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ALL Adult Consortium Trial: Adult ALL Trial
The purpose of this study is to determine the safety and effectiveness of a multi-drug chemotherapy regimen in adult patients with Acute Lymphoblastic Leukemia (ALL). We will use a regimen that is often used in pediatric patients and we will add drugs called PEG-asparaginase and E. coli asparaginase. PEG-asparaginase has been given as an injection in the past and has been used in treatment with both children and adults with ALL. Information from those other research studies suggests that intravenous PEG-asparaginase has been administered safely in both children and adults. We hope to gain more information about the participants disease and how it responds to standard chemotherapy drugs used to treat ALL\>
Details
| Lead sponsor | Dana-Farber Cancer Institute |
|---|---|
| Phase | Phase 2 |
| Status | COMPLETED |
| Enrolment | 112 |
| Start date | 2007-04 |
| Completion | 2020-03 |
Conditions
- Acute Lymphoblastic Leukemia
Interventions
- Doxorubicin
- Cytarabine
- Methotrexate
- Vincristine
- Cyclophosphamide
- Methylprednisone
- Hydrocortisone Sodium Succinate
- Dexamethasone
- 6-MP
- PEG-Asparaginase
Primary outcomes
- Asparaginase Completion Rate — Assessed at the end of the 30-week post-induction treatment period or when the participant comes off treatment, whichever occurs first.
Feasibility based on the rate of asparaginase completed defined as the percentage of patients who, after having achieved a complete remission after induction therapy, complete \>25 weeks of IV PEG asparaginase as part of intensification therapy. Complete remission is defined as an interpretable bone marrow (a specimen with normal marrow elements present) with fewer than 5% lymphoblasts and peripheral blood without lymphoblasts, and an antigen presenting cell (APC) \> 1000/mm3 and platelets \> 100,000/mm3, and no evidence of extramedullary leukemia. - Number of Participants With Grade 3 or Worse Toxicity. — Assessed on an ongoing basis (at least once every 3 months) while on study, including the treatment phases of Induction, Consolidation I & II, CNS, and Continuation. Treatment duration for this study was a median (range) of 287 days (2-974).
Defined as the number of participants who experience the following grade 3 or worse adverse events based on Common Terminology Criteria for Adverse Events (CTCAE) v3: Neutrophils, Platelets, Febrile neutropenia, Infection, Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Bilirubin, Liver dysfunction/failure, Hyperglycemia, Stomatitis, CNS hemorrhage, Thrombosis, Seizure, Osteonecrosis, Hypersensitivity, Pancreatitis, Neuropathy.
Countries
United States, Canada