NCT00816049

Brief Summary

The purpose of this study is to increase the fraction of patients, who become MRD-negative during consolidation for the non-HR ALL group through individualized intensification of the 6MP-dosage days 30-85.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
775

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jan 2009

Longer than P75 for phase_3

Geographic Reach
5 countries

6 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 23, 2008

Completed
8 days until next milestone

First Posted

Study publicly available on registry

December 31, 2008

Completed
1 day until next milestone

Study Start

First participant enrolled

January 1, 2009

Completed
7.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 2, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 2, 2016

Completed
Last Updated

April 21, 2017

Status Verified

April 1, 2017

Enrollment Period

7.2 years

First QC Date

December 23, 2008

Last Update Submit

April 20, 2017

Conditions

Keywords

acute lymphoblastic leukemiachild6-mercaptopurineminimal residual diseaseefficacychildhood acute lymphoblastic leukemia

Outcome Measures

Primary Outcomes (1)

  • Fraction of patients that become MRD-negative at treatment days 85 and/or 92 (end-of-consolidation) and event-free survival. MRD is measured either by Flow-cytometry (for PreB-ALL patients) or PCR for clonal generearrangements(for T-ALL patients)

    6 years

Secondary Outcomes (1)

  • Toxicity of treatment, degree of myelo-, hepato- and renal toxicity; and development of asparaginase antibodies.

    6 years

Study Arms (2)

6MPfixed

ACTIVE COMPARATOR

Fixed dose 6-mercaptopurine days 30-85

Drug: 6MPfixed

6MPindividualized

EXPERIMENTAL

Individualized dose increments of 6-mercaptopurine days 30-85

Drug: 6MPindividualized

Interventions

Oral 6-mercaptopurine with a starting dose of 25 mg/m2 and upward adjusted in steps of 25 mg/m2 (i.e. 50 or 75 mg/m2) if unacceptable bone-marrox toxicity is not encountered

Also known as: PuriNethol, Puri-Nethol (6-mercaptopurine)
6MPindividualized

Oral 6-mercaptopurine at a fixed dose of 25 mg/m2 treatment days 30-85

Also known as: PuriNethol, Puri-Nethol (6-mercaptopurine)
6MPfixed

Eligibility Criteria

Age1 Year - 45 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Childhood ALL
  • All mandatory biological data are available6
  • Written informed consent has been obtained

You may not qualify if:

  • Mixed lineage ALL
  • Pre-treatment with glucocorticosteroids or other antileukemic agents for more than 1 week
  • ALL predisposition syndromes
  • Previous cancer
  • Off protocol administration of additional chemotherapy during induction therapy
  • Sexually active females not using contraception
  • TPMT-deficiency

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Department of Pediatrics, Rigshospitalet

Copenhagen, Denmark

Location

Helsinki University Hospital

Helsinki, Finland

Location

University Hospital

Reykjavik, Iceland

Location

Trondheim University Hospital

Trondheim, Norway

Location

Department of Pediatrics, Drottning Sylvias Pediatric Hospital

Gothenburg, Sweden

Location

NOPHO nordic organisation for pediatric onology

Stockholm, Sweden

Location

MeSH Terms

Conditions

Precursor Cell Lymphoblastic Leukemia-LymphomaNeoplasm, Residual

Interventions

Mercaptopurine

Condition Hierarchy (Ancestors)

Leukemia, LymphoidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Sulfhydryl CompoundsSulfur CompoundsOrganic ChemicalsPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Kjeld Schmiegelow, M.D.

    Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

December 23, 2008

First Posted

December 31, 2008

Study Start

January 1, 2009

Primary Completion

March 2, 2016

Study Completion

March 2, 2016

Last Updated

April 21, 2017

Record last verified: 2017-04

Locations