German Multicenter Trial for Treatment of Elderly Patients With Newly Diagnosed Acute Lymphoblastic Leukemia

NCT ID: NCT00198978

Last Updated: 2023-03-20

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

377 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2014-06-30

Brief Summary

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The study evaluates the efficacy and tolerability of a dose-reduced chemotherapy for the treatment of elderly patients with acute lymphoblastic leukemia. In patients with expression of CD20 on leukemic cells the efficacy and tolerability of additional application of Rituximab together with chemotherapy is evaluated.

Detailed Description

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Conditions

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Adult Acute Lymphocytic Leukemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Interventional arm

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

Dexamethasone / Prednisolone

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Granulocyte-Colony-Stimulating Factor

Intervention Type DRUG

Mercaptopurine

Intervention Type DRUG

Methotrexate

Intervention Type DRUG

Rituximab

Intervention Type DRUG

HDARAC

Intervention Type DRUG

Vincristine

Intervention Type DRUG

Depocyte

Intervention Type DRUG

Asparaginase

Intervention Type DRUG

Interventions

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Cyclophosphamide

Intervention Type DRUG

Dexamethasone / Prednisolone

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Granulocyte-Colony-Stimulating Factor

Intervention Type DRUG

Mercaptopurine

Intervention Type DRUG

Methotrexate

Intervention Type DRUG

Rituximab

Intervention Type DRUG

HDARAC

Intervention Type DRUG

Vincristine

Intervention Type DRUG

Depocyte

Intervention Type DRUG

Asparaginase

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of acute lymphoblastic leukemia (pro B, pre B, c-ALL or T-ALL), proved by morphology and immunophenotyping
* Age \> 55 yrs (no upper age limit)
* Written informed consent

Exclusion Criteria

* Severe leukemia associated complications, not controllable before therapy onset e.g.
* life threatening infections as sepsis, pneumonia, hypoxia, shock, life threatening bleeding)
* Severe comorbidity e.g.
* decompensated renal failure if not caused by leukemia with Creatinine \> 2x ULN
* heart failure (NYHA II/IV), instable Angina, significant coronary stenosis
* hepatic insufficiency e.g. liver cirrhosis or chronic active hepatitis with bilirubin \> 1,5 x ULN and/or ASA, ALA, AP \> 2,5 ULN
* decompensated metabolic disturbances (e.g. not controllable diabetes)
* severe obstructive or restrictive pulmonary disease with hypoxaemia
* Severe psychiatric illness or other circumstances which may compromise cooperation of the patient
* Active second neoplasia
* HIV infection
* Severely reduced general condition
* Cytostatic pre-treatment of ALL
* Chemotherapy treatment of any other malignancy during the last 5 years
* Participation in other clinical trials interfering with the study therapy
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Goethe University

OTHER

Sponsor Role lead

Responsible Party

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Nicola Goekbuget

Head of GMALL

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dieter Hoelzer, MD,PhD

Role: STUDY_CHAIR

University of Frankfurt, Medical Dept. II

Locations

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University of Frankfurt, Medical Dept. II

Frankfurt, , Germany

Site Status

Countries

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Germany

References

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Topp MS, Gokbuget N, Zugmaier G, Degenhard E, Goebeler ME, Klinger M, Neumann SA, Horst HA, Raff T, Viardot A, Stelljes M, Schaich M, Kohne-Volland R, Bruggemann M, Ottmann OG, Burmeister T, Baeuerle PA, Nagorsen D, Schmidt M, Einsele H, Riethmuller G, Kneba M, Hoelzer D, Kufer P, Bargou RC. Long-term follow-up of hematologic relapse-free survival in a phase 2 study of blinatumomab in patients with MRD in B-lineage ALL. Blood. 2012 Dec 20;120(26):5185-7. doi: 10.1182/blood-2012-07-441030. Epub 2012 Sep 28.

Reference Type DERIVED
PMID: 23024237 (View on PubMed)

Other Identifiers

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GMALL02

Identifier Type: -

Identifier Source: org_study_id

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