UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019313
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

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Basic information

Public 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)

Acronym

Phase II study for patient with Ph+ALL to determin the role of Dasatinb combined chemotherapy and allogeneic SCT (PH-II PH-D)

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)

Scientific Title:Acronym

Phase II study for patient with Ph+ALL to determin the role of Dasatinb combined chemotherapy and allogeneic SCT (PH-II PH-D)

Region

Japan


Condition

Condition

newly diagnosed Philadelphia chromosome positive acute lymphoblastic leukemia

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

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

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

the rate of complete remission after induction chemotherapy

Key secondary outcomes

2 years disease free survival, event free survival, and over all survival


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

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.

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

18 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

46


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshinobu Kanda

Organization

Jichi Medical University

Division name

Department of hematology, division of internal medicine,

Zip code


Address

yakusiji 3311-1, simotsuke city, tochigi, Japan

TEL

0285-58-7353

Email

ycanda-tky@umin.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Iekuni Oh

Organization

Jichi Medical University

Division name

Department of hematology, division of internal medicine,

Zip code


Address

yakusiji 3311-1, simotsuke city, tochigi, Japan

TEL

0285-58-7353

Homepage URL


Email

norma@jichi.ac.jp


Sponsor or person

Institute

department of hematology, division of internal medicine, Jichi Medical University

Institute

Department

Personal name



Funding Source

Organization

Department of hematology, division of internal medicine, Jichi Medical University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



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

自治医科大学附属病院(栃木県)


Other administrative information

Date of disclosure of the study information

2015 Year 10 Month 13 Day


Related information

URL releasing protocol


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

2015 Year 09 Month 25 Day

Date of IRB


Anticipated trial start date

2015 Year 10 Month 13 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry

2020 Year 05 Month 31 Day

Date trial data considered complete

2020 Year 05 Month 31 Day

Date analysis concluded

2020 Year 05 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 10 Month 11 Day

Last modified on

2016 Year 11 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022274


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name