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Childhood Acute Lymphoblastic LeukemiaALL-MB 2008NCT01953770

Childhood Acute Lymphoblastic Leukemia Treatment Protocol Moscow-Berlin 2008

A study testing PEG-L-asparaginase ind, PEG-L-asparaginase cons and E.coli L-asparaginase in people with Childhood Acute Lymphoblastic Leukemia, run by Federal Research Institute of Pediatric Hematology, Oncology and Immunology at 46 sites in 3 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

QUESTIONS AND OBJECTIVES OF ALL-MB-2008 STUDY 1. Whether the early PEG-asparaginase in induction will lead to the earlier achievement of remission, improvement of days 8 and 15 responses leading to an earlier reconstitution of bone marrow and immunocompetence, decrease of severe infections and early mortality rate? 2. Read more about this study

Who is it for?
Ages 1 year to 18 years
Conditions the study is for
Childhood Acute Lymphoblastic Leukemia
What is being tested?
PEG-L-asparaginase ind, PEG-L-asparaginase cons and E.coli L-asparaginase
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,000 participants
Where
46 sitesin 3 countries
Study dates
Feb 2008to Jul 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age at diagnosis at 1 to 18 years.
  • The start of induction therapy within a time interval of study recruitment phase.
  • The diagnosis of ALL is to be proved by the morphological, cytochemical, and immunological analysis of tumor cells in bone marrow.
  • Informed consent of the parents (guardians) of the patient to be treated in one of the clinics included in this multicenter study.

Who cannot join

  • ALL is a second malignant tumor;
  • The disease is a relapse of previously misdiagnosed and, therefore, inadequately treated ALL;
  • There is severe concomitant disease, which significantly impedes chemotherapy protocol (such as multiple malformations, heart diseases, metabolic disorders, etc.);
  • There is a lack of important basic data needed for the exact adherence to the cytostatic therapy according to a specific protocol of chemotherapy (differential diagnosis of acute lymphoblastic/myeloid leukemia is not possible, stratification according to risk group is not possible);
  • The patient was treated before for a long time with cytotoxic drugs;
  • There were deviations in the treatment not covered by the protocol and/or not due to side effects of treatment and/or complications of the disease

Trial locations and contacts

46 sites in 3 countries.

46 sites in 3 countries

Russia42 sites
  • Arkhangelsk Regional Children's Hospital

    Arkhangelsk

  • Regional Children's Hospital

    Astrakhan

  • Moscow Regional Cancer Dispensary

    Balashikha

  • Amur Regional Children's Hospital

    Blagoveshchensk

  • Chelyabinsk Regional Children's Clinical Hospital

    Chelyabinsk

  • Irkutsk Regional Children Clinical Hospital

    Irkutsk

  • Regional Clinical Hospital

    Ivanovo

  • Regional Children's Clinical Hospital

    Khabarovsk

  • Kirov Research Institute of Hematology and Blood Transfusion

    Kirov

  • Regional Children's Hospital

    Krasnodar

  • Krasnoyarsk Territorial Clinical Children Hospital

    Krasnoyarsk

  • Regional Children's Hospital

    Kursk

  • Republic Children's Clinical Hospital

    Makhachkala

  • Morozov Children's Clinical Hospital

    Moscow

  • Research Institute of Pediatric Hematology, Oncology and Immunology named after Dmitry Rogachev

    Moscow

  • Russian Children's Clinic Hospital

    Moscow

  • Republic Children's Clinical Hospital

    Nal'chik

  • District Children's Clinic Hospital

    Nizhnevartovsk

  • Regional Children's Clinic Hospital

    Nizhny Novgorod

  • Municipal Children's Clinic Hospital №4

    Novokuznetsk

  • Novosibirsk Central District Hospital

    Novosibirsk

  • Regional Clinical Oncology Dispensary

    Orenburg

  • Perm Regional Children's Clinic Hospital

    Perm

  • Regional Children's Hospital

    Rostov-on-Don

  • Rostov Research Institute of Oncology

    Rostov-on-Don

  • N. Dmitrieva Ryazan Regional Children's Hospital

    Ryazan

  • Children's Municipal Hospital №1

    Saint Petersburg

  • Municipal Hospital №31

    Saint Petersburg

  • R. Gorbacheva Research Institute of Pediatric Hematology and Transfusiology; Pavlov State Medical University of Saint-Petersburg

    Saint Petersburg

  • Children's Municipal Clinical Hospital №1

    Samara

  • Profpathology and Hematology Clinic; Saratov State Medical University

    Saratov

  • Regional Children's Clinical Hospital

    Stavropol

  • Surgut Central District Clinical Hospital

    Surgut

  • Tomsk Regional Clinical Hospital

    Tomsk

  • Tula Regional Children's Hospital

    Tula

  • Republic Children's Clinical Hospital

    Ulan-Ude

  • Ulyanovsk Regional Children's Clinical Hospital

    Ulyanovsk

  • Municipal Children's City Hospital, Territorial Children's Hematological Center

    Vladivostok

  • Voronezh Regional Children Clinical Hospital №1

    Voronezh

  • Republic Hospital №1 - National Medicine Centre

    Yakutsk

  • Regional Children's Clinical Hospital

    Yaroslavl

  • Regional Children's Clinical Hospital № 1

    Yekaterinburg

Other trials in Russia

Belarus3 sites
  • Republican Research and Practical Center of Radiation Medicine

    Homyel

  • Republic Research and Practical Center of Pediatric Oncology and Hematology

    Minsk

  • Mogilev Regional Children's Hospital

    Mogilev

Other trials in Belarus

Uzbekistan1 site
  • Research Institute of Hematology and Blood Transfusion

    Tashkent

Other trials in Uzbekistan

About this study

Official title: Moscow-Berlin 2008 Multicenter Randomised Study for Treatment of Acute Lymphoblastic Leukemia in Children and Adolescents

QUESTIONS AND OBJECTIVES OF ALL-MB-2008 STUDY

  1. Whether the early PEG-asparaginase in induction will lead to the earlier achievement of remission, improvement of days 8 and 15 responses leading to an earlier reconstitution of bone marrow and immunocompetence, decrease of severe infections and early mortality rate?
  2. Whether the use of PEG-asparaginase in induction will allow to avoid the anthracyclines in standard risk group patients and to reduce treatment myelotoxicity?
  3. Whether the administration of 9 doses of PEG-asparaginase 1,000 U/m2 instead of 18 doses of E.coli L-asparaginase 5,000 U/m2 in standard risk patients will improve treatment outcome?
  4. Whether the administrations of high dose methotrexate (2 g/m2 in 24 hours) during 1-st consolidation in intermediate risk patients will result in decrease of central nervous system relapse incidence and improvement of event-free and overall survival? Whether the increase of 6-mercaptopurine starting dose up to 50 mg/m2 in 1-st consolidation phase (instead of 25 mg/m2) will decrease in relapse risk, but would not be accompanied with enhanced toxicity?
  5. Is it possible to completely avoid the cranial irradiation in intermediate risk patients? In some subgroup of intermediate risk patients? Is it enough to control neuroleukemia in these patients to introduce additional TIT in the consolidation phase of treatment? How will change the possible late effects in these patients according to the third arm of randomization?
  6. Will the new risk group stratification to improve overall and event-free survival?
Being tested
PEG-L-asparaginase ind, PEG-L-asparaginase cons, E.coli L-asparaginase, High-dose Methotrexate, Low-dose Methotrexate
Keywords
Acute lymphoblastic leukemia, children, adolescents, L-asparaginase, methotrexate
Medical subject headings
Precursor Cell Lymphoblastic Leukemia-Lymphoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PEG-L-asparaginase indDrug

    1,000 U/m2 on day 3 of induction therapy, intravenously, in 200 ml of saline, during 1 hour

  • PEG-L-asparaginase consDrug

    1,000 U/m2 intravenously, in 200 ml of saline, during 1 hour, 24 hours after methotrexate on weeks 7, 9, and 11 - days 44, 58, and 72 (phase S1), weeks 15, 17, and 19 - days 100, 114, 128 (phase S2), weeks 23, 25, and 27 - days 156, 170, 184 (phase S3).

  • E.coli L-asparaginaseDrug

    Also called Asparaginase Medac

    E.coli L-asparaginase (asparaginase medac) 5,000 U/m2 intramuscularly weekly, 24 hours after methotrexate dose, from week 7 to week 12 - days 44, 51, 58. 65, 72, 79 (phase S1), from week 15 to week 20 - days 100, 107, 114, 121, 128, 135 (phase S2), from week 23 to week 28 - days 156, 163, 170, 177, 184, 191 (phase S3).

  • High-dose MethotrexateDrug

    2,000 mg/m2 per 24 hours is given at days 43, 57, and 71 (weeks 7, 9, and 11). 1/5 of the total dose is given as slow intravenous bolus over 3-5 minutes. 4/5 of the total dose of methotrexate is injected as continuous 24 hours infusion.

  • Low-dose MethotrexateDrug

    30 mg/м2 is given intramuscularly 1 time weekly - days 43, 50, 57, 64, 71, and 78 (weeks 7, 8, 9, 10, 11, and 12).

  • Triple intrathecal therapyDrug

    Also called Methotrexate/Cytarabine/Prednisone i.th.

    Intrathecal injection of 3 drugs is additionally given three times during phase S-2 (weeks 15, 17, and 19 - days 99, 113, and 127), and three times during phase S-3 (weeks 23, 25, and 27 - days 155, 169, and 183).

  • Cranial irradiationRadiation

    12 Gy cranial irradiation is conducted at weeks 31-32 of the Protocol in patients >3 years of age

  • DaunorubicinDrug

    Daunorubicin at a dose of 45 mg/m2 i.v. for 6 hours on day 8 of induction therapy

Study groups in NCT01953770
Study groupRoleWhat they receive
Cranial irradiationActive comparatorConsolidation therapy with cranial irradiation in intermediate risk group patients
Receives: Radiation: Cranial irradiation
Additional TITExperimentalConsolidation therapy with additional triple intrathecal therapy (N6) and without cranial irradiation in intermediate risk group patients
Receives: Drug: Triple intrathecal therapy
MTX 2,000 mg/m2ExperimentalConsolidation therapy with High-dose Methotrexate 2,000 mg/m2/24 h i.v. biweekly in intermediate risk group patients
Receives: Drug: High-dose Methotrexate
MTX 30 mg/m2Active comparatorConsolidation therapy with Low-dose Methotrexate 30 mg/m2 i.m. weekly in intermediate risk group patients
Receives: Drug: Low-dose Methotrexate
PEG-asp 1,000 U/m2ExperimentalConsolidation therapy with PEG-L-asparaginase cons 1,000 U/m2 biweekly in standard risk group patients
Receives: Drug: PEG-L-asparaginase cons
L-asp 5,000 U/m2Active comparatorConsolidation therapy with E.coli L-asparaginase 5,000 U/m2 weekly in standard risk group patients
Receives: Drug: E.coli L-asparaginase
PEG-DNR+Active comparatorInduction therapy without PEG-L-asparaginase and with Daunorubicin 45 mg/m2 in standard and intermediate risk group patients
Receives: Drug: Daunorubicin
PEG+DNR+ExperimentalInduction therapy with PEG-L-asparaginase ind (1,000 U/m2 on day 3 of therapy)and daunorubicin 45 mg/m2 in standard and intermediate risk group patients
Receives: Drug: PEG-L-asparaginase ind; Drug: Daunorubicin
PEG+DNR-ExperimentalInduction therapy with PEG-L-asparaginase ind (1,000 U/m2 on day 3 of therapy) without daunorubicin on day 8 in standard risk group patients
Receives: Drug: PEG-L-asparaginase ind

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event-free survival

    Measured: 3 years, 5 years and 10 years after study start

  2. overall survival

    Measured: 3 years, 5 years and 10 years after study start

  3. cumulative incidence of relapse

    Measured: 3 years, 5 years and 10 years after study start

Secondary outcomes (2)
  1. early death rate

    Measured: 3 years, 5 years and 10 years after study start

  2. remission death rate

    Measured: 3 years, 5 years and 10 years after study start

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Oct 2013 (estimated)
  2. Study startFeb 2008
  3. Primary completionJan 2015
  4. Study completionJul 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
3,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01953770
Sponsor's protocol ID
ALL-MB 2008
Acronym
ALL-MB 2008
Status last verified
Feb 2020
First submitted
26 Sep 2013
Last updated
5 Feb 2020
Results posted
No
Data monitoring committee
Yes

Publications

  • Popov A, Henze G, Tsaur G, Budanov O, Roumiantseva J, Belevtsev M, Verzhbitskaya T, Movchan L, Lagoyko S, Zharikova L, Olshanskaya Y, Riger T, Valochnik A, Miakova N, Litvinov D, Khlebnikova O, Streneva O, Stolyarova E, Ponomareva N, Novichkova G, Aleinikova O, Fechina L, Karachunskiy A. Flow cytometric minimal residual disease measurement accounting for cytogenetics in children with non-high-risk acute lymphoblastic leukemia treated according to the ALL-MB 2008 protocol. Cancer Med. 2024 Apr;13(8):e7172. doi: 10.1002/cam4.7172.

    PubMed 38651186

Questions about this trial

What is this clinical trial studying?

A study testing PEG-L-asparaginase ind, PEG-L-asparaginase cons and E.coli L-asparaginase in people with Childhood Acute Lymphoblastic Leukemia, run by Federal Research Institute of Pediatric Hematology, Oncology and Immunology at 46 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 5 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in Russia, Belarus, Uzbekistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event-free survival (time frame: 3 years, 5 years and 10 years after study start). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01953770, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2020.

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