Leukaemia, Lymphoblastic, Acute
Conditions
Keywords
T-ALL, Safety, Post Authorisation Safety Study, T-LBL, Lymphoblastic Lymphoma, Acute Lymphoblastic Leukemia
Brief summary
This international, multicentre, single arm, phase IV study will assess the safety and efficacy of nelarabine in children and young adults with relapsed or refractory T-lineage acute lymphoblastic leukaemia (T-ALL) or lymphoblastic lymphoma (T-LBL) whose disease has not responded to or has relapsed following treatment with at least two chemotherapy regimens. It is a post-authorisation safety study (PASS) conducted for the purpose of confirming the safety profile and the clinical benefit of nelarabine under licensed conditions of use. The study is observational, non-interventional, and will include approximately 40 children and young adults (up to 21 years of age).
Interventions
Nelarabine is a prodrug of 9-β-D-arabinofuranosylguanine (ara-G), a deoxyguanosine analogue.
Sponsors
Study design
Eligibility
Inclusion criteria
* ≤ 21 years of age * Relapsed or refractory T-lineage acute lymphoblastic leukaemia (T-ALL) or lymphoblastic lymphoma (T-LBL) * Prior treatment with at least two chemotherapy regimens * Selected for treatment with nelarabine
Exclusion criteria
* Known hypersensitivity to the active substance. * Women of childbearing potential who are unable or unwilling to use adequate contraceptive measures * Males with partners of child bearing potential who are not willing to use condoms or abstinence * Patients with persistent neurological toxicity (CTC grade \> = grade 2) * Adolescents (aged 16 years and over) and adults for whom the physician prescribes the 1500mg/m2 dose of nelarabine.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neurological adverse events | Up to one year after treatment |
Secondary
| Measure | Time frame |
|---|---|
| Other adverse events | Up to one year after treatment |
| clinical response rate and survival | one year |
Countries
Denmark, France, Germany, Israel, Italy, Netherlands, Poland, Russia, Spain