German Multicenter Trial for Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Adults (07/2003)

NCT ID: NCT00198991

Last Updated: 2022-08-18

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

1883 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-04-30

Study Completion Date

2013-06-30

Brief Summary

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The study evaluates the efficacy and tolerability of an intensified induction and consolidation therapy. Thereafter patients receive individualised treatment stratified according to relapse risk with stem cell transplantation for patients with high and very high risk of relapse. Patients with standard risk receive further consolidation and reinduction chemotherapy. In parallel minimal residual disease (MRD) is evaluated. After six months and one year the decision on intensification or discontinuation of therapy is made based on the results of MRD evaluation.

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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All patients

All patients are treated upfront according to one arm

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

Cytostatic drug

Dexamethasone

Intervention Type DRUG

Antileukemic drug

Vincristine

Intervention Type DRUG

Cytostatic drug

Daunorubicin

Intervention Type DRUG

Cytostatic drug

Asparaginase

Intervention Type DRUG

Cytostatic drug

Methotrexate

Intervention Type DRUG

Cytostatic drug

Cytarabine

Intervention Type DRUG

Cytostatic drug

Mercaptopurine

Intervention Type DRUG

Cytostatic drug

G-CSF

Intervention Type DRUG

Growth factor

Vindesine

Intervention Type DRUG

Cytostatic drug

Etoposide

Intervention Type DRUG

Cytostatic drug

Prednisolone

Intervention Type DRUG

Antileukemic drug

Adriamycin

Intervention Type DRUG

Cytostatic drug

Thioguanine

Intervention Type DRUG

Cytostatic drug

Teniposide

Intervention Type DRUG

Cytostatic drug

CNS irradiation

Intervention Type PROCEDURE

Cytostatic drug

Mediastinal Irradiation

Intervention Type PROCEDURE

Irradiation

Stem cell transplantation (SCT)

Intervention Type PROCEDURE

Stem cell transplantation

Idarubicin

Intervention Type DRUG

Cytostatic drug

Fludarabine

Intervention Type DRUG

Cytostatic drug

Cladribine

Intervention Type DRUG

Cytostatic drug

Interventions

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Cyclophosphamide

Cytostatic drug

Intervention Type DRUG

Dexamethasone

Antileukemic drug

Intervention Type DRUG

Vincristine

Cytostatic drug

Intervention Type DRUG

Daunorubicin

Cytostatic drug

Intervention Type DRUG

Asparaginase

Cytostatic drug

Intervention Type DRUG

Methotrexate

Cytostatic drug

Intervention Type DRUG

Cytarabine

Cytostatic drug

Intervention Type DRUG

Mercaptopurine

Cytostatic drug

Intervention Type DRUG

G-CSF

Growth factor

Intervention Type DRUG

Vindesine

Cytostatic drug

Intervention Type DRUG

Etoposide

Cytostatic drug

Intervention Type DRUG

Prednisolone

Antileukemic drug

Intervention Type DRUG

Adriamycin

Cytostatic drug

Intervention Type DRUG

Thioguanine

Cytostatic drug

Intervention Type DRUG

Teniposide

Cytostatic drug

Intervention Type DRUG

CNS irradiation

Cytostatic drug

Intervention Type PROCEDURE

Mediastinal Irradiation

Irradiation

Intervention Type PROCEDURE

Stem cell transplantation (SCT)

Stem cell transplantation

Intervention Type PROCEDURE

Idarubicin

Cytostatic drug

Intervention Type DRUG

Fludarabine

Cytostatic drug

Intervention Type DRUG

Cladribine

Cytostatic drug

Intervention Type DRUG

Other Intervention Names

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Pegylated Asparaginase Etoposide Phosphate

Eligibility Criteria

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Inclusion Criteria

* Acute lymphoblastic leukemia (pro-B, common, pre-B, early T, thymic T, mature T)
* Age 15-65 yrs (\*55-65 years if biologically younger according to general condition)
* Written informed consent

Exclusion Criteria

* Severe comorbidity or leukemia associated complications
* Late relapse of pediatric ALL or ALL as second malignancy
* Cytostatic pre-treatment
* Pregnancy
* Severe psychiatric illness or other circumstances which may compromise cooperation of the patient
* Participation in other clinical trials interfering with the study therapy
Minimum Eligible Age

15 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Deutsche Krebshilfe e.V., Bonn (Germany)

OTHER

Sponsor Role collaborator

German Federal Ministry of Education and Research

OTHER_GOV

Sponsor Role collaborator

Goethe University

OTHER

Sponsor Role lead

Responsible Party

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Nicola Goekbuget

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dieter Hoelzer, MD,PhD

Role: STUDY_CHAIR

University Hospital 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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Kobitzsch B, Gokbuget N, Schwartz S, Reinhardt R, Bruggemann M, Viardot A, Wasch R, Starck M, Thiel E, Hoelzer D, Burmeister T. Loss-of-function but not dominant-negative intragenic IKZF1 deletions are associated with an adverse prognosis in adult BCR-ABL-negative acute lymphoblastic leukemia. Haematologica. 2017 Oct;102(10):1739-1747. doi: 10.3324/haematol.2016.161273. Epub 2017 Jul 27.

Reference Type DERIVED
PMID: 28751559 (View on PubMed)

Herold T, Schneider S, Metzeler KH, Neumann M, Hartmann L, Roberts KG, Konstandin NP, Greif PA, Braundl K, Ksienzyk B, Huk N, Schneider I, Zellmeier E, Jurinovic V, Mansmann U, Hiddemann W, Mullighan CG, Bohlander SK, Spiekermann K, Hoelzer D, Bruggemann M, Baldus CD, Dreyling M, Gokbuget N. Adults with Philadelphia chromosome-like acute lymphoblastic leukemia frequently have IGH-CRLF2 and JAK2 mutations, persistence of minimal residual disease and poor prognosis. Haematologica. 2017 Jan;102(1):130-138. doi: 10.3324/haematol.2015.136366. Epub 2016 Aug 25.

Reference Type DERIVED
PMID: 27561722 (View on PubMed)

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)

Gokbuget N, Stanze D, Beck J, Diedrich H, Horst HA, Huttmann A, Kobbe G, Kreuzer KA, Leimer L, Reichle A, Schaich M, Schwartz S, Serve H, Starck M, Stelljes M, Stuhlmann R, Viardot A, Wendelin K, Freund M, Hoelzer D; German Multicenter Study Group for Adult Acute Lymphoblastic Leukemia. Outcome of relapsed adult lymphoblastic leukemia depends on response to salvage chemotherapy, prognostic factors, and performance of stem cell transplantation. Blood. 2012 Sep 6;120(10):2032-41. doi: 10.1182/blood-2011-12-399287. Epub 2012 Apr 4.

Reference Type DERIVED
PMID: 22493293 (View on PubMed)

Gokbuget N, Kneba M, Raff T, Trautmann H, Bartram CR, Arnold R, Fietkau R, Freund M, Ganser A, Ludwig WD, Maschmeyer G, Rieder H, Schwartz S, Serve H, Thiel E, Bruggemann M, Hoelzer D; German Multicenter Study Group for Adult Acute Lymphoblastic Leukemia. Adult patients with acute lymphoblastic leukemia and molecular failure display a poor prognosis and are candidates for stem cell transplantation and targeted therapies. Blood. 2012 Aug 30;120(9):1868-76. doi: 10.1182/blood-2011-09-377713. Epub 2012 Mar 22.

Reference Type DERIVED
PMID: 22442346 (View on PubMed)

Burmeister T, Meyer C, Schwartz S, Hofmann J, Molkentin M, Kowarz E, Schneider B, Raff T, Reinhardt R, Gokbuget N, Hoelzer D, Thiel E, Marschalek R. The MLL recombinome of adult CD10-negative B-cell precursor acute lymphoblastic leukemia: results from the GMALL study group. Blood. 2009 Apr 23;113(17):4011-5. doi: 10.1182/blood-2008-10-183483. Epub 2009 Jan 14.

Reference Type DERIVED
PMID: 19144982 (View on PubMed)

Other Identifiers

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GMALL01

Identifier Type: -

Identifier Source: org_study_id

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