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My-HyperCVAD in the Treatment of Relapsed Refractory Adult Acute Lymphoid Leukemia

Primary Purpose

Lymphoid Leukemia

Status
Unknown status
Phase
Phase 2
Locations
Italy
Study Type
Interventional
Intervention
doxorubicin liposomal
Sponsored by
University of Bologna
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoid Leukemia focused on measuring relapsed ALL, refractory ALL, relapsed adult acute lymphoid leukemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of ALL (any type included), in patients who:

    • have relapsed after conventional chemotherapy* or,
    • are refractory to at least 1 cycle of chemotherapy*
  • ECOG Performance score of 0-3
  • Adequate hepatic and renal function, as defined by serum transaminases <2.5x ULN, bilirubin <1.5xULN, and creatinine <1.5x ULN.
  • Age 18 years or greater.
  • Documentation of written informed consent to participate in the trial.
  • Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests and other study procedures.
  • at least 3 weeks from prior chemotherapy or other investigational anticancer therapy with full recovery from prior toxicities.
  • either men or women, accepting to practice effective contraception during the entire study period unless documentation of infertility exists.

Exclusion Criteria:

  • Treatment with any investigational agent within 3 weeks prior to study therapy.
  • Major surgeries within 4 weeks from study start or not fully recovered from any previous surgical procedure.
  • Presence of any medical or psychiatric condition which may limit full compliance with the study or increase the risk associated with study participation or study drug administration, including but not limited to:

    • Presence of central nervous system (CNS) leukemia.
    • Active uncontrolled bacterial infection.
    • Known human immunodeficiency virus (HIV) infection.
    • Significant cardiovascular disease (i.e., uncontrolled arrhythmias, unstable angina), or a major thromboembolic event (myocardial infarction, stroke, transient ischemic attack, pulmonary embolism, or non-catheter-related deep-vein thrombosis) in the last 6 months.
    • Pregnancy or breast-feeding.
    • Malabsorption syndromes

Sites / Locations

  • Institute of Hematology "L. & A. Seragnoli"Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

The patient receive 2 different drug combinations on this study. The first combination will consist of an intensive chemotherapy regimen (cyclophosphamide, mesna, methotrexate, doxorubicin liposomal or doxorubicin, vincristine, ARA-C (cytarabine) and dexamethasone). The second combination will consist of another intensive chemotherapy regimen (methotrexate and Ara-C [cytarabine]).

Outcomes

Primary Outcome Measures

Type, frequency, severity, timing and relatedness of adverse events (AE)
CR rate after any treatment cycle and at the end of the study

Secondary Outcome Measures

The percentage of hematological responders after any treatment cycle
The percentage of cytogenetic and molecular responders after any treatment cycle in patients for whom genetic markers of minimal residual disease are available
Relapse free survival at month 6 and 12
Overall survival at month 6 and 12
The percentage of patients submitted to SCT after CR re-induction

Full Information

First Posted
December 2, 2008
Last Updated
September 14, 2009
Sponsor
University of Bologna
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1. Study Identification

Unique Protocol Identification Number
NCT00801580
Brief Title
My-HyperCVAD in the Treatment of Relapsed Refractory Adult Acute Lymphoid Leukemia
Official Title
Open Label, Non-randomized, Phase II Study on Fractioned Cyclophosphamide, Vincristine, Liposomal Doxorubicin or Doxorubicin, and Dexamethasone (MY HYPER-CVAD) in the Treatment of Relapsed Refractory Adult Acute Lymphoid Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
September 2009
Overall Recruitment Status
Unknown status
Study Start Date
March 2008 (undefined)
Primary Completion Date
September 2010 (Anticipated)
Study Completion Date
September 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
University of Bologna

4. Oversight

5. Study Description

Brief Summary
The patient receive 2 different drug combinations on this study. The first combination will consist of an intensive chemotherapy regimen (cyclophosphamide, mesna, methotrexate, doxorubicin liposomal or doxorubicin, vincristine, ARA-C (cytarabine) and dexamethasone). The second combination will consist of another intensive chemotherapy regimen (methotrexate and Ara-C [cytarabine]).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoid Leukemia
Keywords
relapsed ALL, refractory ALL, relapsed adult acute lymphoid leukemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
3 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
The patient receive 2 different drug combinations on this study. The first combination will consist of an intensive chemotherapy regimen (cyclophosphamide, mesna, methotrexate, doxorubicin liposomal or doxorubicin, vincristine, ARA-C (cytarabine) and dexamethasone). The second combination will consist of another intensive chemotherapy regimen (methotrexate and Ara-C [cytarabine]).
Intervention Type
Drug
Intervention Name(s)
doxorubicin liposomal
Intervention Description
Cyclophosphamide Mesna Methotrexate Doxorubicin liposomal Vincristine Dexamethasone Rituximab Cytarabine
Primary Outcome Measure Information:
Title
Type, frequency, severity, timing and relatedness of adverse events (AE)
Time Frame
weekly
Title
CR rate after any treatment cycle and at the end of the study
Time Frame
monthly
Secondary Outcome Measure Information:
Title
The percentage of hematological responders after any treatment cycle
Time Frame
monthly
Title
The percentage of cytogenetic and molecular responders after any treatment cycle in patients for whom genetic markers of minimal residual disease are available
Time Frame
monthly
Title
Relapse free survival at month 6 and 12
Time Frame
every 6 months
Title
Overall survival at month 6 and 12
Time Frame
every 6 months
Title
The percentage of patients submitted to SCT after CR re-induction
Time Frame
every 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of ALL (any type included), in patients who: have relapsed after conventional chemotherapy* or, are refractory to at least 1 cycle of chemotherapy* ECOG Performance score of 0-3 Adequate hepatic and renal function, as defined by serum transaminases <2.5x ULN, bilirubin <1.5xULN, and creatinine <1.5x ULN. Age 18 years or greater. Documentation of written informed consent to participate in the trial. Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests and other study procedures. at least 3 weeks from prior chemotherapy or other investigational anticancer therapy with full recovery from prior toxicities. either men or women, accepting to practice effective contraception during the entire study period unless documentation of infertility exists. Exclusion Criteria: Treatment with any investigational agent within 3 weeks prior to study therapy. Major surgeries within 4 weeks from study start or not fully recovered from any previous surgical procedure. Presence of any medical or psychiatric condition which may limit full compliance with the study or increase the risk associated with study participation or study drug administration, including but not limited to: Presence of central nervous system (CNS) leukemia. Active uncontrolled bacterial infection. Known human immunodeficiency virus (HIV) infection. Significant cardiovascular disease (i.e., uncontrolled arrhythmias, unstable angina), or a major thromboembolic event (myocardial infarction, stroke, transient ischemic attack, pulmonary embolism, or non-catheter-related deep-vein thrombosis) in the last 6 months. Pregnancy or breast-feeding. Malabsorption syndromes
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Giovanni Martinelli, MD
Phone
+39 051 6363829
Email
gmartino@alma.unibo.it
Facility Information:
Facility Name
Institute of Hematology "L. & A. Seragnoli"
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

My-HyperCVAD in the Treatment of Relapsed Refractory Adult Acute Lymphoid Leukemia

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