A Study of Dasatinib Plus Reduced Intensive Consolidation Chemotherapy in Ph+ Adult ALL
NCT05026229 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2021-10-01
Summary
This project is a key clinical research project approved by the Clinical Research Center of the First Affiliated Hospital of Xi'an Jiaotong University. Tyrosine kinase inhibitors (TKI) combined with intensive chemotherapy has markedly improved the outcomes of philadelpha-positive lymphoblastic leukemia (Ph+ ALL). However, a considerable proportion of patients failed to complete the intended chemotherapy and some even died early. The optimal balance between the intensity of chemotherapy and safety should be explored. In this study, Ph+ ALL patients who achieve complete remission (CR) after VP regimen (vincristine and prednisone) plus dasatinib as induction are enrolled and then the participants will receive different consolidation chemotherapy. Patients in the group A will continue to use VP regimen plus dasatinib, while the group B receives hyper-CVAD/methotrexate-cytarabine regimen plus dasatinib. The measurable residual disease (MRD), CR, adverse effects (AE), overall survival (OS) and disease free survival (DFS) will be observed to determine the proper consolidation chemotherapy regimen.
Conditions
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
- Philadelphia-Positive Acute Lymphoblastic Leukemia
- ALL, Adult
Interventions
- DRUG
-
dasatinib plus consolidation chemotherapy with vincristine and prednisone
After induction therapy, the patients in the 'Dasatinib, Vincristine and Prednisone' group will receive dasatinib and consolidation chemotherapy with vincristine and prednisone.
- DRUG
-
dasatinib plus consolidation chemotherapy with high-dose methotrexate and cytarabine
After induction therapy, the patients in the 'Dasatinib, Methotrexate and Cytarabine' group will receive dasatinib and consolidation chemotherapy with high-dose methotrexate and cytarabine.
Sponsors & Collaborators
-
First Affiliated Hospital Xi'an Jiaotong University
lead OTHER
Principal Investigators
-
Pengcheng He · First Affiliated Hospital of Xian Jiaotong University
-
Xiaoning Wang · First Affiliated Hospital of Xian Jiaotong University
-
Huachao Zhu · First Affiliated Hospital of Xian Jiaotong University
-
Juan Ren · First Affiliated Hospital of Xian Jiaotong University
-
Ying Chen · First Affiliated Hospital of Xian Jiaotong University
-
Ting Fan · First Affiliated Hospital of Xian Jiaotong University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-09-06
- Primary Completion
- 2023-06-30
- Completion
- 2023-06-30
Countries
- China
Study Locations
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