UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010566
Receipt number R000011828
Scientific Title Clinical trial to evaluate the safety of Bortezomib combined with chemotherapy in children with refractory childhood acute lymphoblastic leukemia
Date of disclosure of the study information 2013/04/23
Last modified on 2016/04/25 19:28:25

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Basic information

Public title

Clinical trial to evaluate the safety of Bortezomib combined with chemotherapy in children with refractory childhood acute lymphoblastic leukemia

Acronym

Clinical trial to evaluate the safety of Bortezomib combined with chemotherapy in children with refractory childhood acute lymphoblastic leukemia

Scientific Title

Clinical trial to evaluate the safety of Bortezomib combined with chemotherapy in children with refractory childhood acute lymphoblastic leukemia

Scientific Title:Acronym

Clinical trial to evaluate the safety of Bortezomib combined with chemotherapy in children with refractory childhood acute lymphoblastic leukemia

Region

Japan


Condition

Condition

refractory childhood acute lymphoblastic leukemia

Classification by specialty

Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

the safety of Bortezomib combined with chemotherapy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

dose limiting toxicity (DLT) according to CTCAE4 beyond grade 3 except for blood system disorder

Key secondary outcomes

1. toxicities except for DLT
2. treatment response rates
3. rate of complete remission
4. event free survival for 4 months


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Bortezomib combined with chemotherapy (TACL regimen)

Interventions/Control_2

Bortezomib combined with chemotherapy (UK-R3 regimen)

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

20 years-old >

Gender

Male and Female

Key inclusion criteria

1.patients with first induction failure (receving different two or more treatments, or childhood ALL (B precursor and T cell type except for relapse of extramedullary alone beyond first relapse).
2. patients in acknowledgment of the leukaemic cells more than 25% in marrow.
3. The patients of 1 year old or older and under 18 years old at the time of the first diagnosis, and below 20 years old at the time of registration of this study
4.The patients that Eastern Cooperative Oncology Score (ECOG) performance status(PS) score of the United States is 0-2 at the time of registration.
5.The patients whom it passes more than two weeks at the time of registration after lasttreatment and the patienss who resolved treatment (except the steroid) related toxicities except for myelosuppression.
6. The patients after 6 months or more following stem cell transplantation and no active GVHD at registration. In addition, it is necessary for the immunosuppressive drugs to be decreasing in the patients who are using the drugs.
7.The patient who meets all the following standards having enough livers, kidneys, cardiac function. The inspection level assumes it a value within 14 days from registration day.
2.0 mg/dl of serum total bilirubin levels or less
More than 70 creatinine clearance ml/min/1.73m2
no abnormality needing treatment with an electrocardiogram
8.the patients whose agreement is provided in a document about the participation in this clinical trial from person themselves or parents (when subject is 16 years or older person themselves and parents).

Key exclusion criteria

1. patients of Ph1-positive ALL which never receives treatment with tyrosine kinase inhibitor(TKI).
2.patients with Down syndrome.
3.patients with central nerve bleeding and the leukoencephalopathy more than CTCAE ver3.0 Grade3 affecting treatment accomplishment.
4.patients who had the past histories such as epilepsy, Guillain-Barre syndrome, and encephalitis. patients who have intractable epilepsy.
5.patients with uncontrolable infectious disease (including active tuberculosis and HIV infection)
6.patients during the pregnancy or patients who may be pregnant.
7.patients who had the past histories such as congenital or acquired immune deficiency
8. patients whom higher than one of the drugs included in this treatment plan cannot use by past treatment at all.
9.patient who had the past history of more than grade 2 peripheral neuropathy according to CTCAE ver4.0.
10.patients with allergy to mannitol and boron.
11.patients who received anthracyclines more than 350 mg/m2 by doxorubicin conversion in the past.
12.patients who had the past history of treatment-related interstitial pneumonia. Or patients with the abnormal interstitial shadow at the time of start of this study in CT.
13. patients who complicated with a second cancer other than recurrence ALL.
14.In addition, when physicians judge that it is inappropriate that the medical attendant participates in this clinical trial.

Target sample size

6


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akihiro Iguchi

Organization

Hokkaido University Hospital

Division name

Pediatrics

Zip code


Address

N14W5 Kita-ku, Sapporo city

TEL

011-706-5954

Email

igurin66@med.hokudai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Akihiro Iguchi

Organization

Hokkaido University Hospital

Division name

Pediatrics

Zip code


Address

N14W5 Kita-ku, Sapporo city

TEL

011-707-5954

Homepage URL

http://www.hucc.hokudai.ac.jp/~e20678/

Email

igurin66@med.hokudai.ac.jp


Sponsor or person

Institute

Department of Pediatrics, Hokkaido University Hospital

Institute

Department

Personal name



Funding Source

Organization

Clinical Trials Core Hospitals project

Organization

Division

Category of Funding Organization

Japanese Governmental office

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

北海道大学病院


Other administrative information

Date of disclosure of the study information

2013 Year 04 Month 23 Day


Related information

URL releasing protocol

http://www.huhp.hokudai.ac.jp/patient/clinical/clinical.html

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

Completed

Date of protocol fixation

2012 Year 12 Month 17 Day

Date of IRB


Anticipated trial start date

2013 Year 03 Month 18 Day

Last follow-up date

2016 Year 07 Month 31 Day

Date of closure to data entry

2016 Year 07 Month 31 Day

Date trial data considered complete

2016 Year 07 Month 31 Day

Date analysis concluded

2016 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2013 Year 04 Month 23 Day

Last modified on

2016 Year 04 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011828


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name