Malaysia-Singapore Acute Lymphoblastic Leukemia 2010 Study

NCT ID: NCT02894645

Last Updated: 2016-09-30

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

PHASE4

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Brief Summary

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The overall objective of this study is to continue to improve the cure rate of childhood acute lymphoblastic leukemia (ALL) in Singapore and Malaysia in the context of a multi-centre cooperative trial using a risk-stratified therapy based primarily on early response to therapy utilizing a simplified minimal residual disease (MRD-lite) platform.

Detailed Description

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The study was designed on the premise that a risk classification strategy combining clinical and genetic presenting features with molecular assessment of MRD should reduce both treatment-related toxicities and relapse risk.

The patient will be assigned to one of the 3 risk groups depending on his/her response to the treatment and special laboratory tests. There are no experimental drugs in this study. All the drugs used are standard established treatment for childhood ALL for the last 30 years. The difference in treatment is by changes in the frequency and dose of the chemotherapy drugs.

The overall study treatment lasts for about 2 years.

Conditions

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Acute Lymphoblastic Leukemia (ALL)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard Risk (SR)

Group Type OTHER

Prednisolone

Intervention Type DRUG

Oral

Dexamethasone

Intervention Type DRUG

Oral

L-Asparaginase

Intervention Type DRUG

Intramuscular injection

Vincristine

Intervention Type DRUG

Intravenous

Methotrexate

Intervention Type DRUG

Intrathecal/ Intravenous/ Oral

Cyclophosphamide

Intervention Type DRUG

Intravenous

Cytarabine

Intervention Type DRUG

Intravenous/ Subcutaneous injection

6-Mercaptopurine

Intervention Type DRUG

Oral

Thioguanine

Intervention Type DRUG

Oral

Intermediate Risk (IR)

Group Type OTHER

Prednisolone

Intervention Type DRUG

Oral

Dexamethasone

Intervention Type DRUG

Oral

L-Asparaginase

Intervention Type DRUG

Intramuscular injection

Vincristine

Intervention Type DRUG

Intravenous

Methotrexate

Intervention Type DRUG

Intrathecal/ Intravenous/ Oral

Doxorubicin

Intervention Type DRUG

Intravenous

Cyclophosphamide

Intervention Type DRUG

Intravenous

Cytarabine

Intervention Type DRUG

Intravenous/ Subcutaneous injection

6-Mercaptopurine

Intervention Type DRUG

Oral

Thioguanine

Intervention Type DRUG

Oral

High risk (HR)

Group Type OTHER

Prednisolone

Intervention Type DRUG

Oral

Dexamethasone

Intervention Type DRUG

Oral

L-Asparaginase

Intervention Type DRUG

Intramuscular injection

Vincristine

Intervention Type DRUG

Intravenous

Methotrexate

Intervention Type DRUG

Intrathecal/ Intravenous/ Oral

Daunorubicin

Intervention Type DRUG

Intravenous

Doxorubicin

Intervention Type DRUG

Intravenous

Cyclophosphamide

Intervention Type DRUG

Intravenous

Cytarabine

Intervention Type DRUG

Intravenous/ Subcutaneous injection

6-Mercaptopurine

Intervention Type DRUG

Oral

Thioguanine

Intervention Type DRUG

Oral

Fludarabine

Intervention Type DRUG

Intravenous

Imatinib

Intervention Type DRUG

Oral (For BCR-ABL ALL only)

Interventions

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Prednisolone

Oral

Intervention Type DRUG

Dexamethasone

Oral

Intervention Type DRUG

L-Asparaginase

Intramuscular injection

Intervention Type DRUG

Vincristine

Intravenous

Intervention Type DRUG

Methotrexate

Intrathecal/ Intravenous/ Oral

Intervention Type DRUG

Daunorubicin

Intravenous

Intervention Type DRUG

Doxorubicin

Intravenous

Intervention Type DRUG

Cyclophosphamide

Intravenous

Intervention Type DRUG

Cytarabine

Intravenous/ Subcutaneous injection

Intervention Type DRUG

6-Mercaptopurine

Oral

Intervention Type DRUG

Thioguanine

Oral

Intervention Type DRUG

Fludarabine

Intravenous

Intervention Type DRUG

Imatinib

Oral (For BCR-ABL ALL only)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Confirmed diagnosis of non-Burkitt B-lineage ALL
2. 1 to 17 years of age (before 18th birthday)
3. Renal function within normal range for age
4. Liver function within normal range for age
5. Able to participate in the full 2 years of treatment

Exclusion Criteria

1. Age less than one year or age greater than/equals to 18 years
2. Previous treatment with cytotoxic agents or high-dose steroids
3. Mixed phenotype acute leukemia (MPAL)
4. ALL as secondary malignancy
5. Abnormal renal or liver function
6. Doubtful compliance or unable to afford full course of therapy
Minimum Eligible Age

1 Year

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National University Hospital, Singapore

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Allen Yeoh, MBBS

Role: PRINCIPAL_INVESTIGATOR

Ma-spore Group

Locations

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University of Malaya Medical Centre

Kuala Lumpur, , Malaysia

Site Status RECRUITING

Subang Jaya Medical Centre

Subang Jaya, , Malaysia

Site Status RECRUITING

National University Hospital

Singapore, , Singapore

Site Status RECRUITING

KK Women's and Children's Hospital

Singapore, , Singapore

Site Status RECRUITING

Countries

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Malaysia Singapore

Central Contacts

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Allen Yeoh, MBBS

Role: CONTACT

Phone: (+65) 6772 4406

Email: [email protected]

Facility Contacts

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Hany Arrifin, MBBS

Role: primary

Hai Peng Lin, MBBS

Role: primary

Lee Lee Chan, MBBS

Role: backup

Allen Yeoh, MBBS

Role: primary

Ah Moy Tan, MBBS

Role: primary

References

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Ariffin H, Chiew EKH, Oh BLZ, Lee SHR, Lim EH, Kham SKY, Abdullah WA, Chan LL, Foo KM, Lam JCM, Chan YH, Lin HP, Quah TC, Tan AM, Yeoh AEJ. Anthracycline-Free Protocol for Favorable-Risk Childhood ALL: A Noninferiority Comparison Between Malaysia-Singapore ALL 2003 and ALL 2010 Studies. J Clin Oncol. 2023 Jul 10;41(20):3642-3651. doi: 10.1200/JCO.22.02347. Epub 2023 Jun 5.

Reference Type DERIVED
PMID: 37276496 (View on PubMed)

Yeoh AEJ, Lu Y, Chin WHN, Chiew EKH, Lim EH, Li Z, Kham SKY, Chan YH, Abdullah WA, Lin HP, Chan LL, Lam JCM, Tan PL, Quah TC, Tan AM, Ariffin H. Intensifying Treatment of Childhood B-Lymphoblastic Leukemia With IKZF1 Deletion Reduces Relapse and Improves Overall Survival: Results of Malaysia-Singapore ALL 2010 Study. J Clin Oncol. 2018 Sep 10;36(26):2726-2735. doi: 10.1200/JCO.2018.78.3050. Epub 2018 Jul 25.

Reference Type DERIVED
PMID: 30044693 (View on PubMed)

Other Identifiers

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Ma-Spore ALL 2010

Identifier Type: -

Identifier Source: org_study_id