

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 1-17 years
* Newly diagnosed ALL (high intensive)
* Treated according to the NOPHO-2000 protocol
* Treated at one of the Nordic pediatric oncology centers

Exclusion Criteria

* \<1 year and \>18 years
* Newly diagnosed ALL other than high intensive
* Not treated according to the NOPHO-2000 protocol
* Not treated at one of the Nordic pediatric oncology centers
* Allergy to the contents
* Pancreatitis (Active or earlier)
Minimum Eligible Age

1 Year

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medac, Hamburg, Germany

UNKNOWN

Sponsor Role collaborator

Danish Child Cancer Foundation

OTHER

Sponsor Role collaborator

Nordic Society for Pediatric Hematology and Oncology

OTHER

Sponsor Role lead

Principal Investigators

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Henrik Schrøder, M.D. PhD

Role: STUDY_DIRECTOR

Department of Pediatrics, Skejby Hospital, Denmark and member of the Scientific Commmittee in NOPHO

Locations

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Department of Pediatrics, Skejby Hospital

Aarhus, Aarhus N, Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Birgitte K Albertsen, M.D., PhD

Role: CONTACT

Phone: +45 89495566

Email: [email protected]

Facility Contacts

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Birgitte K Albertsen, M.D. PhD

Role: primary

Henrik Schrøder, M.D. PhD

Role: backup

References

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Albenberg L, Brensinger CM, Wu Q, Gilroy E, Kappelman MD, Sandler RS, Lewis JD. A Diet Low in Red and Processed Meat Does Not Reduce Rate of Crohn's Disease Flares. Gastroenterology. 2019 Jul;157(1):128-136.e5. doi: 10.1053/j.gastro.2019.03.015. Epub 2019 Mar 11.

Reference Type DERIVED
PMID: 30872105 (View on PubMed)

Other Identifiers

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20040177

Identifier Type: -

Identifier Source: secondary_id

2004-41-4276

Identifier Type: -

Identifier Source: secondary_id

2005-000658-56

Identifier Type: -

Identifier Source: org_study_id