A Study for Older Adults With Acute Lymphoblastic Leukaemia

NCT ID: NCT01616238

Last Updated: 2023-08-16

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

PHASE2

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2023-02-01

Brief Summary

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The NCRI Adult ALL sub-group propose to collaborate with the Dutch/Belgian group HOVON to carry out a prospective, non randomised multi-arm study (including a choice of regimen intensity) to investigate the safety, tolerability and feasibility of a standardised therapy protocol for patients ≥ 60 years old with de novo ALL. The overall aim is define a basic standard of care upon which trials of novel therapies will be based in future. The design of the study will enable collection of a comprehensive dataset regarding the clinical outcome, Complete Response Rate (CR) and Minimal Residual Disease (MRD) response rates in a previously completely uncharacterised population, thus providing the essential platform for designing future randomised advanced phase studies in which new therapeutic approaches and novel therapies can be prospectively investigated.

Detailed Description

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The study will

1. establish baseline expectations for Event Free Survival (EFS), Overall Survival (OS), MRD responses and quality of life measures for older patients of all ages and pre-morbid states;
2. disclose how best to use knowledge of pre-morbid characteristics to apply the appropriate intensity of therapy in order to balance the best disease related outcomes against quality of life;
3. establish national standards of care for this patient group;
4. provide the essential platform for careful design of future randomised advanced phase studies of new therapeutic approaches and agents.

Conditions

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Acute Lymphoblastic Leukaemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Philadelphia Positive Patients

All patients with Philadelphia positive ALL will be treated in this group and will receive a standard imatinib-containing chemotherapy regimen

Group Type EXPERIMENTAL

Chemotherapy

Intervention Type DRUG

Treatment for all pathways consists of Induction, Intensification (where applicable), Consolidation and Maintenance therapy during which combination chemotherapy is given for up to 2.5 years.

Philadelphia -ve Patients- Intensive

Patients with Philadelphia negative ALL who are fit for intensive treatment will be allocated into this group.

Group Type EXPERIMENTAL

Chemotherapy

Intervention Type DRUG

Treatment for all pathways consists of Induction, Intensification (where applicable), Consolidation and Maintenance therapy during which combination chemotherapy is given for up to 2.5 years.

Philadelphia -ve Patients- Intensive +

Patients with Philadelphia negative disease and who are fit for intensive treatment will be entered into this group

Group Type EXPERIMENTAL

Chemotherapy

Intervention Type DRUG

Treatment for all pathways consists of Induction, Intensification (where applicable), Consolidation and Maintenance therapy during which combination chemotherapy is given for up to 2.5 years.

Philadelphia -ve Patients- Non Intensive

Patients with Philadelphia negative disease who are not fit for intensive chemotherapy will be entered into this group

Group Type EXPERIMENTAL

Chemotherapy

Intervention Type DRUG

Treatment for all pathways consists of Induction, Intensification (where applicable), Consolidation and Maintenance therapy during which combination chemotherapy is given for up to 2.5 years.

Registration only

Patients with either Philadelphia positive or negative ALL who do not wish to enter the study will be allocated to this group for data collection purposes only.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Chemotherapy

Treatment for all pathways consists of Induction, Intensification (where applicable), Consolidation and Maintenance therapy during which combination chemotherapy is given for up to 2.5 years.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 60 with Acute Lymphoblastic Leukaemia (ALL) OR ≥ 55 with Acute Lymphoblastic Leukaemia (ALL) unsuitable for the UKALL14 or HOVON 100 trial
* Newly diagnosed, previously untreated ALL (a steroid pre-phase of 5-7 days may be given before trial registration))
* Willing and able to give consent

Exclusion Criteria

* Known HIV infection
* Blast transformation of CML
* Mature B-cell leukaemia i.e. Burkitts disease t(8,14)(q24 ;q32) and variant c-myc translocations e.g. t(2;8)(p12 ;q24), t(8;22)(q24;q11)
* Women who are pregnant or lactating
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Research UK

OTHER

Sponsor Role collaborator

Stichting Hemato-Oncologie voor Volwassenen Nederland

OTHER

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prof Adele Fielding

Role: PRINCIPAL_INVESTIGATOR

University College London Hospital

Locations

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Erasmus MC

Rotterdam, , Netherlands

Site Status

NHS Lanarkshire - Monklands

Airdrie, , United Kingdom

Site Status

Blackpool Victoria Hopsital

Blackpool, , United Kingdom

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Royal Bournemouth Hospital

Bournemouth, , United Kingdom

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Bradford Royal Infirmary

Bradford, , United Kingdom

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Bristol Haematology and Oncology Centre

Bristol, , United Kingdom

Site Status

University Hospital of Wales

Cardiff, , United Kingdom

Site Status

Castle Hill Hospital

Cottingham, , United Kingdom

Site Status

Russells Hall Hospital

Dudley, , United Kingdom

Site Status

Ninewells Hospital

Dundee, , United Kingdom

Site Status

NHS Lothian - Western General Hospital

Edinburgh, , United Kingdom

Site Status

Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

New Victoria Hospital and Southern General Hospital

Glasgow, , United Kingdom

Site Status

Northwick Park Hospital

Harrow, , United Kingdom

Site Status

St James' Hospital, Leeds

Leeds, , United Kingdom

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Leicester Royal Infirmary

Leicester, , United Kingdom

Site Status

Royal Liverpool University Hospital

Liverpool, , United Kingdom

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King's College Hospital NHS Foundation Trust

London, , United Kingdom

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St Bartholomew's Hospital

London, , United Kingdom

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St George's Hospital

London, , United Kingdom

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The Christie Hospital

Manchester, , United Kingdom

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Arrowe Park Hospital

Metropolitan Borough of Wirral, , United Kingdom

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James Cook University Hospital

Middlesbrough, , United Kingdom

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Churchill Hospital, Oxford

Oxford, , United Kingdom

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Derriford Hospital

Plymouth, , United Kingdom

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Poole General Hospital

Poole, , United Kingdom

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St Helen's & Knowlsey Teaching Hospitals

Prescot, , United Kingdom

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Salisbury District Hospital

Salisbury, , United Kingdom

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Royal Hallamshire Hospital

Sheffield, , United Kingdom

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Royal MarsdenHospital

Sutton, , United Kingdom

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Great Western Hospital

Swindon, , United Kingdom

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Musgrove Park

Taunton, , United Kingdom

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Torbay Hospital

Torquay, , United Kingdom

Site Status

Sandwell General Hospital

West Bromwich, , United Kingdom

Site Status

Countries

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Netherlands United Kingdom

Other Identifiers

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UCL/11/0532

Identifier Type: -

Identifier Source: org_study_id

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