B cell precursor Acute Lymphoblastic Leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) diagnosis of B cell precursor ALL 2) age between 1 and 19 years old 3) ECOG performance status (PS) score of 0-3 4) no history of previous chemotherapy or radiation therapy 5) sufficient hepatic and renal function satisfying the laboratory data listed below ; (1) T-Bili: within 3x of age adjusted upper-limit of normal range. (2) Creatinine: within 3x of age adjusted upper-limit of normal range. 6) written informed consent obtained from patient or guardians.
Exclusion criteria
Exclusion criteria: 1) mature B-ALL 2) Ph positive ALL 3) True Mixed Lineage Leukemia 4) CNS hemorrage more than grade 3 of CACAE v4.0 5) uncontrolled infection, including active tuberculosis and positive of HIV antibody. 6) pregnancy or high possibility of pregnancy and giving suck wiman. 7) history of congenital or acquired immunodeficiency. 8) QTfc, corrected by Friderics formula as QTfc = QT/RR*1/3, is more than 0.45 seconds. 9) any inappropriate status judged by physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Five years event free survival of each risk group | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Five years event free survival, overall survival, and CNS relapse rate of whole group 2) Five years overall survival and CNS relapse rate of each risk group 3) Complete remission rate after induction (IA) and after early intensification (IB) of each risk group and whole group 4) Incidence of adverse events 5) Success rate of MRD estimation at time point 1 and time point 2. Correlation between MRD level and event free survival, overall survival 6) Estimation of quality of life (QOL) by Questionnaire survey to patients and families 7) Exploratory estimation of correlation between biological abnormality and prognosis | — |
Countries
Japan
Contacts
Saitama Children's Medical Center Department of Hematology/Oncology