German Multicenter Trial for Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Adults (06/99)

NCT ID: NCT00199056

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

225 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-10-31

Study Completion Date

2005-12-31

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. A MRD based risk stratification and treatment decision is developed.

Detailed Description

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Conditions

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Adult Acute Lymphocytic Leukemia

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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Dexamethasone / Prednisolone

Intervention Type DRUG

Cyclophosphamide

Intervention Type DRUG

Methotrexate

Intervention Type DRUG

Vincristine / Vindesine

Intervention Type DRUG

Daunorubicin

Intervention Type DRUG

Asparaginase

Intervention Type DRUG

G-CSF

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

6-Mercaptopurine

Intervention Type DRUG

VP16

Intervention Type DRUG

Adriamycin

Intervention Type DRUG

Thioguanine

Intervention Type DRUG

VM26

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Fludarabine

Intervention Type DRUG

Ifosfamide

Intervention Type DRUG

CNS irradiation

Intervention Type PROCEDURE

Mediastinal irradiation (if residual tumor)

Intervention Type PROCEDURE

stem cell transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Severe comorbidity
* Cytostatic pre-treatment
* Pregnancy
* Missing written informed consent
Minimum Eligible Age

15 Years

Maximum Eligible Age

65 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 Hospital Frankfurt, Medical Dept. II

Locations

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University Hospital, 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)

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)

Related Links

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http://www.studienregister-online.de

German Leukemia Trial Registry

Other Identifiers

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GMALL10

Identifier Type: -

Identifier Source: org_study_id

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