The Individualized Treatment of 6-mercaptopurine in Children With Acute Lymphoblastic Leukemia in China

NCT ID: NCT04228393

Last Updated: 2020-01-14

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/PHASE3

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-01

Study Completion Date

2022-12-31

Brief Summary

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The purpose of this study was to assess the efficacy and safety of individualized treatment of 6-mercaptopurine (6-MP) in Chinese children with acute lymphoblastic leukemia, and to investigate the dose-concentration-response (DER) relationship between thiopurine metabolites and adverse events. The individualized administration of 6-MP was established in Chinese children with acute lymphoblastic leukemia.

Detailed Description

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To inflict minimal pain on the child contributing blood samples, opportunistic sampling design was chosen to collect pharmacokinetic samples.

Conditions

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Acute Lymphoblastic Leukemia, Pediatric

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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Standard treatment regimen

6-mercaptopurine was administered according to the Chinese Children Cancer Group (CCCG) protocol-ALL 2015.

Group Type ACTIVE_COMPARATOR

6-mercaptopurine

Intervention Type DRUG

6-mercaptopurine was administered orally to patients once daily.

Standard treatment

Intervention Type PROCEDURE

The initial dose is 50mg/m2. The dose was adjusted according to white blood cells.

Individualized treatment regimen

6-mercaptopurine was administered on the basis of Chinese Children Cancer Group (CCCG) protocol-ALL 2015 combined with Clinical Pharmacogenetics Implementation Consortium (CPIC), genotypes and the concentrations of 6-TGN in red blood cells.

Group Type EXPERIMENTAL

6-mercaptopurine

Intervention Type DRUG

6-mercaptopurine was administered orally to patients once daily.

Individualized treatment

Intervention Type PROCEDURE

The initial dose is determined according to the genotypes of patients combined with Clinical Pharmacogenetics Implementation Consortium (CPIC). The dose was adjusted according to white blood cells, genotypes and the concentrations of 6-TGN in red blood cells.

Interventions

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6-mercaptopurine

6-mercaptopurine was administered orally to patients once daily.

Intervention Type DRUG

Standard treatment

The initial dose is 50mg/m2. The dose was adjusted according to white blood cells.

Intervention Type PROCEDURE

Individualized treatment

The initial dose is determined according to the genotypes of patients combined with Clinical Pharmacogenetics Implementation Consortium (CPIC). The dose was adjusted according to white blood cells, genotypes and the concentrations of 6-TGN in red blood cells.

Intervention Type PROCEDURE

Other Intervention Names

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6-MP

Eligibility Criteria

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Inclusion Criteria

1. Confirmed diagnosis of acute lymphoblastic leukemia;
2. Age 1-18y at time of initial diagnosis;
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
4. Informed consent signed by the patients parents or guardians before initiation of the study.

Exclusion Criteria

1. Ph-positive ALL, matrue B-cell ALL, BC-CML;
2. Secondary to immunodeficiency, second cancer;
3. Abnormal liver and kidney function;
4. Patients divided into intermediate or high risk groups according to the risk grouping criteria of the Chinese Children Cancer Group (CCCG) protocol-ALL 2015;
5. Patients who enrolled in another clinical trial;
6. Expected survival time less than the treatment cycle;
7. Patients with other factors that researcher considers unsuitable for inclusion
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Hematology & Blood Diseases Hospital, China

OTHER

Sponsor Role collaborator

Qianfoshan Hospital

OTHER

Sponsor Role collaborator

Qilu Hospital of Shandong University

OTHER

Sponsor Role collaborator

Children's Hospital of Hebei Province

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Qingdao University

OTHER

Sponsor Role collaborator

Wei Zhao

OTHER

Sponsor Role lead

Responsible Party

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Wei Zhao

Professor; Head of department of clinical pharmacy and pharmacology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Wei Zhao, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Shandong University

Locations

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State Key Laboratory of Experimental Haematology, Department of Paediatric Haematology, Institute of Haematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Tanjin, Tianjin Municipality, China

Site Status

Countries

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China

Central Contacts

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Wei Zhao, Ph.D

Role: CONTACT

86053188383308

Yan H Shi, Ph.D

Role: CONTACT

86053188383308

References

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Zhou Y, Wang L, Sun LR, Zhang L, Wang HM, Liu XT, Yang F, Wu KL, Liang YL, Zhao BB, Zhuang Y, Fu JQ, Song C, Li Y, Wang LZ, Xu HJ, Gu Y, van den Anker J, Ju XL, Zhu XF, Zhao W. Individualized Use of 6-Mercaptopurine in Chinese Children with ALL: A Multicenter Randomized Controlled Trial. Clin Pharmacol Ther. 2024 Feb;115(2):213-220. doi: 10.1002/cpt.3061. Epub 2023 Oct 16.

Reference Type DERIVED
PMID: 37753808 (View on PubMed)

Other Identifiers

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2020-6-mercaptopurine-001

Identifier Type: -

Identifier Source: org_study_id

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