Childhood B-cell acute lymphoblastic leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.The age at the time of signing informed consent = 1 and under the age of 18; 2. Patients diagnosed with B-cell acute lymphoblastic leukemia (b-ALL); 3. New onset patients; 4. Who is classified as a medium-risk group according to the SCCCG-ALL-2023 program evaluation indicators; 5. Who has been achieved complete remission after early treatment and has conditions for entering maintenance therapy; 6. Who will participate research and guardian to sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1.With acute mixed-phenotypic leukemia (see annex I of the researcher's manual for diagnostic criteria); 2. With secondary immunodeficiency; 3. Patients with leukemia which is the second tumor; 4. With definite CML abrupt change; 5.ALL with Down's syndrome; 6. Patients who used glucocorticoids for more than one week in the month before enrollment; 7. Patients who used anthracyclines within one month before enrollment. 8.Severe hepatic insufficiency(ALT or AST =3xULN). 9.Severe renal impairment (eGFR < 30 ml/min/1.73m3 or end-stage renal disease patients). 10.Heart disease, New York Heart Association (NYHA) classification of grade 3 or above heart failure, or severe arrhythmia requiring treatment, or recent myocardial infarction within 6 months after randomization. 11.Patients with a history of deep vein thrombosis or stroke within 24 weeks prior to enrollment. 12.Patients with a history of acute or chronic pancreatitis within 24 weeks prior to enrollment. 13.Any significant other medical condition, laboratory abnormality, or psychiatric illness that the investigators consider unsuitable for inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Relapse free survival; | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival;Event-free survival;Cumulative incidence of relapse; | — |
Countries
China
Contacts
Sun Yat-Sen Memorial Hosipital of Sun Yat-Sen University