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Clofarabine in Chinese Pediatric Patients With Refractory or Relapsed Acute Lymphoblastic Leukemia

Primary Purpose

Acute Lymphoblastic Leukemia

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Clofarabine
Sponsored by
Betta Pharmaceuticals Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Lymphoblastic Leukemia

Eligibility Criteria

1 Year - 21 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Pediatric patients (younger than 21 years old) with acute lymphoblastic leukemia confirmed by histology
  • Refractory or relapsed acute lymphocytic leukemia who had received at least two drugs treatment
  • No prior chemotherapy within 2 weeks before entry and resolution of toxic effects from prior therapy
  • Normal cardiac function, adequate hepatic function [total bilirubin ≤1.5× upper limit of normal (ULN), aspartate aminotransferase (AST) alanine aminotransferase (ALT) ≤ 3ULN] and renal function (serum creatinine ≤ 2 ULN)
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2
  • Life expectancy more than 3 months

Exclusion Criteria:

  • AEs not recovered from prior therapy
  • Within 3 months from allogeneic or autologous stem cell transplantation
  • With central nervous involvement or uncontrolled infection
  • Patients who used clofarabine before or allergic to fludarabine or cladribine

Sites / Locations

  • Department of Pediatrics, Peking University People's Hospital
  • Department of Phase 1 Clinical Trial, Peking University People's Hospital
  • Guangdong General Hospital, Guangdong Academy of Medical Science
  • The First Affiliated Hospital, Zhejiang University
  • The First Hospital of China Medical University
  • The First Affiliated Hospital of Wenzhou Medical University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

clofarabine

Arm Description

Clofarabine (Betta Pharmaceuticals Co., Ltd, Zhejiang, China) was administered intravenously at 52 mg/m2 over 2 hours daily for 5 consecutive days. During the first two induction cycles, patients who did not achieve an objective response were taken off the study, and responsive patients continued to receive consolidation for a maximum 11 cycles if non-hematological toxicity was grade 2 or less.

Outcomes

Primary Outcome Measures

overall response rate

Secondary Outcome Measures

patients suffering adverse events

Full Information

First Posted
September 5, 2015
Last Updated
September 8, 2015
Sponsor
Betta Pharmaceuticals Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02544789
Brief Title
Clofarabine in Chinese Pediatric Patients With Refractory or Relapsed Acute Lymphoblastic Leukemia
Official Title
Phase II, Multi-center, and Pharmacokinetic Study of Efficacy, Safety and Pharmacokinetic of Clofarabine in Chinese Pediatric Patients With Refractory or Relapsed Acute Lymphoblastic Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
September 2015
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Betta Pharmaceuticals Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Outcomes for children with relapsed/refractory (R/R) acute lymphoblastic leukemia (ALL) are dismal. Therefore, the investigators performed this multicenter, phase II study to evaluate the efficacy and , safety and pharmacokinetic of clofarabine in Chinese pediatric patients with R/R ALL

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Lymphoblastic 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
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
clofarabine
Arm Type
Experimental
Arm Description
Clofarabine (Betta Pharmaceuticals Co., Ltd, Zhejiang, China) was administered intravenously at 52 mg/m2 over 2 hours daily for 5 consecutive days. During the first two induction cycles, patients who did not achieve an objective response were taken off the study, and responsive patients continued to receive consolidation for a maximum 11 cycles if non-hematological toxicity was grade 2 or less.
Intervention Type
Drug
Intervention Name(s)
Clofarabine
Intervention Description
Clofarabine (Betta Pharmaceuticals Co., Ltd, Zhejiang, China) was administered intravenously at 52 mg/m2 over 2 hours daily for 5 consecutive days. During the first two induction cycles, patients who did not achieve an objective response were taken off the study, and responsive patients continued to receive consolidation for a maximum 11 cycles if non-hematological toxicity was grade 2 or less.
Primary Outcome Measure Information:
Title
overall response rate
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
patients suffering adverse events
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
1 Year
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Pediatric patients (younger than 21 years old) with acute lymphoblastic leukemia confirmed by histology Refractory or relapsed acute lymphocytic leukemia who had received at least two drugs treatment No prior chemotherapy within 2 weeks before entry and resolution of toxic effects from prior therapy Normal cardiac function, adequate hepatic function [total bilirubin ≤1.5× upper limit of normal (ULN), aspartate aminotransferase (AST) alanine aminotransferase (ALT) ≤ 3ULN] and renal function (serum creatinine ≤ 2 ULN) Eastern Cooperative Oncology Group (ECOG) performance status 0-2 Life expectancy more than 3 months Exclusion Criteria: AEs not recovered from prior therapy Within 3 months from allogeneic or autologous stem cell transplantation With central nervous involvement or uncontrolled infection Patients who used clofarabine before or allergic to fludarabine or cladribine
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jin Lu, MD
Organizational Affiliation
Department of Pediatrics, Peking University People's Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Department of Pediatrics, Peking University People's Hospital
City
Beijing
Country
China
Facility Name
Department of Phase 1 Clinical Trial, Peking University People's Hospital
City
Beijing
Country
China
Facility Name
Guangdong General Hospital, Guangdong Academy of Medical Science
City
Guangzhou
Country
China
Facility Name
The First Affiliated Hospital, Zhejiang University
City
Hangzhou
Country
China
Facility Name
The First Hospital of China Medical University
City
Shenyang
Country
China
Facility Name
The First Affiliated Hospital of Wenzhou Medical University
City
Wenzhou
Country
China

12. IPD Sharing Statement

Learn more about this trial

Clofarabine in Chinese Pediatric Patients With Refractory or Relapsed Acute Lymphoblastic Leukemia

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