Registry of Relapsed/Refractory T-cell Acute Lymphoblastic Leukemia

NCT ID: NCT05832125

Last Updated: 2023-04-27

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

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-14

Study Completion Date

2024-03-31

Brief Summary

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In order to improve the outcome of relapsed and/or refractory T-cell precursor acute lymphoblastic leukemia (T-ALL) patients, and to facilitate the use of oncogenetic targeted therapies in these patients, we set up an observational cohort, collecting clinical and biological information's from patients with T-ALL in relapse or refractory, as well as the use or not of a targeted therapy. The analysis of the cohort will allow us to evaluate the impact of this therapeutic strategies on the patients' fate, and to facilitate access to innovation and personalized medicine for these patients.

Detailed Description

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Depending on protocol and leukemia subtype, 5-10% of T-ALL patients are primary refractory, and 30-40% of patients will relapse. A new complete remission is attained in 20-40% of patients, but prolonged disease-free survival is observed in only 10-15% of cases. Nelarabine is approved for R/R T-ALL in second relapses, with a CR rate of 36% in the registration study, and an overall survival of 24% at 1 year and 12% at 3 years.

The biological landscape of T-ALL is well characterized, with the identification of at least 10 key recurrently mutated pathways including transcriptional regulation (91% of cases), cell cycle regulation and tumor suppression (84%), NOTCH1 signaling (79%), epigenetic regulation (68%), PI3K-AKT-mTOR signaling (29%), JAK/STAT signaling (25%), RAS signaling (14%), ribosomal function (13%), ubiquitination (9%) and RNA processing (9%). Furthermore, T-ALL cells are dependent upon BCL-XL and upon BCL-2, especially when the T-ALL blasts bear an ETP phenotype. However, genomic data cannot reliably predict the response of leukemic cells to a given treatment, due to interactions of the different cellular pathways affected in a living leukemic cell. Therefore, the combination of genotypic and phenotypic data may overcome this problem.

In France, patients with relapsed or refractory T-ALL (and also T-cell lymphoblastic lymphomas) are already proposed to undergo a genotypic (oncogenetic characterization) and a phenotypic (drug testing assay) characterization as a standard of care procedure. Based on the results obtained in fresh leukemic cells, a national scientific committee may recommend the used of targeted drugs alone or in combination, in the context of a "off-label" or a "compassionate" use (for example : Temsirolimus + Erwiniase + Venetoclax in PI3K-AKT-mTOR mutated ALL / Tofacitinib + Venetoclax in IL7R-JAK-STAT mutated ALL / 5-azacytidine + Venetocax in hypermethylated ALL / ...).

All patients who undergone this procedure will be proposed to be registered in the ALL-Target registry (ALL-target Observatory). After registration, data related to disease history, disease characterization and disease treatment as well as data describing the patient's condition will be collected.

Some patients may receive conventional chemotherapy as a salvage (conventional cohort), others may receive targeted therapy as a salvage (personalized medicine cohort). The aim of the registry is to evaluate the benefit of each treatment strategy in term of response as a primary end point. Comparison between the two cohorts will be performed after adjustment for confounding factors. Results of subgroups will also be reported using descriptive statistics. Secondary endpoints will include safety of the treatment strategy, survival, disease free survival and progression free survival.

Conditions

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Relapsed/Refractory Acute Lymphoblastic Leukemia T-cell Acute Lymphoblastic Leukemia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients 18 years of age or older
* Patients with relapsed or refractory T-cell precursor ALL or T-cell lymphoblastic lymphoma
* Oncogenetic analysis performed at diagnosis and/or relapse in the central laboratory

Exclusion Criteria

* Patient who refuse to be registered
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Versailles Hospital

OTHER

Sponsor Role lead

Responsible Party

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Aurélie Cabannes-Hamy

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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CHU Amiens Picardie

Amiens, , France

Site Status RECRUITING

Chu Angers

Angers, , France

Site Status RECRUITING

CH Annecy Genevois

Annecy, , France

Site Status RECRUITING

Centre Hospitalier d'Argenteuil

Argenteuil, , France

Site Status RECRUITING

Centre Hospitalier Montfavet Avignon

Avignon, , France

Site Status RECRUITING

Centre Hospitalier de la Cote Basque

Bayonne, , France

Site Status RECRUITING

Hopital Avicenne

Bobigny, , France

Site Status RECRUITING

CHU de Bordeaux

Bordeaux, , France

Site Status RECRUITING

Centre Hospitalier Universitaire de CAEN

Caen, , France

Site Status RECRUITING

CHU Clermont Ferrand

Clermont-Ferrand, , France

Site Status RECRUITING

Centre Hospitalier Sud Francilien

Corbeil-Essonnes, , France

Site Status RECRUITING

Hopital Henri Mondor

Créteil, , France

Site Status RECRUITING

CHU Dijon Bourgogne

Dijon, , France

Site Status RECRUITING

CHU Lille

Lille, , France

Site Status RECRUITING

Chu Limoges

Limoges, , France

Site Status RECRUITING

Hospices Civiles de Lyon

Lyon, , France

Site Status RECRUITING

Grand Hopital de l'Est Francilien

Meaux, , France

Site Status RECRUITING

CHU de Montpellier

Montpellier, , France

Site Status RECRUITING

Centre Hospitalier Emile Muller de Mulhouse

Mulhouse, , France

Site Status RECRUITING

CHU Nancy

Nancy, , France

Site Status RECRUITING

Centre anti-cancer Nice : Antoine Lacassagne

Nice, , France

Site Status NOT_YET_RECRUITING

CHU de Nice

Nice, , France

Site Status RECRUITING

CHU Nîmes

Nîmes, , France

Site Status RECRUITING

Hopital Saint-Antoine

Paris, , France

Site Status RECRUITING

Hôpital Cochin

Paris, , France

Site Status RECRUITING

Centre Hospitalier de Perpignan

Perpignan, , France

Site Status RECRUITING

CHU de Rennes

Rennes, , France

Site Status RECRUITING

CHU Centre Hospitalier Universitaire de Saint-Étienne - Loire

Saint-Etienne, , France

Site Status RECRUITING

ONCOPOLE

Toulouse, , France

Site Status RECRUITING

Centre Hospitalier de Versailles

Versailles, , France

Site Status RECRUITING

Institut Gustave Roussy

Villejuif, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Aurélie CABANNES-HAMY

Role: CONTACT

+33139638909

Mélody FORT

Role: CONTACT

Facility Contacts

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LEBON

Role: primary

HUNAULT

Role: primary

MAUZ

Role: primary

PAPOULAR

Role: primary

CHEBREK

Role: primary

BANOS

Role: primary

BRAUN

Role: primary

LEGUAY

Role: primary

CHANTEPIE

Role: primary

CACHEUX

Role: primary

RONCHETTI

Role: primary

MAURY

Role: primary

CAILLOT

Role: primary

BERTON

Role: primary

TURLURE

Role: primary

BALSAT

Role: primary

FAYER

Role: primary

GEHLKOPF

Role: primary

LAMARQUE

Role: primary

BONMATI

Role: primary

GASTAUD

Role: primary

CLUZEAU

Role: primary

WICKENHAUSER

Role: primary

BRISSOT

Role: primary

DECROOCQ

Role: primary

KARANGWA

Role: primary

ESCOFFRE BARBE

Role: primary

TAVERNIER

Role: primary

HUGUET

Role: primary

Aurélie CABANNES-HAMY

Role: primary

PASQUIER

Role: primary

Other Identifiers

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P21/01_ALL TARGET OBS

Identifier Type: -

Identifier Source: org_study_id

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