PROCEDYTE: Depocyte® Administration (Liposomal Cytarabine) as Prophylaxis of Neuromeningeal Infiltration in Acute Lymphoblastic Leukemia (2009-009422-92)

This study is currently recruiting participants.
Verified February 2013 by PETHEMA Foundation
Sponsor:
Information provided by (Responsible Party):
PETHEMA Foundation
ClinicalTrials.gov Identifier:
NCT00944008
First received: June 8, 2009
Last updated: February 27, 2013
Last verified: February 2013
  Purpose

The primary objective is:

  • To determine the efficacy and safety of DepoCyte®, as the only intrathecal (IT) prophylaxis of neuromeningeal relapse for patients between 16 and 30 years old diagnosed with acute lymphoblastic leukemia of standard risk treated with the PETHEMA LAL-RI-08 Protocol Chemotherapy schedule.

The secondary objectives are:

  • To evaluate the tolerability of IT DepoCyte® as CNS prophylaxis of CNS via IT for patients between 16 and 30 years old with ALL of standard risk.
  • To compare the frequency of relapse in CNS for patients between 16 and 30 years old with standard risk ALL treated with the PETHEMA LAL-RI-08 Protocol Chemotherapy schedule and receiving DepoCyte® as the only IT CNS prophylaxis, with that observed in an historic group of patients of identical risk that were treated with the PETHEMA LAL-RI/96 protocol (same systemic chemotherapy and double administration of triple intrathecal chemotherapy)
  • To evaluate the frequency of systemic relapses of standard risk ALL patients between 16 and 30 years old treated with the PETHEMA LAL-RI-08 Protocol and who receive DepoCyte® as the only IT prophylaxis of CNS involvement and to compare with those observed in the identical risk patients treated with PETHEMA LAL-RI/96 protocol (same systemic chemotherapy and double administration of triple IT chemotherapy)

Condition Intervention Phase
Acute Lymphoblastic Leukemia
Drug: DepoCyte
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: PROCEDYTE: An Open, Prospective, Multicentre Clinical Trial With Historic Control to Determine Efficacy and Safety of Depocyte® Administration (Liposomal Cytarabine) as Prophylaxis of Neuromeningeal Infiltration of Patients Between 16 and 30 Years Old With Standard Risk Acute Lymphoblastic Leukemia (ALL

Resource links provided by NLM:


Further study details as provided by PETHEMA Foundation:

Primary Outcome Measures:
  • Efficacy and safety of DepoCyte®, as the only intrathecal (IT) prophylaxis of neuromeningeal relapse [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Tolerability of IT DepoCyte [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • Compare the frequency of relapse in CNS with an historic group of patients of identical risk that were treated with the PETHEMA LAL-RI/96 protocol [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 85
Study Start Date: September 2009
Estimated Study Completion Date: December 2013
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Detailed Description:

A total of 85 patients between 16 and 30 years old with ALL of standard risk will be included in the study. The aim of this study is to determine the efficacy and safety of the administration of DepoCyte® as the only IT prophylaxis of the neuromeningeal relapse in patients between 16 and 30 years old diagnosed with ALL of standard risk.

The study is divided in:

Screening: 2 weeks before treatment Treatment: 2 years of systemic treatment according to PETHEMA LAL-RI-08 Protocol (Induction, Consolidation 1 and 2, Maintenance-1 with reinductions and maintenance 2 with no reinductions). Patients will receive DepoCyte® in Induction, Consolidation 1 and 2 and Maintenance 1 (first year). Patients will not receive DepoCyte® in Maintenance-2 (second year).

Follow-up: Patients in the study will be followed up for one year

  Eligibility

Ages Eligible for Study:   16 Years to 30 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • According to the investigator opinion, patient must able to carry out with all the clinical trial requirements
  • Patient or Legal Representative must volunteer sign the inform consent before any study specific test, that is not part of the common patient attention, is performed.
  • Age 16 to 30
  • Patient diagnosed with standard risk ALL no previously treated. Standard risk ALL is defined by the following criteria:
  • Leukocyte count < 25x109/L
  • Absence of poor prognosis cytogenetic abnormalities:

    t(9;22) or demonstration of BCR-ABL rearrangements. 11q23 alterations or demonstration of ALL1-AF4 rearrangements.

  • Childbearing women must have a negative pregnancy test and must accept to use an effective contraception method.

Exclusion Criteria:

  • CNS involvement at diagnosis, defined as presence of blasts in a centrifugated sample of craneospinal fluid with a cellular count of more than 5 cels/L, in the absence of traumatic puncture (more than 10 red blood cels/ml), or as neurological symptoms that suggest of neuromeningeal involvement and imaging tests compatible, in the absence of blasts in craneospinal fluid.
  • B mature cell phenotype (sIg+) or with the Burkitt ALL cytogenetic abnormalities (t[8;14], t[2;8], t[8;22])
  • ALL with t(9;22) or BCR-ABL rearrangements.
  • Acute biphenotypic and bilineal leukemias
  • Acute undifferentiated leukemia
  • History of coronary or valvular disease or hypertensive cardiopathy
  • Chronic hepatopathy
  • Chronic respiratory insufficiency
  • Chronic renal insufficiency not due to ALL
  • Serious neurological disorders not due to ALL
  • Abnormal ECOG (WHO scale grade 3 and 4) not done by ALL
  • Pregnant or currently breast feeding women
  • Patients participating in other clinical trial or receiving any other investigational agent within 30 days previous to the study inclusion
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00944008

Contacts
Contact: Sancho Jose Manuel, Dr 93 465 12 00 jsancho@iconcologia.net
Contact: Ribera Josep Mª, Dr

Locations
Spain
Hoapital General Recruiting
Alicante, Spain
Contact: Fernandez Abellan Pascual, Dr            
Hospital Duran i Reynals Recruiting
Barcelona, Spain
Contact: Sarrà Josep, Dr            
Hospital Clínic Recruiting
Barcelona, Spain
Contact: Esteve Jordi, Dr            
Hospital de Sant Pau Recruiting
Barcelona, Spain
Contact: Brunet Salut, Dr            
Hospital vall d'Hebrón Recruiting
Barcelona, Spain
Contact: Bueno Javier, Dr            
Hospital del Mar Recruiting
Barcelona, Spain
Contact: Abella Eugenia, Dr            
Hospital Clínico Recruiting
Madrid, Spain
Contact: Del Potro Eloy, Dr            
Hospital 12 de Octubre Recruiting
Madrid, Spain
Contact: Grande Carlos, Dr            
Hospital La Paz. Recruiting
Madrid, Spain
Contact: Canales Miguel Angel, Dr            
Hospital Virgen de la Arrixaca Recruiting
Murcia, Spain
Contact: Moraleda Jose Mª, Dr            
Hospital Morales Meseguer. Recruiting
Murcia, Spain
Contact: Amigó Luz, Dr            
Hospital Clínico Virgen de la Victoria Recruiting
Málaga, Spain
Contact: Queipo Paz, Dr            
Hospital Carlos Haya. Recruiting
Málaga, Spain
Contact: Barrios Manuel, Dr            
Hospital Son Dureta. Recruiting
Palma de Mallorca, Spain
Contact: Morey Miguel, Dr            
Hospital Clínico Universitario Recruiting
Salamanca, Spain
Contact: Hernández José Mª, Dr            
Hospital Universitario Virgen del Rocío. Recruiting
Sevilla, Spain
Contact: Gonzalez Campos Jose, Dr            
Hospital clínico Universitario Recruiting
Valencia, Spain
Contact: Tormo Mar, Dr            
Sponsors and Collaborators
PETHEMA Foundation
Investigators
Study Chair: Sancho Jose Manuel, Dr HOSPITAL GERMANS TRIAS I PUJOL
  More Information

Additional Information:
No publications provided

Responsible Party: PETHEMA Foundation
ClinicalTrials.gov Identifier: NCT00944008     History of Changes
Other Study ID Numbers: PRODECYTE
Study First Received: June 8, 2009
Last Updated: February 27, 2013
Health Authority: Spain: Ministry of Health

Keywords provided by PETHEMA Foundation:
Acute Lymphoblastic Leukemia (ALL)
Depocyte®
Neuromeningeal relapse
Between 16 and 30 years old
Standard risk

Additional relevant MeSH terms:
Leukemia
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Cytarabine
Antimetabolites, Antineoplastic
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses
Antiviral Agents
Anti-Infective Agents
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on May 23, 2013