Childhood acute lymphoblastic leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) diagnosis of ALL 2) age more than 1 year old and less than 19 years old. 3) ECOG performance status (PS) acore of 0-3 or Lansky performance status >=30. 4) no history of previous chemotherapy or radiation therapy. 5) sufficient hepatic and renal function satisfying the laboratory data listed below ; (1) T-Bill <=2 mg/dl (2) Creatinine: within age adjusted upper-limit of normal range. (3) AST: within x4 of the upper-limit of the institute upper-limit of normal range. 6) ECG showed normal corrected QT interval. 7) written informed consent obtained from patient or guardians. 8) Leukemic chimera geen screening has been investigated. 9) Pregnancy or other inadequate condition for attending the clinical trial.
Exclusion criteria
Exclusion criteria: 1) mature B-ALL 2) Ph+ALL : After registration, stop the protocol study with information of Ph+. 3) organ dysfunction for attending protocol study. 4) pregnancy or high possibility of pregnancy and giving suck woman. 5) history of congenital or acquired immunodeficiency. 6) uncontrollable infection 7) any inappropriate status judged by physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint 1) 3 years event free survival(3y-EFS) 1.1.3y-EFS difference between Point1:MRD(-) with Point2:MRD(-) group and Point1:MRD(+) with Point2:MRD(-) group 1.2.3y- EFS improving by the salvage therapy for Point2:MRD(+) group | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoint 1) Severe adverse event rate in each risk- classification group. 2) Relationship between early prednisolone response and Poin1- and Point2-MRD. 3) Relationship between day15 bone marrow blast and Poin1- and Point2-MRD. 4) Relationship among Point3-,4-, 5-, 6-, 7- (at the end of protocol) MRD and relapse | — |
Countries
Japan
Contacts
Aichi Medical University School of Medicine Department of Pediatrics