Study Comparing Imatinib With Chemotherapy as Induction in Elderly Patients With Philadelphia Positive Acute Lymphoblastic Leukemia (ALL)

NCT ID: NCT00199186

Last Updated: 2007-10-19

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

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2002-03-31

Brief Summary

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The aims of the study are to determine whether single agent imatinib (STI571; Glivec) is more effective as up-front remission induction therapy than conventional multi-agent induction chemotherapy for elderly patients with Philadelphia positive (Ph+)ALL, whether this treatment is better tolerated, and whether subsequent combination therapy with imatinib and chemotherapy of approximately a 1 year duration is tolerable and effective with respect to maintaining remissions.

Detailed Description

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Conditions

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Philadelphia Positive Acute Lymphoblastic Leukemia Lymphoid Blastic Phase of Chronic Myeloid Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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imatinib

Intervention Type DRUG

vincristine

Intervention Type DRUG

cyclophosphamide

Intervention Type DRUG

cytosine arabinoside

Intervention Type DRUG

dexamethasone

Intervention Type DRUG

idarubicin

Intervention Type DRUG

methotrexate (intrathecal)

Intervention Type DRUG

AraC (intrathecal)

Intervention Type DRUG

dexamethasone (intrathecal)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients
* Age \> 55 years (biological age)
* Diagnosis of Ph1 chromosome-positive ALL (pre-B, common- or pre-pre-B ALL)
* Newly diagnosed, lymphoid blast crisis of chronic myeloid leukemia
* Only pre-phase chemotherapy prior to study start
* World Health Organization (WHO) status 0, 1 or 2
* Voluntary written informed consent

Exclusion Criteria

* Creatinine levels more than 2 x the upper limit of normal (ULN)
* Total serum bilirubin more than 1.5 x the ULN
* AST (SGOT) or ALT (SGPT) more than 5 x the ULN
* Any other prior antineoplastic treatment except for pre-phase chemotherapy
* Active central nervous system (CNS) leukemia
* New York Heart Association (NYHA) grade 3/4 cardiac disease
* Active severe infection
* Serious concomitant medical condition
* Patients with a history of non-compliance to medical regimens
Minimum Eligible Age

56 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johann Wolfgang Goethe University Hospital

OTHER

Sponsor Role lead

Principal Investigators

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Oliver G Ottmann, M.D.

Role: STUDY_CHAIR

Medizinische Klinik II, Johann Wolfgang Goethe Universität

Locations

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Medizinische Klinik II, Johann Wolfgang Goethe Universität

Frankfurt am Main, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Oliver G Ottmann, M.D.

Role: CONTACT

Phone: ++49-69-6301-0

Email: [email protected]

Barbara Wassmann, M.D.

Role: CONTACT

Phone: ++49-69-6301-0

Email: [email protected]

Facility Contacts

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Oliver G Ottmann, M.D.

Role: primary

Other Identifiers

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GMALL-STI571-ELDERLY-01/02

Identifier Type: -

Identifier Source: secondary_id

CSTI571ADE10

Identifier Type: -

Identifier Source: org_study_id