ALL2518: Asparaginase Activity Monitoring (AAM) in Adult Patients With Acute Lymphoblastic Leukemia (ALL)
Study Details
Study Description
Brief Summary
In order to understand how pharmacokinetics and immunological inactivation affect the therapeutic efficacy of Asparaginase (ASP), it is of help and advised in the frame of clinical font-line protocols to monitor the enzymatic activity by measuring the serum ASP levels in the days following the administration of the drug.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Patients on Oncospar
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Drug: Asparaginase
Measurement of serum Asparaginase activities during therapy, in terms of intensity and duration, as surrogate parameter for asparaginase depletion.
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Outcome Measures
Primary Outcome Measures
- Number of patients with active serum Asparaginase [After 8 months from study entry]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Signed written informed consent according to ICH/EU/GCP and national local laws
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Age 18 - 65 years
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Diagnosis of untreated Ph- ALL entering treatment including PEG-ASP in induction and consolidation
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ECOG performance status 0-2, unless a performance of 3 is unequivocally caused by the disease itself and not by pre-existing comorbidity, and is considered and/or documented to be reversible following the application of antileukemic therapy and appropriate supportive measures
Exclusion Criteria:
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Diagnosis of Burkitt's leukemia
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Down's syndrome
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Adults with Ph+ ALL
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Pre-existing, uncontrolled pathology such as heart failure (congestive/ischemic, acute myocardial infarction within the past 3 months, untreatable arrhythmias, NYHA classes III and IV)
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Severe liver disease with serum bilirubin >3 mg/dL and/or ALT >3 x upper normal limit (unless attributable to ALL)
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Kidney function impairment with serum creatinine >2 mg/dL (unless attributable to ALL)
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Severe neuropsychiatric disorder that impairs the patient's ability to understand and sign the informed consent, or to cope with the intended treatment plan
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Presence of serious, active, uncontrolled infections
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Pre-existing HIV positive serology (i.e. already known before enrolment). If HIV positivity is detected after enrolment, the patient is put off study.
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Pregnancy
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Men and women should use effective contraception during treatment and for at least 6 months after Asparaginase discontinuation. As a precautionary measure, breast-feeding should be discontinued during treatment with Asparaginase and should not be restarted after discontinuation of Asparaginase
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Aou Ospedali Riuniti "Umberto I - G.M. Lancisi - G. Salesi"- Ancona - Sod Clinica Ematologica | Ancona | Italy | ||
2 | Aso S. Croce E Carle - Cuneo - Sc Ematologia | Cuneo | Italy | ||
3 | Asl Roma 2, Ospedale S. Eugenio- Ospedale S.Eugenio - Uoc Ematologia | Roma | Italy | ||
4 | Aou Città Della Salute E Della Scienza, Ospedale S. Giovanni Battista Molinette - Torino - Sc Ematologia - Università Degli Studi Di Torino | Torino | Italy | ||
5 | Aou Città Della Salute E Della Scienza, Ospedale S. Giovanni Battista Molinette - Torino - Sc Ematologia 2 | Torino | Italy | ||
6 | Asui Di Udine - Presidio Ospedaliero "Santa Maria Della Misericordia" - Clinica Ematologica | Udine | Italy | ||
7 | Aou Integrata Di Verona, Policlinico G.B. Rossi - Uoc Ematologia | Verona | Italy |
Sponsors and Collaborators
- Gruppo Italiano Malattie EMatologiche dell'Adulto
Investigators
- Study Chair: Marco Vignetti, Dipartimento di Biotecnologie Cellulari ed Ematologia - Università degli Studi "Sapienza" di Roma
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ALL2518
- 2018-003517-17