Philadelphia chromosome positive Acute Lymphoblastic Leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Confirmed new diagnosis of Philadelphia chromosome or BCR-ABL positive acute lymphoblastic leukaemia 2.Male or female patients aged 18-55 years 3.Not previously treated except for prephase therapy 4.Signed written inform consent 5.Molecular detection of BCR-ABL transcripts 6.Women of child-bearing potential or partner of men with child-bearing potential must use a highly effective method of contraception (pearl index =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Patients with ECOG status > 2 2. Patients with QTcF > 470 ms 3. Cardiac insufficiency NYHA grade III/IV, LEVF 2,5 times the institutional upper limit of normal and total bilirubin > 2 fold the institutional upper limit unless considered to be due to organ involvement by the leukemia 8. Concurrent severe diseases which exclude the administration of therapy 9. Expected non-compliance or inability to understand informed consent 10. Female patients who are breast feeding, 11. Treatment with other investigational antileukemic agents after informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the feasibility of a combination of Dasatinib and standard chemotherapy in adult ALL;Secondary Objective: - Determine the hematologic response - assess the molecular CR rate during combined Dasatinib and chemotherapy - Assess the frequency and type of bcr-abl tyrosine kinase domain mutations - Determine rate of death during induction and death in complete remission ;Primary end point(s): Survival and rate of treatment-related discontinuation of study treatment during induction and consolidation chemotherapy;Timepoint(s) of evaluation of this end point: After consolidation (after approx. 3 Month of treatment) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Molecular CR rate Hematologic CR-rate at end of induction II BCR-ABL mutations occurring during treatment Grade III and IV toxicity by CTC;Timepoint(s) of evaluation of this end point: After consolidation (after approx. 3 Month of treatment) | — |
Countries
Germany
Contacts
J. W. Goethe Universität