Liposomal Cytarabine for Central Nervous System (CNS)-Treatment in High-risk Acute Lymphoblastic Leukemia (ALL)

NCT ID: NCT00991744

Last Updated: 2012-10-10

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

SUSPENDED

Clinical Phase

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2018-12-31

Brief Summary

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* Replacement of intrathecal Triple (methotrexate, cytarabine, prednisolone) with intrathecal liposomal cytarabine and prednisolone during maintenance therapy will decrease the CNS relapse rate in high-risk ALL patients.
* Both acute and long-term toxicity are equal in both treatment arms.

Detailed Description

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20% of children with ALL still fails to be cured. The ALL-2008 protocol is a treatment and research protocol that aims to improve the overall outcome of Nordic children and adolescents with ALL in comparison with the ALL-2000 protocol and previous NOPHO protocols.

The specific and primary objectives of the randomised study is:

1. To replace intrathecal triple (methotrexate, cytarabine and glucocorticosteroid) by intrathecal liposomal cytarabine and glucocorticosteroid during maintenance therapy in order to decrease the central nervous system relapse rate in high-risk acute lymphoblastic leukemia patients.
2. To evaluate acute and long-term toxicity in both treatment arms.

Conditions

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Acute Lymphoblastic Leukemia

Keywords

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Leukemia Central nervous system Neurotoxicity Liposomal cytarabine Children Acute lymphoblastic leukemia Childhood acute lymphoblastic leukemia Intrathecal Efficacy Safety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Liposomal cytarabine

Intrathecal liposomal cytarabine (25 - 50 mg) combined with intrathecal prednisolone sodium succinate and oral dexamethasone 6 times during maintenance treatment for high-risk ALL

Group Type EXPERIMENTAL

Liposomal cytarabine

Intervention Type DRUG

Intrathecal liposomal cytarabine combined with intrathecal prednisolone and oral dexamethasone during maintenance treatment for high-risk ALL

Intrathecal triple

Intrathecal methotrexate, cytarabine and prednisolone

Group Type ACTIVE_COMPARATOR

Intrathecal triple

Intervention Type DRUG

Intrathecal methotrexate (8-12 mg), cytarabine (20 - 30 mg) and prednisolone sodium succinate (12,5 - 20 mg) 6 times during maintenance treatment in high-risk ALL protocol

Interventions

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Liposomal cytarabine

Intrathecal liposomal cytarabine combined with intrathecal prednisolone and oral dexamethasone during maintenance treatment for high-risk ALL

Intervention Type DRUG

Intrathecal triple

Intrathecal methotrexate (8-12 mg), cytarabine (20 - 30 mg) and prednisolone sodium succinate (12,5 - 20 mg) 6 times during maintenance treatment in high-risk ALL protocol

Intervention Type DRUG

Other Intervention Names

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Cytarbine Ara-C Cytosar-U Cytosine arabinoside Precortalon Di-Adreson F DepoCyte DepoCyt Precortalon Di-Adreson-F Cytarabine Ara-C Cytosar-U Cytosine arabinoside

Eligibility Criteria

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Inclusion Criteria

* High risk acute lymphoblastic leukemia
* Not eligible for bone marrow transplantation
* Age 1-18
* Written informed consent has been obtained

Exclusion Criteria

* Persistent NCI grade 3-4 neurotoxicity from previous treatments
* Bilineage ALL
* Leukemia predisposing syndromes (e.g. Downs syndrome, Ataxia Telangiectasia)
* Previous cancer
* Known intolerance to NOPHO ALL 2008 anticancer agents
* Sexually active females will use safe contraceptives
* Previous treatment with intrathecal liposomal cytarabine
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oulu University Hospital

OTHER

Sponsor Role collaborator

Nordic Society for Pediatric Hematology and Oncology

OTHER

Sponsor Role lead

Responsible Party

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Arja Harila-Saari

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Arja Harila-Saari, MD

Role: PRINCIPAL_INVESTIGATOR

Oulu University Hospital

Locations

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Department of Pediatrics, Rigshospitalet

Copenhagen, , Denmark

Site Status

Helsinki University Hospital

Helsinki, , Finland

Site Status

University of Reykjavik, Iceland

Reykjavik, , Iceland

Site Status

University Hospital of Trondheim, Norway

Trondheim, , Norway

Site Status

Department of Pediatrics, Drottning Sylvias Pediatric Hospital

Gothenburg, , Sweden

Site Status

Countries

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Denmark Finland Iceland Norway Sweden

Other Identifiers

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NOPHOALL2008-DepoCyte

Identifier Type: -

Identifier Source: org_study_id