Acute Lymphoblastic Leukaemia
Conditions
Keywords
Asparaginase, ALL
Brief summary
This is an assessment of efficacy and safety of three different doses of pegylated recombinant asparaginase (PEG-rASNase) in comparison to Oncaspar® during treatment of adults with de novo acute lymphoblastic leukaemia (ALL). This study will provide first data for determining specific asparaginase doses to yield various durations of L-asparagine (ASN) depletion which are required within different treatment phases of ALL therapy.
Interventions
2000 U/m2 BSA, single infusion
500, 1000 or 1500 U/m2 BSA single infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Previously untreated acute lymphoblastic leukaemia (pro-B, common, pre-B, early T, thymic T, mature T) * Age 18 years - 55 years * Treatment according to German Multicenter Trials for adult Acute Lymphoblastic Leukaemia (GMALL) 07/2003 protocol or subsequent GMALL protocols for patients with de novo ALL * Written informed consent * Women of child-bearing potential or partner of men with child-bearing potential must use a highly effective method of contraception * Negative pregnancy test for women of child-bearing potential
Exclusion criteria
* Patients with Philadelphia chromosome (BCR-ABL) positive ALL * Severe comorbidity or leukaemia-associated complications * Known hypersensitivity to asparaginase * History of severe pancreatitis * History of thrombosis or pulmonary embolism * Pre-existing clinically relevant coagulopathy * Liver dysfunction (e.g. acute or current hepatitis, alcohol or drug abuse) or history of clinically relevant liver disease * Bilirubin \> 1.5 x Upper Limit Norm (ULN) * Other current malignancies * Severe psychiatric illness or other circumstances which may compromise the cooperation of the patient or the ability to give informed consent * Body mass index \> 30 kg/m² * Known pregnancy, breast feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare the rate of patients with asparagine depletion 3 weeks after infusion of PEG-rASNase or Oncaspar® in the induction phase. | 3 weeks | To compare the rate of patients with asparagine depletion 3 weeks after infusion of PEG-rASNase or Oncaspar® in the induction phase. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparing of treatment arms | 62 days | -the rate of patients with asparagine depletion |
Countries
Germany