Childhood ALL
Conditions
Brief summary
The LALGFA2019 Recommendations redefine the standard risk criteria and propose to introduce anthracycline induction in so-called high-risk forms (LAL line T and LAL line B with leukocytosis greater than or equal to 50 G/L or in children less than 1 year of age or more than 10 years of age) as well as Endoxan and Methotrexate in high dose consolidation.
Detailed description
A few studies conducted in developing countries confirm that it is possible to significantly improve the prognosis of children with Acute Lymphoblastic Leukemia (ALL) provided that the centres can benefit from a precise and adapted protocol and logistical support. The GFAOP has been working with units for the past 20 years and this is the second study put in place by the group for the treatment of LAL. The initial study was a feasibility study with the treatment of standard risk LAL. This study GFALAL2019 aims to include both standard and high-risk forms of LAL. With this study it is hoped to: 1. Ensure the feasibility of these recommendations. 2. To show that the correct application of the therapeutic recommendations will result in a complete remission rate (CR) close to 85% at the end of the induction treatment. 3. The survival without relapse of patients in RC will be close to 65% at 5 years.
Interventions
None listed
Sponsors
French Africa Pediatric Oncology Group
Gustave Roussy, Cancer Campus, Grand Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Inclusion criteria
Children 0 to 18 ALL first diagnosis No prior chemotherapy Cytology FAB L1 or L2 \-
Exclusion criteria
ALL L3 (Burkitt) ALL previously treated with chemotherapy Trisomy 21
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of these recommendations | This can be initially reviewed after the first 2 years and will be evaluated at the end for the community. | Availability of drugs. This is part of the project as we are working with Low or low to Middle Income countries. |
| Correct application of therapeutic recommendations | 5 weeks | Availability of drugs and adherence to protocol: Some centers may at times have to find locally the chemiotherapy for application of the protocol. The capacity of the units to do this is alos being studied. By looking at why treatment was not given. Was it because of lack of discipline regarding the attendance at the units for treatment, transport, accommodation, or medication not available ? |
| Complete Remission Rate (CR) close to 85% after induction | J 34 or j42 post start of induction treatment for all children studied. | Evaluation of the CR j34 or J42 depending on the risk level High or standard. |
| Ability to follow treatment: | 5 weeks | The number of children who stop treatment without the consent of the doctor. |
| Outcome | 5 years | The vital status at the end of the first line of treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Survival without relapse of patients | first evaluation starts in 2026 so that enough time has elapsed to evaluate. | the number of children in complete remission without relapse at the end of treatment . |
Countries
Côte d’Ivoire, Guinea, Senegal
Contacts
CONTACTNdella Ms DIOUF, MD
CONTACTBRENDA Ms MALLON, MSc
Outcome results
None listed