Unique ID issued by UMIN | UMIN000019313 |
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Receipt number | R000022274 |
Scientific Title | Phase II study for patient with Philadelphia chromosome positive acute lymphoblastic leukemia to determin the role of Dasatinb combined chemotherapy and allogeneic stem cell transplantation (PHII PHD) |
Date of disclosure of the study information | 2015/10/13 |
Last modified on | 2016/11/02 11:07:50 |
Phase II study for patient with Philadelphia chromosome positive acute lymphoblastic leukemia
to determin the role of Dasatinb combined chemotherapy and allogeneic stem cell transplantation (PHII PHD)
Phase II study for patient with Ph+ALL to determin the role of Dasatinb combined chemotherapy and allogeneic SCT (PH-II PH-D)
Phase II study for patient with Philadelphia chromosome positive acute lymphoblastic leukemia
to determin the role of Dasatinb combined chemotherapy and allogeneic stem cell transplantation (PHII PHD)
Phase II study for patient with Ph+ALL to determin the role of Dasatinb combined chemotherapy and allogeneic SCT (PH-II PH-D)
Japan |
newly diagnosed Philadelphia chromosome positive acute lymphoblastic leukemia
Hematology and clinical oncology |
Malignancy
NO
the purpose of this study is to determine the clinical efficacy and safety of dasatinib combined chemotherapy and followed by allogeneic stem cell transplantation on newly diagnosed Ph positive ALL
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
the rate of complete remission after induction chemotherapy
2 years disease free survival, event free survival, and over all survival
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
1. PSL pre phase therapy:
PSL 60mg/m2x7days
2. Induction chemotherapy:
Dasatinib 140mg/body x 6 weeks + PSL 60mg/m2x2 weeks. At week 3 and 6, intrathecal MTX 15mg+Ara-C 40mg+DEX 4mg.
3. Consolidation 1,3,5,7 course:
Dasatinib 100mg/bodyx2weeks+ HyperCVAD
CPA 300mg/m2x2 times/day 3hr div (d1-d3)+
VCR 1.4mg/m2 (max 2mg) 30min div (d4, d11)+
DXR 50mg/m2 30min div (d4)+
DEX 33mg/body 30min div or 40mg PO (d1-4, d11-14)
intrathecal MTX 15mg+Ara-C 40mg+DEX 4mg(d1)
4. Consolidation 2,4,6, 8 course:
Dasatinib100mg/bodyx2weeks+
MTX 1g/m2 24hr continuous infusion d1+
Ara-C 2g/m2x2 times 3hr div d2-3+
mPSL 50mg/bodyx2 times iv d1-3
leucovorin 15mg iv d2-3
5. maintenance Dasatinib:
Dasatinib 100-140mg/body from the last day of consolidation for 2 years.
6. allogeneic stem cell transplantation:
For patient 65 years old or younger, if appropriate donor is available, allograft is recommended as possible as 1st remission.
18 | years-old | <= |
65 | years-old | >= |
Male and Female
1.Philadelphia chromosome positive, acute lymphoblastic leukemia, or blastic phase chronic myelogenous leukemia who are not comfirmed chronic phase, or mixed phenotype acute leukemia.
2.BCR/ABL chimera mRNA positive if patients are Ph negative.
3.Aged older than 18 years and under 65 years
4.Previously untreated except PSL in the prephase therapy
5.ECOG performance status of 0, 1, 2, 3 except 4
6.Patients must have normal cardiac, heaptic, renal, respiratory functions to tolerate dasatinib.
(1)within normal range of ECG, ejection fruction
(2)serum bililubin level of <2.0mg/dl
(3)serum createnin level of <2.0mg/dl
(4)saturation pulse O2 level over 94% under room air condition
7.Voluntary written informed consent must be given before enrollment. If patient are younger than 20, parental agreement must be included.
1.Active another malignancy
2.Uncontrolled past disease or complication
3.Previously treated with tyrosine kinase inhibitor or cytotoxic chemotherapy.
4.HIV antibody positive patients
5.HBs-Antigen positive patients
6.Sever psychiatric illness
7.Another patients whose investigator decided inappropriate for entry into this study.
46
1st name | |
Middle name | |
Last name | Yoshinobu Kanda |
Jichi Medical University
Department of hematology, division of internal medicine,
yakusiji 3311-1, simotsuke city, tochigi, Japan
0285-58-7353
ycanda-tky@umin.ac.jp
1st name | |
Middle name | |
Last name | Iekuni Oh |
Jichi Medical University
Department of hematology, division of internal medicine,
yakusiji 3311-1, simotsuke city, tochigi, Japan
0285-58-7353
norma@jichi.ac.jp
department of hematology, division of internal medicine, Jichi Medical University
Department of hematology, division of internal medicine, Jichi Medical University
Other
NO
自治医科大学附属病院(栃木県)
2015 | Year | 10 | Month | 13 | Day |
Unpublished
Open public recruiting
2015 | Year | 09 | Month | 25 | Day |
2015 | Year | 10 | Month | 13 | Day |
2020 | Year | 03 | Month | 31 | Day |
2020 | Year | 05 | Month | 31 | Day |
2020 | Year | 05 | Month | 31 | Day |
2020 | Year | 05 | Month | 31 | Day |
2015 | Year | 10 | Month | 11 | Day |
2016 | Year | 11 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022274
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