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Safety and Efficacy of Imatinib Added to Chemotherapy in Treatment of Ph+ Acute Lymphoblastic Leukemia in Children (ESPHALL)
The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2009 by Rennes University Hospital.   Recruitment status was  Recruiting

First Received on February 3, 2006.   Last Updated on August 19, 2009   History of Changes
Sponsor: Rennes University Hospital
Collaborators: Ministry of Health, France
Novartis
Information provided by: Rennes University Hospital
ClinicalTrials.gov Identifier: NCT00287105
  Purpose

The purpose of this study is to determine whether Imatinib is safe and effective in association with intensive treatment of Ph+ALL in children. Patients will be randomized to receive or not Imatinib in addition to chemotherapy.


Condition Intervention Phase
Acute Lymphoblastic Leukemia
Philadelphia Chromosome
Drug: Standard chemotherapy + Imatinib
Drug: Standard chemotherapy
Phase II
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-label, Randomized Phase II/III Study to Compare the Safety and Efficacy of Imatinib With Chemotherapy in Pediatric Patients With Ph+ / BCR-ABL+ Acute Lymphoblastic Leukemia (Ph+ALL)

Resource links provided by NLM:


Further study details as provided by Rennes University Hospital:

Primary Outcome Measures:
  • Disease free survival (DFS). DFS will be calculated as the time from randomization to either one of the following events: relapse, death in CCR, second malignancies. [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Feasibility and safety of the addition of IMATINIB to conventional chemotherapy schedule. [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
  • Long-term clinical outcome (EFS, survival), [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Pattern of molecular response (MRD) [ Time Frame: 5 time points between S4 and S22 ] [ Designated as safety issue: No ]
  • Conversion rate to CR in patients resistant to the first part of the induction phase of chemotherapy included in the Poor-risk group. [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: February 2006
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Imatinib Drug: Standard chemotherapy + Imatinib
Patients receive Imatinib together with the standard chemotherapy regimen of phase IB and after each of three consecutive blocks of the standard chemotherapy in the consolidation phase
Other Names:
  • Glivec
  • Gleevec
No Intervention: No imatinib Drug: Standard chemotherapy
Patients do not receive Imatinib together with the standard chemotherapy regimen of phase IB and after each of three consecutive blocks of the standard chemotherapy in the consolidation phase

Detailed Description:

Recent advances in treatment have increased the cure of childhood ALL to 75% or better. However, attempts to improve results for resistant subtypes of ALL, such as Ph+ ALL, have been largely unsuccessful. Imatinib, an inhibitor of protein-tyrosine kinases, is currently being tested in several phase I, II and III trials covering most Chronic Myeloid Leukemia patient populations and patients with overtly relapsed or refractory Ph+ALL. Pediatric patients with Ph+ALL will be stratified as Good-risk and Poor-risk, according to their initial prednisone and chemotherapy responses and the achievement of the complete remission at day 28. The Good-risk patients will be randomized to receive or not Imatinib whereas all Poor-risk patients will receive Imatinib, added to intensive, post-induction BFM-type chemotherapy. The endpoint will be the evaluation on the long-term clinical outcome, in particular on the Disease Free Survival (DFS).

  Eligibility

Ages Eligible for Study:   1 Year to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Children and adolescents aged 1 to 17 years at diagnostic
  • Documented Ph+ ALL
  • Eligibility for the current local prospective therapeutic study of childhood ALL
  • Informed consent given by the parents or by legal guardian

Exclusion Criteria:

  • Abnormal hepatic functions
  • Abnormal renal functions
  • Active systemic bacterial, fungal or viral infection
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00287105

Contacts
Contact: Virginie Gandemer, MD 33-2-9926-7162 virginie.gandemer@chu-rennes.fr
Contact: Eric Bellissant, MD, PhD 33-2-9928-9200 eric.bellissant@chu-rennes.fr

Locations
France
Service d'hémato-oncologie - Hôpital des Enfants Pellegrin Recruiting
Bordeaux, France, 33076
Contact: Yves Perel, MD     33-5-5679-5962        
Principal Investigator: Yves Perel, MD            
Sub-Investigator: Cécile Verite, MD            
Hémato-Oncologie et Thérapie Cellulaire Pédiatrique - Hôtel Dieu Recruiting
Clermont-Ferrand, France, 63058
Contact: François Demeocq, MD     33-4-7331-6014     fdemeocq@chu-clermontferrand.fr    
Principal Investigator: François Demeocq, MD            
Sub-Investigator: Etienne Merlin, MD            
Hémato-Oncologie Pédiatrique - Hôpital d'Enfants Recruiting
Dijon, France, 21034
Contact: Gérard Couillault, MD     33-3-8029-3324     gerard.couillault@chu-dijon.fr    
Principal Investigator: Gérard Couillault, MD            
Sub-Investigator: Claire Briandet, MD            
Hématologie Pédiatrique - Hôpital Trousseau Recruiting
Paris, France, 75571
Contact: Guy Leverger, MD     33-1-4473-6062     guy.leverger@trs.aphp.fr    
Principal Investigator: Guy Leverger, MD            
Sub-Investigator: Adjaoud, MD            
Service d'hématologie pédiatrique - Hôpital Sud Not yet recruiting
Rennes, France, 35033
Contact: Virginie Gandemer, MD     33-2-9926-7162     virginie.gandemer@chu-rennes.fr    
Principal Investigator: Virginie Gandemer, MD            
Service d'Immuno Hémato Oncologie Pédiatrique - Hôpital Charles Nicolle Recruiting
Rouen, France, 76031
Contact: Jean-Pierre Vannier, MD     33-2-3288-8191     jean-pierre.vannier@chu-rouen.fr    
Principal Investigator: Jean-Pierre Vannier, MD            
Sub-Investigator: Aude Marie-Cardine, MD            
Sponsors and Collaborators
Rennes University Hospital
Ministry of Health, France
Novartis
Investigators
Study Director: Andrea Biondi, MD Ospedale S. Gerardo - Monza
Principal Investigator: Virginie Gandemer, MD Rennes University Hospital
  More Information

No publications provided

Responsible Party: Direction of Clinical Research, Rennes University Hospital
ClinicalTrials.gov Identifier: NCT00287105     History of Changes
Other Study ID Numbers: EUDRACT 2004-001647-30, PHRC/04-04, CIC0203/043
Study First Received: February 3, 2006
Last Updated: August 19, 2009
Health Authority: France: Afssaps - French Health Products Safety Agency

Keywords provided by Rennes University Hospital:
Chemotherapy
Leukemia
Children
Philadelphia chromosome
Protein-tyrosine kinase inhibitor

Additional relevant MeSH terms:
Leukemia
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Philadelphia Chromosome
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Translocation, Genetic
Chromosome Aberrations
Pathologic Processes
Imatinib
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on February 12, 2012