NCT01439347

Brief Summary

A phase 3 study in the treatment of subjects \>or= 60 years old with newly diagnosed acute lymphoblastic leukemia (ALL).

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
26

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Mar 2012

Typical duration for phase_3

Geographic Reach
1 country

15 active sites

Status
terminated

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

September 20, 2011

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 23, 2011

Completed
5 months until next milestone

Study Start

First participant enrolled

March 1, 2012

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2015

Completed
5.9 years until next milestone

Results Posted

Study results publicly available

September 9, 2021

Completed
Last Updated

September 9, 2021

Status Verified

September 1, 2021

Enrollment Period

3.7 years

First QC Date

September 20, 2011

Results QC Date

November 6, 2019

Last Update Submit

September 6, 2021

Conditions

Keywords

MarqiboHALLMARQleukemiafront-lineALLacute lymphoblastic leukemia

Outcome Measures

Primary Outcomes (1)

  • Overall Survival

    Overall survival was defined as the time from the date of study randomization until death from any cause. Observations censored at the date of the last follow-up for subjects not known to have died.

    36 months

Study Arms (2)

Vincristine Sulfate Injection (VSI)

EXPERIMENTAL

VSI dosed at 1.4 mg/m\^2 with a 2 mg dose cap as an intravenous (IV) infusion over 10 minutes.

Drug: Vincristine Sulfate Injection (VSI)

Marqibo

EXPERIMENTAL

Marqibo dosed at 2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.

Drug: Vincristine Sulfate Liposomes Injection (VSLI)

Interventions

2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.

Also known as: Marqibo
Marqibo

1.4 mg/m\^2 with a 2 mg dose cap as an IV infusion over 10 minutes.

Also known as: Vincristine
Vincristine Sulfate Injection (VSI)

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have provided written, signed, and dated informed consent to participate in the study, in accordance with the International Council on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use Good Clinical Practice (ICH GCP) Guideline E6 and all applicable local regulations. Are age \>or=60 years (at the time of providing informed consent).
  • Have newly diagnosed, histologically proven, untreated Philadelphia chromosome-negative (Ph-) Acute lymphocytic leukemia \[ALL\], with \>or= 5% bone marrow blasts.
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. Have a life expectancy \>or= 3 months.
  • Have renal and liver function as defined below within 14 days, inclusive, prior to study enrollment, unless the abnormality is considered attributable to leukemia:
  • Total bilirubin ≤ 2.0 x the upper limit of normal (ULN), unless the subject has a known diagnosis of Gilbert's disease Aspartate transaminase (AST, Serum glutamic oxaloacetic transaminase \[SGOT\]) or alanine transaminase (ALT, Serum glutamic pyruvic transaminase \[SGPT\]) ≤ 3 x ULN Serum creatinine ≤ 1.5 x ULN. Not have had major surgery within 4 weeks before the planned start of treatment.
  • If female, are post-menopausal, surgically sterilized, or willing to use acceptable methods of birth control (eg, hormonal contraceptive, intra-uterine device, diaphragm with spermicide, condom with spermicide, or abstinence) from the screening visit through 30 days after the last dose of any protocol defined chemotherapeutic agents.
  • If male and sexually active with a partner of child-bearing potential, agree to use an acceptable barrier method for contraception from the screening visit through 30 days after the last dose of any protocol defined chemotherapeutic agents.
  • Have the ability and willingness to fully comply with study procedures and restrictions.

You may not qualify if:

  • Has had prior systemic chemotherapy (for ALL or other malignancy). Has had prior vincristine for any reason. Is planning to undergo stem cell transplantation (SCT) as any part of first-line therapy for ALL.
  • Has Burkitt's lymphoma/leukemia. Has Philadelphia chromosome-positive (Ph+) ALL and/or BCR/ABL rearrangements documented by fluorescent in-situ hybridization (FISH), cytogenetics, or polymerase chain reaction (PCR).
  • Has active central nervous system (CNS) disease. Has ongoing neuropathy of any etiology \> Grade 1. Has a history of persistent active neurologic disorders including demyelinating form of Charcot-Marie-Tooth syndrome, acquired demyelinating disorders, and other demyelinating conditions.
  • Prior hydroxyurea (Hydrea®) for the management of any condition other than leukocytosis or prior hydroxyurea of \>7 days duration for the management of leukocytosis (hydroxyurea for the management of leukocytosis must be planned to be tapered off before or on Day 5 of Induction).
  • Has received prior steroids within 7 days before beginning protocol-specified Induction therapy for reasons other than leukocytosis (steroids for the management of leukocytosis are allowed but must be planned to be tapered off before or on Day 5 of Induction).
  • Has an active serious infection not controlled by oral or IV antibiotics or antifungals.
  • Has received any investigational therapy within 28 days before beginning any protocol-defined chemotherapeutic treatment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

UC San Diego Moores Cancer Center

La Jolla, California, 92093, United States

Location

UCLA

Los Angeles, California, 90095, United States

Location

Emory University, Winship Cancer Institute

Atlanta, Georgia, 30322, United States

Location

Northwestern University Fienberg School of Medicine

Chicago, Illinois, 60611, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110-1093, United States

Location

Nebraska Medical Center

Omaha, Nebraska, 68198-7680, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

Cornell

New York, New York, 10021, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

The University of Texas, M.D. Anderson Cancer Center

Houston, Texas, 77030-4009, United States

Location

Seattle Cancer Care Alliance

Seattle, Washington, 98109, United States

Location

MeSH Terms

Conditions

Precursor Cell Lymphoblastic Leukemia-LymphomaLeukemia

Interventions

Vincristine

Condition Hierarchy (Ancestors)

Leukemia, LymphoidNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Vinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizines

Results Point of Contact

Title
Gajanan Bhat, PhD
Organization
Spectrum Pharmaceuticals

Study Officials

  • Susan M O'Brien, MD

    MD Anderson

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 20, 2011

First Posted

September 23, 2011

Study Start

March 1, 2012

Primary Completion

November 1, 2015

Study Completion

November 1, 2015

Last Updated

September 9, 2021

Results First Posted

September 9, 2021

Record last verified: 2021-09

Locations