UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005936
Receipt number R000007016
Scientific Title Phase II study of allogeneic hematopoietic stem cell transplantation using a preparative regimens consisting of iv Bu + Flu + L-PAM for patients with juvenile myelomonocytic leukemia (JMML)
Date of disclosure of the study information 2011/07/07
Last modified on 2011/07/07 14:45:05

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Basic information

Public title

Phase II study of allogeneic hematopoietic stem cell transplantation using a preparative regimens consisting of iv Bu + Flu + L-PAM for patients with juvenile myelomonocytic leukemia (JMML)

Acronym

JMML-11

Scientific Title

Phase II study of allogeneic hematopoietic stem cell transplantation using a preparative regimens consisting of iv Bu + Flu + L-PAM for patients with juvenile myelomonocytic leukemia (JMML)

Scientific Title:Acronym

JMML-11

Region

Japan


Condition

Condition

Juvenile myelomonocytic leukemia (JMML)

Classification by specialty

Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and the efficacy of allogeneic hematopoietic stem cell transplantation using a preparative regimen consisting of iv Bu + Flu + L-PAM for patients with newly diagnosed juvenile myelomonocytic leukemia (JMML).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Event-free survival 1 year after stem cell transplantation

Key secondary outcomes

Safety of the regimen.
The adverse events and the efficacy of GVHD (acute/chronic)
Overall survival 3 years after stem cell transplantation
Event-free survival 3 years after stem cell transplantation
Non-relapse mortality within 100 days after stem cell transplantation
The rate of late effects after stem cell transplantation
The effect of individualized iv Bu dose modification on the engraftment rate and adverse event rate
The effect of chimerism assays on engraftment rate and adverse event rate within 100 days after stem cell transplantation
To elucidate the efficacy of MRD assessment using DNA mutation status of PTPN11 or RAS on relapse rate, eFS at 1 year and 3 years after stem cell transplantation.
Engraftment rate 100 days after stem cell transplantation


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The effect of allogeneic hematopoietic stem cell transplantation assessing event-free survival 1 year after transplantation.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 years-old <=

Age-upper limit

14 years-old >=

Gender

Male and Female

Key inclusion criteria

Diagnosis of JMML, that was confirmed by the pathological central review conducted by the MDS Committee of the Japanese Society of Pediatric Hematology.
Diagnosis between 6 months old and 14 years old.
No previous treatment including unaccepted chemotherapy, radiotherapy and allogeneic hematopoietic stem cell transplantation.
Adequate end organ function.
ECOG performance status score should be 0-2.
Total bilirubin less than 2mg/dl, creatinin below the upper normal limit defined according to the age, creatinin clearance (or cystatin) within normal range.
Normal EKG.
Ejection fraction of left ventricle more than 50%.
Saturation of oxygen more than 95%.
Legal guardians must sign an informed consent and have been told of its possible benefits and toxic side effects.
An adequate donor is available.

Key exclusion criteria

Diagnosis of Noonan syndrome, disorders with germline RAS mutations and ALPS-like diseases with somatic RAS mutations.
Intracranial hemorrhage.
Heart failure requiring treatment.
Chronic renal failure.
Active uncontrolled infections.
Uncontrolled diabetes mellitus.
Liver cirrhosis.
Psychiatric problems.

Target sample size

43


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Atsushi Manabe

Organization

St. Luke's International Hospital

Division name

department of Pediatrics

Zip code


Address

9-1, Akashi-cho, Chuo-ku, Tokyo, 104-8560

TEL

03-3541-5151

Email



Public contact

Name of contact person

1st name
Middle name
Last name Akiko Saito

Organization

NPO-OSCR

Division name

Data Center

Zip code


Address

National Nagoya Hospital, 4-1-1, San-nomaru, Naka-ku, Nagoya

TEL

052-951-1111

Homepage URL

http://www.jplsg.jp/

Email

officejp@nnh.hosp.go.jp


Sponsor or person

Institute

Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 07 Month 07 Day


Related information

URL releasing protocol

http://www.jplsg.jp/

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2011 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2011 Year 07 Month 01 Day

Last follow-up date

2018 Year 05 Month 01 Day

Date of closure to data entry

2018 Year 05 Month 01 Day

Date trial data considered complete

2018 Year 05 Month 01 Day

Date analysis concluded

2018 Year 05 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 07 Month 06 Day

Last modified on

2011 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007016


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name