Rituximab+mVPDL for CD20(+) Adult Acute Lymphoblastic Leukemia
NCT01429610 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 78
Last updated 2018-07-24
Summary
The investigators would like to propose a phase-2 prospective multicenter trial evaluating the efficacy of rituximab combination with our current chemotherapy strategy for adult Acute Lymphoblastic Leukemia (ALL), in order to prove out whether the addition of rituximab during induction, consolidation, and post-alloHCT status can improve the outcome in terms of relapse-free survival (RFS) when compared with our prior data as a historical control.
Conditions
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
Interventions
- DRUG
-
Rituximab+mVPDL
1. Induction: * Dauno 90 mg/m2/d by civ (d1-3) * Vinc 2 mg iv (d1, 8) * Pred 60 mg/m2/d po (d1-14) * for Ph(-): L-asp 4,000 units/m2/day im/sc (d17-28) for Ph(+): Imatinib 600mg/d po qd (d8-continue till the end of maintenance or just before alloHCT) * Rituximab 375mg/m2/d (d8) 2. Consolidation A (cycle1) * D 45 mg/m2/day by continuous iv (d1, 2) * V 2 mg iv (d1, 8) * P 60 mg/m2/day po (d1-14) * for Ph(-): L-asp (d1-14) for Ph(+): Imatinib * Rituximab 375mg/m2/d (d8) 3. Consolidation B (cycles2\&4) * Cyt 2,000 mg/m2/d iv over 2 hr (d1-4) * Eto 150 mg/m2/d iv over 3 hr (d1-4) * Rituximab 375mg/m2/d d8 4. Consolidation C (cycles 3\&5) * Methotrexate 220 mg/m2 iv bolus, then 60mg/m2/h for 36 hr (d1-2, 15-16) * Leucovorin 50 mg/m2 iv every 6hr for 3 doses, * Rituximab 375mg/m2/d (d8\&22) 5. Maintenance (for 2 years) \- for Ph(-): 6- Mercaptopurine 60 mg/m2 po qd Methotrexate 20 mg/m2 po qw for Ph(+): imatinib 600mg/d po qd 6. Consider alloHCT
Sponsors & Collaborators
-
Asan Medical Center
lead OTHER
Principal Investigators
-
Young Don Joo, MD, PhD · Inje University Haeundae Paik Hospital
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 15 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-11-30
- Primary Completion
- 2018-01-01
- Completion
- 2019-01-01
Countries
- South Korea
Study Locations
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