UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006851
Receipt number R000008098
Scientific Title Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) ALL-T11 and Japan Adult Leukemia Study Group (JALSG) T-ALL-211-U ALL-T11: A Multi-Center Phase II Study in Children and Adolescence with Newly Diagnosed T-cell Acute Lymphoblastic Leukemia
Date of disclosure of the study information 2011/12/07
Last modified on 2018/07/18 12:01:02

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Basic information

Public title

Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) ALL-T11 and Japan Adult Leukemia Study Group (JALSG) T-ALL-211-U ALL-T11: A Multi-Center Phase II Study in Children and Adolescence with Newly Diagnosed T-cell Acute Lymphoblastic Leukemia

Acronym

A Multi-Center Phase II Study in Children and Adolescence with T-ALL: JPLSG/JALSG ALL-T11

Scientific Title

Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) ALL-T11 and Japan Adult Leukemia Study Group (JALSG) T-ALL-211-U ALL-T11: A Multi-Center Phase II Study in Children and Adolescence with Newly Diagnosed T-cell Acute Lymphoblastic Leukemia

Scientific Title:Acronym

A Multi-Center Phase II Study in Children and Adolescence with T-ALL: JPLSG/JALSG ALL-T11

Region

Japan


Condition

Condition

T-cell Acute Lymphoblastic Leukemia

Classification by specialty

Hematology and clinical oncology Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

1) Safty and effectiveness of BMF based regimen containing Neralabin.
2) Abolition of prophylactic cranial radiotherapy with Neralabin, intensive L-asparaginase and prolonging intrathecal injection.
3) Restriction of SCT indication using Time-point 2 PCR-MRD.
4) Comparison between PCR-MRD and MRD assayed by flow cytometry.
5) Randomized controlled trial comparing MRD between two consolidation therapy before SCT in VHR group.
6) Comparison effectiveness and safety between pediatrics department and adult hematology department.
7) Evaluation of therapeutic late effect.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

1) 3 years event free survival
2) MRD disappearance of VHR group in RCT

Key secondary outcomes

1) Overall survival (OS)
2) Remission induction rate
3) Adverse event (including acute and late effect of patients diagnosed at less than 18 years old)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Stratification(SR/HR/VHR) based on early prednisolone response, remission induction at time-point1(TP1) and MRD at time-point2(TP2).
SR: Early prednisolone good responder (PGR), Time-point1(TP1):BM=M1 and TP2:MRD<10*-3 .
Clinical study question: safety and effectiveness of BFM-MR regimen with intensive L-asp and without Nelarabine.

Interventions/Control_2

HR: Early prednisolone poor responder (PPR), TP1:BM=M1 and TP2:MRD<10*-3 .
Clinical study question: safety and effectiveness of BFM-HR regimen with intensive L-asp and Nelarabine.

Interventions/Control_3

VHR: TP1:BM=M1 and TP2:MRD>=10*-3 or TP1:BM=M2/M3 and TP2:BM=M1.
Clinical study question: rondamization ; BFM-HR block regimen vs high-dose dexamethazine containing regimen.

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

0 years-old <=

Age-upper limit

24 years-old >=

Gender

Male and Female

Key inclusion criteria

1) diagnosis of T-ALL (CD3+ or cyCD3+
and more than one is positive among CD2, CD5, CD7, CD8)
2) age less than 25 years old
3) ECOG performance status (PS) acore of 0-3
4) no history of previous chemotherapy or radiation therapy
5) sufficient hepatic and renal function satisfying the laboratory data listed below ;
(1) T-Bili: within 3x of age adjusted upper-limit of
normal range.
(2) Creatinine: within 3x of age adjusted upper-limit
of normal range.
6) written informed consent obtained from
patient or guardians.

Key exclusion criteria

1) CNS hemorrage more than grade 3 of CACAE v3.0
2) uncontrolled infection, including active tuberculosis and positive of HIV antibody.
3) pregnancy or high possibility of pregnancy and giving suck wiman.
4) history of congenital or acquired immunodeficiency.
5) Down syndrome.
6) QTfc, corrected by Friderics formula as
QTfc = QT/RR*1/3, is more than 0.45 seconds.
7) any inappropriate status judged by
physician.

Target sample size

147


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Arata Watanabe(JPLSG), Kiyotoshi Imai (JALSG)

Organization

Nakadori General Hospital (Watanabe)

Sapporp Hokuyu Hospital (Imai)

Division name

Department of Pediatrics (Watanabe), Department of Hematology (Imai)

Zip code


Address

Misonocho 3-15 Minami-dori Akita-shi 010-8577 Japan (Watanabe), 6-6-5-1 Higashi-Sapporo Shiroishi-ku Sapporo 003-0006 Japan (Imai)

TEL

018-833-1122

Email

arata-wa@poppy.ocn.ne.jp


Public contact

Name of contact person

1st name
Middle name
Last name Akiko Saito

Organization

Data center

Division name

OSCR data center

Zip code


Address

National Nagoya Hospital, 4-1-1 Sannomaru Naka-ku Nagoya-city 460-0001, Japan

TEL

052(951)1111

Homepage URL

http://www.jplsg.jp/

Email

oscrdata@nnh.hosp.go.jp


Sponsor or person

Institute

Japanese Pediatric Leukemia/Lymphoma Study Group

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 12 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 09 Month 01 Day

Date of IRB


Anticipated trial start date

2011 Year 12 Month 01 Day

Last follow-up date

2020 Year 11 Month 30 Day

Date of closure to data entry

2020 Year 11 Month 30 Day

Date trial data considered complete

2020 Year 11 Month 30 Day

Date analysis concluded

2020 Year 11 Month 30 Day


Other

Other related information



Management information

Registered date

2011 Year 12 Month 06 Day

Last modified on

2018 Year 07 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008098


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name