Lymphoblastic Lymphoma, ChildhoodPhase 3LBL 2018NCT04043494
International Cooperative Treatment Protocol for Children and Adolescents With Lymphoblastic Lymphoma
A Phase 3 study testing Cyclophosphamide, Cytarabine and Dexamethasone in people with Lymphoblastic Lymphoma, Childhood, run by University Hospital Muenster at 228 sites in 21 countries.
Trial summary
Primary objectives: Randomization R1, all patients eligible: To examine, whether the cumulative incidence of relapses with involvement of the CNS (CNS relapse, pCICR) can be decreased by a modified induction therapy including dexamethasone (experimental arm) instead of prednisone (standard arm) Randomization R2, only… Read more about this study
- Who is it for?
- Ages Up to 18 years
- Conditions the study is for
- Lymphoblastic Lymphoma, Childhood
- What is being tested?
- Cyclophosphamide, Cytarabine and Dexamethasone
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 683 participants
- Where
- 228 sitesin 21 countries
- Study dates
- 23 Aug 2019to 22 Apr 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 Up to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- newly diagnosed lymphoblastic lymphoma
- age <18 years
- patient enrolled in a participating center
- written informed consent of patient (>14 years of age or according to local law and regulation) and parents to trial participation and transfer and processing of data
- willingness of patients and the investigator/pathologist to provide adequate slides/blocks for reference (molecular) pathology and international pathology panel and/or fresh or fresh frozen samples for genetic risk group stratification if these samples are available after standard diagnostic procedures.
Who cannot join
- lymphoblastic lymphoma as secondary malignancy
- non-lymphoma related relevant medical, psychiatric or social conditions incompatible with trial treatment, including among others
- prior organ transplant
- severe immunodeficiency
- demyelinating Charcot-Marie Tooth syndrome
- serious acute or chronic infections, such as HIV, VZV and tuberculosis
Show all 17Show fewer
- urinary tract infection, cystitis, urinary outflow obstruction, severe renal impairment (creatinine clearance less than 20 ml/min)
- severe hepatic impairment (bilirubin >3 times ULN, transaminases >10 times ULN)
- myocardial insufficiency, severe arrhythmias
- ulcers of the oral cavity and known active gastrointestinal ulcer disease
- known hypersensitivity to any IMP and to any excipient (listed in section 6.1 of the respective SmPC)
- steroid pre-treatment with ≥ 1 mg/kg/d for more than two weeks during the last month before diagnosis
- vaccination with live vaccines within 2 weeks before start of protocol treatment
- treatment started according to another protocol or pre-treatment with cytostatic drugs
- participation in another clinical trial that interferes with the protocol, except NHL-BFM Registry 2012 and trials with different endpoints, involving aspects of supportive treatment, which can run parallel to LBL 2018 without influencing the outcome of this trial (e.g. trials on antiemetics, antibiotics, strategies for psychosocial support)
- evidence of pregnancy or lactation period
- sexually active adolescents not willing to use highly effective contraceptive method (pearl index < 1) until 12 months after end of cytostatic therapy
Trial locations and contacts
228 sites in 21 countries. Contact the study team or a site near you to ask about taking part.
228 sites in 21 countries
Germany55 sites, 54 recruiting
- Recruiting
Universitätsklinikum Aachen .Klinik für Kinder - und Jugendmedizin Hämatologie / Onkologie
Aachen, 52057
- Recruiting
Klinikum Augsburg ,Schwäbisches Kinderkrebszentrum. I. Klinik für Kinder und Jugendliche Hämatologie / Onkologie
Augsburg, 86156
- Recruiting
HELIOS Klinikum Berlin-Buch, Kinderklinik, Pädiatrische Hämatologie und Onkologie
Berlin, 13125
- Recruiting
Charité Campus Virchow-Klinikum, Zentrum für Kinder- und Jugendmedizin- Abt. Hämatologie / Onkologie
Berlin, 13353
- Recruiting
Evangelisches Krankenhaus Bielefeld GmbH, Klinik für Kinder- und Jugendmedizin, Hämatologie und Onkologie
Bielefeld, 33617
- Recruiting
Zentrum für Kinderheilkunde der Universität Bonn, Abt. Päd. Hämatologie / Onkologie
Bonn, 55113
- Recruiting
Städtisches Klinikum Braunschweig gGmbH, Zentrum für Kinder- und Jugendmedizin
Braunschweig, 38126
- Recruiting
Klinikum Bremen-Mitte gGmbH, Prof.-Hess-Kinderklinik,Pädiatrische Onkologie und Hämatologie
Bremen, 28177
- Not yet recruiting
Klinikum Chemnitz gGmbH, Klinik für Kinder- und Jugendmedizin, Päd. Hämatologie und Onkologie
Chemnitz, 09116
- Not yet recruiting
Klinikum der Universität zu Köln, Klinik für Kinder- und Jugendmedizin, Abt. Kinderonkologie und -hämatologie
Cologne, 50924
- Recruiting
Carl-Thiem-Klinikum, Kinderklinik, Station 5e
Cottbus, 03048
- Recruiting
Vestische Kinderklinik, Universität Witten / Herdecke
Datteln, 45711
- Recruiting
Klinikum Dortmund gGmbH, Klinik für Kinder- und Jugendmedizin, Station K1, Abt. Päd. Onkologie / Hämatologie
Dortmund, 44137
- Recruiting
Universitätsklinik Carl Gustav Carus der TU Dresden, Klinik für Kinder- und Jugendmedizin
Dresden, 01307
- Recruiting
Universitätsklinikum Düsseldorf, Zentrum für Kinder- und Jugendmedizin, Klinik für Päd. Hämatologie und Onkologie
Düsseldorf, 40225
- Recruiting
HELIOS Klinikum Erfurt GmbH, Klinik für Kinder- und Jugendmedizin, Päd. Onkologie / Hämatologie
Erfurt, 99089
- Recruiting
Universitätsklinikum Erlangen, Klinik für Kinder- und Jugendmedizin, Pädiatrische Onkologie / Hämatologie
Erlangen, 91054
- Recruiting
Universitätsklinikum Essen, Zentrum für Kinder- und Jugendmedizin, Hämatologie / Onkologie
Essen, 45122
- Recruiting
Universitätsklinikum Frankfurt, Klinik für Kinder- und Jugendmedizin, Pädiatrische Hämatologie und Onkologie
Frankfurt, 60590
- Recruiting
Universitätsklinikum Freiburg, Zentrum für Kinder- und Jugendmedizin, Klinik IV: Päd. Hämatologie und Onkologie
Freiburg im Breisgau, 79106
- Recruiting
Universitätsklinikum Gießen und Marburg, Standort Gießen, Zentrum für Kinderhämatologie und -onkologie
Giessen, 35385
- Recruiting
Georg-August-Universität Universitäts-Kinderklinik, Pädiatrie I
Göttingen, 37075
- Recruiting
Universitätsklinikum Greifswald KdöR, Klinik und Poliklinik für Kinder- und Jugendmedizin, Abt. Pädiatrische Onkologie und Hämatologie
Greifswald, 17475
- Recruiting
Universitätsklinikum Halle (Saale), Klinik für Kinder- und Jugendmedizin, Pädiatrische Hämatologie / Onkologie
Halle, 06120
- Recruiting
Universitätsklinikum Hamburg Eppendorf, Zentrum für Kinder- und Jugendmedizin, Abt. Pädiatrische Hämatologie und Onkologie
Hamburg, 20246
- Recruiting
Medizinische Hochschule Hannover, Kinderheilkunde, Päd. Hämatologie / Onkologie
Hanover, 30625
- Recruiting
Universitäts-Kinderklinik Heidelberg, Abt. Hämatologie / Onkologie
Heidelberg, 69120
- Recruiting
Gemeinschaftskrankenhaus Herdecke, Kinder- und Jugendmedizin, Päd. Hämatologie / Onkologie
Herdecke, 58313
- Recruiting
Universitätskliniken für Kinder- und Jugendmedizin, Päd. Hämatologie und Onkologie, Geb. 9
Homburg, 66421
- Recruiting
Universitätsklinikum Jena, Klinik für Kinder- und Jugendmedizin
Jena, 07745
- Recruiting
Städtisches Klinikum Karlsruhe gGmbH, Kinderklinik, Station S 24
Karlsruhe, 76133
- Recruiting
Klinikum Kassel Gesundheit Nordhessen Holding AG, Klinik für pädiatrische Hämatologie und Onkologie
Kassel, 34125
- Recruiting
Universitätsklinikum Schleswig Holstein Campus Kiel, Klinik für Allgemeine Pädiatrie, Päd. Onkologie / Hämatologie
Kiel, 24105
- Recruiting
Gemeinschaftsklinikum Mittelrhein Kemperhof, Klinik für Kinder- und Jugendmedizin, Pädiatrische Hämatologie und Onkologie
Koblenz, 56073
- Recruiting
HELIOS Klinikum Krefeld, Zentrum für Kinder- und Jugendmedizin, Päd. Hämatologie/Onkologie
Krefeld, 47805
- Recruiting
Universitätsklinikum Leipzig, Klinik für Kinder und Jugendliche, Abt. Päd. Hämatologie / Onkologie
Leipzig, 04103
- Recruiting
Universitätsklinikum Schleswig Holstein Campus Lübeck, Klinik für Kinder- und Jugendmedizin, Hämatologie und Onkologie
Lübeck, 23538
- Recruiting
Universitätsklinikum Magdeburg A. ö. R., Kinderklinik, Päd. Hämatologie / Onkologie
Magdeburg, 39120
- Recruiting
Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Zentrum für Kinder- und Jugendmedizin, Pädiatrische Hämatologie / Onkologie
Mainz, 55101
- Recruiting
Klinikum Mannheim gGmbH, Universitäts-Kinderklinik, Päd. Onkologie /Hämatologie
Manheim, 68167
- Recruiting
Johannes Wesling Klinikum Minden, Klinik für Kinder- und Jugendmedizin, Päd. Hämatologie / Onkologie, Station E 22
Minden, 32429
- Recruiting
Klinikum der LMU, Dr. von Haunersches Kinderspital, Pädiatrische Hämatologie / Onkologie
München, 80337
- Recruiting
Klinikum Schwabing, Kinderklinik der TU Päd. Hämatologie / Onkologie, Station 24d
München, 80804
- Recruiting
Universitätsklinikum Münster, Klinik für Kinder- und Jugendmedizin, Abt. Pädiatrische Hämatologie und Onkologie
Münster, 48149
- Recruiting
Diakonie Neuendettelsau, Kliniken Hallerwiese / Cnopf'sche Kinderklinik, Pädiatrische Hämatologie /Onkologie
Nuremberg, 90419
- Recruiting
Klinikum Oldenburg AöR, Zentrum für Kinder- und Jugendmedizin, Abt. Hämatologie / Onkologie
Oldenburg, 26133
- Recruiting
Universitätsklinikum Regensburg, Klinik für Kinder- und Jugendmedizin, Abt. Päd. Hämatologie, Onkologie, SZT
Regensburg, 93053
- Recruiting
Universitätsklinikum Rostock, Kinder- und Jugendklinik, Päd. Hämatologie und Onkologie
Rostock, 18057
- Recruiting
Asklepios Klinik St. Augustin GmbH, Kinder- und Jugendmedizin, Kinder-Hämatologie und Onkologie
Sankt Augustin, 53757
- Recruiting
HELIOS Kliniken Schwerin GmbH, Klinik für Kinder- und Jugendmedizin, Station A1
Schwerin, 19049
- Recruiting
Klinikum Stuttgart, Olgahospital Zentrum für Kinder- und Jugendmedizin Pädiatrie 5 (Onkologie, Hämatologie, Immunologie)
Stuttgart, 70174
- Withdrawn
Klinikum Mutterhaus der Borromäerinnen gGmbH, Pädiatrische Abteilung
Trier, 54290
- Recruiting
Universitätsklinik Tübingen, Klinik für Kinderheilkunde und Jugendmedizin, Päd. Hämatologie / Onkologie
Tübingen, 72076
- Recruiting
Universitätsklinikum Ulm, Klinik für Kinder- und Jugendmedizin, Päd. Hämatologie und Onkologie
Ulm, 89081
- Recruiting
Universitätskinderklinik Würzburg, Päd. Onkologie und Hämatologie
Würzburg, 97080
Italy33 sites, 27 recruiting
- Not yet recruiting
Azienda Ospedaliero Universitaria Delle Marche
Ancona, 60126
- Recruiting
University Hospital Consorziale Policlinico
Bari, 70124
- Not yet recruiting
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127
- Recruiting
Azienda Ospedaliero-Universitaria Di Bologna IRCCS
Bologna, 40138
- Recruiting
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Brescia, 25123
- Recruiting
ARNAS G. Brotzu
Cagliari, 09121
- Not yet recruiting
Azienda Ospedaliero Universitaria Policlinico G Rodolico San Marco Di Catania
Catania, 95123
- Not yet recruiting
University Hospital Of Ferrara
Cona, 44124
- Withdrawn
U. O. di Pediatria- Azienda Ospedaliera Annunziata
Cosenza, 87100
- Withdrawn
Dipartimento di Medicina Clinica e Sperimentale Sezione di Pediatria - Università di Ferrara
Ferrara, 44100
- Recruiting
Azienda Ospedaliera Universitaria Meyer IRCCS
Florence, 50139
- Recruiting
Giannina Gaslini Institute For Scientific Hospitalization And Care
Genova, 16147
- Recruiting
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
- Withdrawn
Azienda Ospedaliero Universitaria di Modena
Modena, 41124
- Recruiting
Fondazione IRCCS San Gerardo Dei Tintori
Monza, 20900
- Withdrawn
S.C. Ematologia Oncologica- Ospedale "Pausilipon"
Naples, 80123
- Recruiting
L'Azienda Ospedaliera Di Rilievo Nazionale Santobono-Pausilipon
Naples, 80129
- Recruiting
Azienda Ospedale-Università Padova
Padova, 35128
- Not yet recruiting
ARNAS Civico Di Cristina Benfratelli
Palermo, 90127
- Recruiting
Azienda Ospedaliero-Universitaria di Parma
Parma, 43126
- Recruiting
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
- Not yet recruiting
Azienda Ospedaliero Universitaria Pisana
Perugia, 06129
- Not yet recruiting
Azienda Sanitaria Locale Di Pescara
Pescara, 65124
- Recruiting
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
- Recruiting
Azienda Unità Sanitaria della Romagna
Rimini, 48121
- Withdrawn
Sezione Ematologia- Dipart. Biotecnico Cellulare ed Ematologia- Università "La Sapienza"
Roma, 00161
- Not yet recruiting
Ospedale Pediatrico Bambino Gesù
Roma, 00165
- Recruiting
Casa Sollievo Della Sofferenza
San Giovanni Rotondo, 71013
- Withdrawn
Oncologia Pediatrica,- Ospedale "R. Silvestrini"
San Sisto, 06080
- Recruiting
Azienda Ospedaliera Universitaria Città Della Salute E Della Scienza Di Torino
Torino, 10126
- Recruiting
Istituto Di Ricovero E Cura A Carattere Scientifico Materno Infantile Burlo Garofolo
Trieste, 34137
- Recruiting
Azienda Socio Sanitaria Territoriale Dei Sette Laghi
Varese, 21100
- Recruiting
Azienda Ospedaliera Universitaria Integrata di Verona
Verona, 37126
Spain30 sites, 30 recruiting
- Recruiting
Hospital General Universitario de Alicante
Alicante, 03010
- Recruiting
Hospital Universitario Torrecárdenas
Almería, 04009
- Recruiting
Hospital Materno-Infantil de Badajoz
Badajoz, 06010
- Recruiting
Hospital Universitario Cruces
Barakaldo, 48903
- Recruiting
Hospital Universitari Vall d'Hebron
Barcelona, 08035
- Recruiting
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
- Recruiting
Hospital Universitario Donostia
Donostia / San Sebastian, 20014
- Recruiting
Hospital Sant Joan de Déu
Esplugues de Llobregat, 08950
- Recruiting
Hospital Universitario Virgen de las Nieves
Granada, 18014
- Recruiting
Complejo Hospitalario Universitario Insular Materno Infantil
Las Palmas de Gran Canaria, 35016
- Recruiting
Hospital General Universitario Gregorio Marañón
Madrid, 28007
- Recruiting
Hospital Infantil Universitario Niño Jesús
Madrid, 28009
- Recruiting
Hospital Universitario 12 de Octubre
Madrid, 28041
- Recruiting
Hospital Universitario La Paz
Madrid, 28046
- Recruiting
Hospital Regional Universitario de Málaga
Málaga, 29010
- Recruiting
Hospital Clínico Universitario Virgen de la Arrixaca
Murcia, 30120
- Recruiting
Hospital Universitario Central de Asturias
Oviedo, 33011
- Recruiting
Hospital Universitari Son Espases
Palma de Mallorca, 07120
- Recruiting
Hospital Virgen del Camino
Pamplona, 31008
- Recruiting
Complejo Hospitalario Universitario de Vigo
Pontevedra, 36036
- Recruiting
Hospital Universitario Nuestra Señora de Candelaria
Santa Cruz de Tenerife, 38010
- Recruiting
Hospital Universitario Marqués de Valdecilla
Santander, 390008
- Recruiting
Hospital Clínico Universitario de Santiago
Santiago de Compostela, 15706
- Recruiting
Hospital Universitario Virgen Macarena
Seville, 41009
- Recruiting
Hospital Universitario Virgen del Rocío
Seville, 41013
- Recruiting
Hospital Virgen de la Salud
Toledo, 45004
- Recruiting
Hospital Clínico Universitario de Valencia
Valencia, 46010
- Recruiting
Hospital Universitari i Politècnic La Fe
Valencia, 46026
- Recruiting
Hospital Clínico Universitario de Valladolid
Valladolid, 47003
- Recruiting
Hospital Universitario Miguel Servet
Zaragoza, 50009
France29 sites, 29 recruiting
- Not yet recruiting
Service d'oncolologie, Hématologie pédiatrique. CHU Amiens, Avenue René Laënnec - SALOUEL
Amiens, 80054
- Not yet recruiting
Pôle Femme Mère Enfant ; Unité d'Hématologie/Oncologie pédiatrique, CHU Angers
Angers, 49033
- Not yet recruiting
Hématologie Oncologie pédiatrique, CHRU Besançon
Besançon, 25030
- Not yet recruiting
Hôpital de Enfants, Unité Onco-Hématologie Pédiatrique, Groupe Hospitalier Pellegrin
Bordeaux, 33076
- Not yet recruiting
Département de Pédiatrie et Génétique Médicale CHRU Morvan
Brest, 29609
- Not yet recruiting
Unité d'hémato-immuno-oncologie pédiatrique. Centre Hospitalier Universitaire niveau 1 - bâtiment FEH
Caen, 14033
- Not yet recruiting
Unité Onco- Hématologie Pédiatrique CHU Estaing 1 place Lucie-Aubrac
Clermont-Ferrand, 63303
- Not yet recruiting
Service Immuno-Hématologie Oncologie Pédiatrique
Dijon, 21079
- Not yet recruiting
Service onco hématologie pédiatrique CHU de Grenoble site Nord - Hôpital Couple enfant
Grenoble, 38043
- Not yet recruiting
Unité d'hématologie pédiatrique CHRU de Lille - Hôpital Jeanne de Flandre
Lille, 59037
- Not yet recruiting
Service d'Hématologie - Oncologie pédiatrique CHU Limoges - Hôpital de la mère et de l'enfant
Limoges, 87042
- Not yet recruiting
Service d'immuno-hématologie pédiatrique et de transplantation de moelle osseuse, CHU de Lyon HCL - GH Est-Institut d'hématologie et d'oncologie pédiatrique IHOP
Lyon, 69373
- Not yet recruiting
Service de Pédiatrie et hématologie pédiatrique, CHU de Marseille - Hôpital de la Timone
Marseille, 13385
- Not yet recruiting
UAM Hématologie et Oncologie Pédiatrique, CHU de Montpellier - Hôpital Arnaud de Villeneuve
Montpellier, 34295
- Not yet recruiting
Service d'hématologie et oncologie pédiatriques, Hôpital enfant-adolescent, CHU NANTES
Nantes, 44093
- Not yet recruiting
Service d'hémato-oncologie pédiatrique CHU NICE - Hôpital l'Archet 2
Nice, 06200
- Not yet recruiting
service d'oncologie pédiatrique, institut Curie
Paris, 75005
- Not yet recruiting
Service Hémato-immuno- oncologie- CHU PARIS Armand Trousseau
Paris, 75012
- Not yet recruiting
Service d' hémato-immunologie CHU Paris - Hôpital Robert Debré
Paris, 75019
- Not yet recruiting
Service Oncologie-Hématologie pédiatrique CHU de Poitiers
Poitiers, 86000
- Not yet recruiting
Service d'Hémato-Oncologie Pédiatrique- American Hospital
Reims, 51100
- Not yet recruiting
Pôle pédiatrie Hémato-cancérologie pédiatrique- CHU RENNES - Hôpital sud
Rennes, 35203
- Not yet recruiting
Service d'Hemato-Oncologie Pediatrique CHU Rouen
Rouen, 76031
- Not yet recruiting
service d'oncologie pédiatrique, hopital Félix Guyon
Saint-Denis, 97405
- Not yet recruiting
Pôle mère enfant-Unité Hématologie - Oncologie pédiatrique - CHU Hôpital NORD
Saint-Priest-en-Jarez, 42270
- Not yet recruiting
Service d'Onco-Hematologie Pediatrique CHU STRASBOURG -Hôpital de Hautepierre
Strasbourg, 67098
- Not yet recruiting
Service Pédiatrie - Hématologie Immunologie Oncologie - CHU Toulouse
Toulouse, 31059
- Not yet recruiting
Service d'hémato-oncologie pédiatrique- CHU de Nancy - Hôpital de Brabois Enfant
Vandœuvre-lès-Nancy, 54511
- Not yet recruiting
Dépt de Pédiatrie Gustave Roussy
Villejuif, 94805
Poland16 sites, 16 recruiting
- Not yet recruiting
Department of Pediatric Oncology and Hematology, Medical University of Bialystok
Bialystok, 15-247
- Not yet recruiting
Department of Pediatric Hematology and Oncology, Nicolaus Copernicus University
Bydgoszcz, 85-094
- Not yet recruiting
Department of Pediatric Hematology and Oncology, Center of Pediatrics and Oncology in Chorzów
Chorzów, 41-500
- Not yet recruiting
Department of Pediatrics, Hematology, Oncology and Endocrinology, Medical University of Gdansk
Gdansk, 20-211
- Not yet recruiting
Department of Pediatric Oncology and Hematology, Center of Pediatrics in Kielce
Kielce, 25-736
- Not yet recruiting
Department of Pediatric Oncology/Hematology, Institute of Pediatrics, Medical College Jagiellonian University
Krakow, 30-663
- Not yet recruiting
Department of Pediatrics, Oncology, Hematology and Diabetology, Institute of Pediatrics, Medical University of Lodz
Lodz, 91-138
- Not yet recruiting
Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin
Lublin, 20-093
- Not yet recruiting
Department of Pediatric Oncology and Hematology, Provincial Specialist Children's Hospital
Olsztyn, 10-561
- Not yet recruiting
Department of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences
Poznan, 60-572
- Not yet recruiting
Department of Paediatric Oncology and Haematology, University of Rzeszów, Department of Pediatrics
Rzeszów, 35-301
- Not yet recruiting
Department of Pediatrics, Children Hematology nad Oncology, Pomeranian Medical University
Szczecin, 71-242
- Not yet recruiting
Department of Pediatrics, Hematology and Oncology, Medical University of Warsaw
Warsaw, 00-576
- Not yet recruiting
Department of Pediatric Oncology, Children's Memorial Health Institute
Warsaw, 04-576
- Not yet recruiting
Department of Bone Marrow Transplantation, Children Oncology and Hematology, Wroclaw Medical University
Wroclaw, 50-556
- Not yet recruiting
Department of Pediatric Hematology and Oncology, Silesian Medical University in Katowice
Zabrze, 41-800
Switzerland9 sites, 9 recruiting
- Not yet recruiting
Kantonsspital Aarau
Aarau, 5001
- Not yet recruiting
Universitäts-Kinderspital beider Basel (UKBB)
Basel, 4056
- Not yet recruiting
Ospedale San Giovanni
Bellinzona, 6500
- Not yet recruiting
Inselspital Bern, University of Bern
Bern, 3010
- Not yet recruiting
HUG Hôpitaux Universitaires de Genève
Geneva, 1211
- Not yet recruiting
CHUV - Centre Hospitalier Universitaire Vaudois
Lausanne, 1011
- Not yet recruiting
Luzerner Kantonspital - Kinderspital Luzern
Lucerne, 6000
- Not yet recruiting
Ostschweizer Kinderspital
Sankt Gallen, 9006
- Not yet recruiting
Universitäts-Kinderspital Zürich
Zurich, 8032
Belgium8 sites, 8 recruiting
- Recruiting
Hôpital Universitaire des Enfants Reine Fabiola (ULB), Pédiatrie hémato-oncologie
Brussels, 1020
- Recruiting
University Hospital Brussels, Pediatrische oncologie
Brussels, 1090
- Recruiting
Cliniques Universitaires Saint-Luc (UCL), Hématologie et oncologie pédiatrique
Brussels, 1200
- Recruiting
UZ Antwerpen Kinderhemato-oncologie
Edegem, 2650
- Recruiting
University Hospital Gent Pediatrische hemato-oncologie
Ghent, 9000
- Recruiting
University Hospitals Leuven, Kinderhemato-oncologie
Leuven, 3000
- Recruiting
CHR Citadelle Hémato - oncologie pédiatrique
Liège, 4000
- Recruiting
CHR Citadelle Hémato - oncologie pédiatrique
Montegnée, 4000
Hungary6 sites, 6 recruiting
- Not yet recruiting
2nd Dep. of Pediatrics, Semmelweis Univ
Budapest
- Not yet recruiting
Heim Pal Children Hospital
Budapest
- Not yet recruiting
Dep. of Pediatrics, Univ. of Debrecen
Debrecen
- Not yet recruiting
Children's Treating Center, Miskolc
Miskolc
- Not yet recruiting
Dep. of Pediatrics, University of Pecs
Pécs
- Not yet recruiting
Dep. of Pediatrics, Univ. of Szeged
Szeged
Israel6 sites, 6 recruiting
- Not yet recruiting
Children's Hospital at Soroka Medical Center
Beersheba
- Not yet recruiting
Ruth Rappaport Children's Hospital, Rambam Medical Center
Haifa
- Not yet recruiting
Children's Hospital at Hadassah, Ein Kerem Medical Center
Jerusalem
- Not yet recruiting
Schneider Children's hospital, Rabin Medical Center
Petah Tikva
- Not yet recruiting
Edmond and Lily Safra Children's Hospital, Sheba Medical Center
Ramat Gan
- Not yet recruiting
Dana Children's Hospital, Tel-Aviv Sourasky Medical Center
Tel Aviv
Sweden6 sites, 6 recruiting
- Recruiting
Barncancercentrum, Drottning Silvias Barn och Ungdomssjukhus, Sahlgrenska Universitetssjukhuset
Gothenburg, 416 85
- Recruiting
Barnonkologiska enheten, Barn och Ungdomsmedicinska kliniken, Universitetssjukhuset i Linköping
Linköping, 581 85
- Recruiting
Barnonkologi, Skåne Universitetssjukhus
Lund, 221 85
- Recruiting
Barncanceravdelningen Astrid Lindgrens Barnsjukhus, Nya Karolinska Universitetssjukhuset
Stockholm, 171 76
- Recruiting
Barnonkologiska avdelningen, Barn 3, Norrlands Universitetssjukhus
Umeå, 901 85
- Recruiting
Barnavdelningen för blod- och tumörsjukdomar 95A, Akademiska sjukhuset
Uppsala, 752 39
Austria5 sites, 5 recruiting
- Recruiting
Univ.Klinik für Kinder- und Jugendheilkunde Graz, Klin. Abteilung für pädiatrische Hämato-Onkologie
Graz, 8036
- Recruiting
Univ.Klinik für Kinder- und Jugendheilkunde Innsbruck, Universitätsklinik für Pädiatrie I
Innsbruck, 6020
- Recruiting
Kepler Universitätsklinikum, Med Campus IV / Onkologie
Linz, 4020
- Recruiting
LKH Salzburg, Universitätsklinik für Kinder- und Jugendheilkunde, Kinderonkologie
Salzburg, 5020
- Recruiting
St. Anna Kinderspital
Vienna, 1090
Finland5 sites, 5 recruiting
- Recruiting
Helsinki University Hospital, Department of Pediatric Hematology and Oncology
Helsinki, 00029 HUS
- Recruiting
Kuopio University Hospital, Department of Pediatric Hematology and Oncology
Kuopio, 70029 KYS
- Recruiting
University Hospital of Oulu, Paediatric Haematology and Oncology
Oulu, 90029 OYS
- Recruiting
Tampere University Hospital, Paediatric Haematology and Oncology
Tampere, 33521 Tampere
- Recruiting
Turku University Hospital, Paediatric and Adolescent Haematology and Oncology
Turku, 20521 Turku
Denmark4 sites, 4 recruiting
- Recruiting
University Hospital Aalborg, Nord, Department of Pediatrics
Aalborg, 9000
- Recruiting
Aarhus University Hospital, Department of Pediatrics
Aarhus, 8200
- Recruiting
Børneonkologisk afsnit 5054, BørneUngeKlinikken, Juliane Marie Centret, Rigshospitalet
Copenhagen, 2100 Ø
- Recruiting
H.C. Andersens Children Hospital, Odense University Hospital
Odense, 5000
Norway3 sites, 3 recruiting
- Recruiting
Haukeland University Hospital in Bergen
Bergen
- Recruiting
University Hospital Northern Norway
Tromsø
- Recruiting
St Olavs Hospital in Trondheim
Trondheim
Portugal3 sites, 3 recruiting
- Not yet recruiting
Centro Hospitalar e Universitário de Coimbra
Coimbra, 3000-602
- Not yet recruiting
Instituto Português de Oncologia - Francisco Gentil - Libosa
Lisbon, 1099-023
- Not yet recruiting
Instituto Português de Oncologia - Francisco Gentil - Porto
Porto, 4200-072
Slovakia3 sites, 3 recruiting
- Not yet recruiting
Department of pediatric oncology and hematology, Children´s Faculty Hospital
Banská Bystrica, 974 09
- Not yet recruiting
Department of pediatric hematology and oncology, National Institute of Children's Diseases
Bratislava, 833 40
- Not yet recruiting
Department of pediatric hematology and oncology, Children´s University Hospital
Košice, 04011
Czechia2 sites, 2 recruiting
- Recruiting
Dept. of Pediatric Oncology, University Hospital Brno and Faculty of Medicine, Masaryk University Cernopolni
Brno, 662 63
- Recruiting
Dept. of Pediatric Hematology and Oncology. University Hospital Motol and 2nd Medical School, Charles University
Prague, 160 06
Russia2 sites, 2 recruiting
- Recruiting
National Center for Pediatric Hematology, Oncology and Immunology Moscow
Moscow, 117198
- Recruiting
Oncological center of regional Children's Hospital
Yekaterinburg
Ireland1 site, 1 recruiting
- Not yet recruiting
Our Lady's Children's Hospital Crumlin
Dublin
Netherlands1 site, 1 recruiting
- Not yet recruiting
Princess Maxima Centre for Pediatric Oncology
Utrecht, 3584CS
About this study
Official title: LBL 2018 - International Cooperative Treatment Protocol for Children and Adolescents With Lymphoblastic Lymphoma
Primary objectives:
- Randomization R1, all patients eligible: To examine, whether the cumulative incidence of relapses with involvement of the CNS (CNS relapse, pCICR) can be decreased by a modified induction therapy including dexamethasone (experimental arm) instead of prednisone (standard arm)
- Randomization R2, only patients with high risk LBL eligible: to examine, whether the probability of event-free survival (pEFS) in these patients can be improved by receiving an intensified treatment arm versus a standard treatment arm (as used in the EURO-LB 02)
Read the detailed description
The trial LBL 2018 is a collaborative prospective, multi-national, multi-center, randomized clinical trial for the treatment of children and adolescents with newly diagnosed lymphoblastic lymphoma.
The LBL 2018 trial will be open for the qualified centers of following participating study Groups (core study cohort): AIEOP (Italy), BFM (Austria, Czech Republic, Germany, Switzerland), BSPHO (Belgium), CoALL (Germany), DCOG (The Netherlands), NOPHO (Denmark, Finland, Norway, Sweden), PPLLSG (Poland), SEHOP (Spain) and SFCE (France). HKPHOSG (Hong Kong), HPOG (Hungary), ISPHO (Israel), NSPHO (Moscow), SHOP (Portugal) and SPS (Slovak Republic) start patient recruitment into the extended study cohort (without randomization). Over the trial period study groups may switch from the extended study cohort to the core study cohort.
Primary objectives:
- Randomization R1, all patients eligible: To examine, whether the cumulative incidence of relapses with involvement of the CNS (CNS relapse, pCICR) can be decreased by a modified induction therapy including dexamethasone (experimental arm) instead of prednisone (standard arm)
- Randomization R2, only patients with high risk LBL eligible: to examine, whether the probability of event-free survival (pEFS) in these patients can be improved by receiving an intensified treatment arm versus a standard treatment arm (as used in the EURO-LB 02)
Patients are stratified into 3 different risk groups according to CNS status, immunophenotype, genetic markers and stage of disease at diagnosis: high risk group (HR), standard risk group I/II (SR I/II) and standard risk group (SR).
Patients in the risk groups SR I/II and SR are randomized (R1) in two arms after a cytoreductive prephase with prednisone. Patients in standard arm receive the standard induction phase with prednisone. Patients in the experimental arm receive an induction phase with dexamethasone instead of prednisone.
In SR group, induction phase is followed by the consolidation phase, the non-HR extra-compartment phase with HD-MTX (high-dose methotrexate), the reintensification phase and the maintenance therapy for the total therapy duration of 24 months. In SR I/II group, patients receive no reintensification phase. The Induction phase is followed by the consolidation phase, the non-HR extra-compartment phase and the maintenance therapy for the total therapy duration of 24 months.
Patients in the HR group are eligible for randomization (R1) as outlined above. In addition high risk patients are eligible for second randomization (R2) at the end of induction phase. In the standard arm, HR-patients receive the consolidation phase and the non-HR extra-compartment phase. In the experimental arm, HR-patients receive a consolidation phase including two additional doses of PEG asparaginase and the HR-intensified extra-compartment phase consisting of two high risk courses alternating with two HD-MTX courses. Either phase is followed by the reintensification phase and the maintenance therapy for the total therapy duration of 24 months.
Patients with involvement of the CNS (CNS positive) are stratified to the high risk group (HR) and are eligible for both randomizations (R1 and R2). Additionally, patients with CNS involvement (CNS positive) receive intensified intrathecal therapy. Intrathecal therapy consists of TIT (triple intrathecal therapy) after diagnosis of CNS involvement. TIT is administered twice weekly until clearance of blasts in the cerebrospinal fluid is achieved. Further intrathecal therapy is provided at the same points of time as for patients without CNS involvement, but TIT instead of MTX IT. In addition, patients receive four additional doses of TIT during maintenance. Cranial irradiation is omitted for patients with CNS involvement.
- Conditions
- Lymphoblastic Lymphoma, Childhood
- Being tested
- Cyclophosphamide, Cytarabine, Dexamethasone, Daunorubicin, Doxorubicin
- 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.
CyclophosphamideDrug
Part of standard chemotherapy and included in the experimental treatment phase protocol Ib* (Randomization 2) and in the experimental treatment phase Intensified Protocol M (Randomization R2)
CytarabineDrug
No involvement of CNS: Part of standard chemotherapy and included in the experimental treatment phase protocol Ib* (Randomization 2) and in the experimental treatment phase Intensified Protocol M (Randomization R2).
Involvement of CNS: Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2)
DexamethasoneDrug
Part of the experimental therapy in Randomization R1 (Protocol Ia-Dexamethasone) and in Randomization R2 (Intensified Protocol M)
DaunorubicinDrug
Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2)
DoxorubicinDrug
Part of standard chemotherapy
IfosfamideDrug
Part of the experimental therapy in Randomization R2 (Intensified Protocol M)
6-MercaptopurineDrug
Part of standard chemotherapy and included in the experimental treatment phase protocol Ib* (Randomization 2) and in the experimental treatment phase Intensified Protocol M (Randomization R2)
MethotrexateDrug
Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2)
PEG asparaginaseDrug
Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1) and in the experimental treatment phase Protocol Ib* (Randomization R2)
PrednisoneDrug
Part of standard chemotherapy
PrednisoloneDrug
No involvement of CNS: Part of standard chemotherapy. Involvement of CNS: Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2
ThioguanineDrug
Part of standard chemotherapy
VincristineDrug
Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1) and in the experimental treatment phase Intensified Protocol M (Randomization R2)
VindesineDrug
Part of the experimental therapy in Randomization R2 (Intensified Protocol M)
| Study group | Role | What they receive |
|---|---|---|
| SR I/II: R1 into protocol Ia-Pred | Other | 1. cytoreductive prephase with prednisone
2. standard induction phase (protocol Ia-prednisone)
3. consolidation phase (protocol Ib)
4. non-HR extra-compartment phase (protocol M)
5. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Daunorubicin; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Vincristine |
| SR I/II: R1 into protocol Ia-Dexa | Experimental | 1. cytoreductive prephase with prednisone
2. experimental induction phase (protocol Ia-dexamethasone)
3. consolidation phase (protocol Ib)
4. non-HR extra-compartment Phase (protocol M)
5. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Vincristine |
| SR: R1 into protocol Ia-Pred | Other | 1. cytoreductive prephase with prednisone
2. standard induction phase (protocol Ia-prednisone)
3. consolidation phase (protocol Ib)
4. non-HR extra-compartment phase (protocol M)
5. reintensification phase (protocol II)
6. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: Doxorubicin; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Thioguanine; Drug: Vincristine |
| SR: R1 into protocol Ia-Dexa | Experimental | 1. cytoreductive prephase with prednisone
2. experimental induction phase (protocol Ia-dexamethasone)
3. consolidation phase (protocol Ib)
4. non-HR extra-compartment phase (protocol M)
5. reintensification phase (protocol II)
6. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: Doxorubicin; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Thioguanine; Drug: Vincristine |
| HR: R1 into "Pred" and R2 into non-HR extra-compartment phase | Other | 1. cytoreductive prephase with prednisone
2. standard induction phase (protocol Ia-prednisone)
3. consolidation phase (protocol Ib)
4. non-HR extra-compartment phase (protocol M)
5. reintensification phase (protocol II)
6. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: Doxorubicin; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Thioguanine; Drug: Vincristine |
| HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase | Experimental | 1. cytoreductive prephase with prednisone
2. experimental induction phase (protocol Ia-dexamethasone)
3. consolidation phase (protocol Ib)
4. non-HR extra-compartment phase (protocol M)
5. reintensification phase (protocol II)
6. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: Doxorubicin; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Thioguanine; Drug: Vincristine |
| HR: R1 into "Pred" and R2 into HR extra-compartment phase | Experimental | 1. cytoreductive prephase with prednisone
2. standard induction phase (protocol Ia-prednisone)
3. consolidation phase (protocol Ib*)
4. HR extra-compartment phase (intensified protocol M)
5. reintensification phase (protocol II)
6. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: Doxorubicin; Drug: Ifosfamide; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Thioguanine; Drug: Vincristine; Drug: Vindesine |
| HR: R1 into "Dexa" and R2 into HR extra-compartment phase | Experimental | 1. cytoreductive prephase with prednisone
2. experimental induction phase (protocol Ia-dexamethasone)
3. consolidation phase (protocol Ib*)
4. HR extra-compartment phase (intensified protocol M)
5. reintensification phase (protocol II)
6. maintenance therapy Receives: Drug: Cyclophosphamide; Drug: Cytarabine; Drug: Dexamethasone; Drug: Daunorubicin; Drug: Doxorubicin; Drug: Ifosfamide; Drug: 6-Mercaptopurine; Drug: Methotrexate; Drug: PEG asparaginase; Drug: Prednisone; Drug: Prednisolone; Drug: Thioguanine; Drug: Vincristine; Drug: Vindesine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cumulative incidence of relapse with involvement of the CNS (CNS-relapse, pCICR)
The time to relapse is defined as the time from randomization to the first relapse or the date of last follow-up. Other events (non-response, progressive disease, relapse, second malignancy or death before and in CR) will be taken into account as competing events.
Measured: through study completion, maximal 7.25 years
Estimated probability of event-free survival (pEFS)
The pEFS is defined as the time from randomization to the first event (non-response, progressive disease, relapse, second malignancy or death from any cause) or date of last follow-up.
Measured: through study completion, maximal 7.25 years
Secondary outcomes (7)
Survival (pOS)
Survival (pOS) is defined as time from diagnosis to death due to any cause or to the date of last contact for patients alive
Measured: through study completion, maximal 7.25 years
Frequency of treatment-related toxicity overall and in specific protocol elements, randomized arms and during follow up
Measured: through study completion, maximal 7.25 years
Frequency of treatment-related mortality overall and in specific protocol elements, randomized arms and during follow up
Measured: through study completion, maximal 7.25 years
Frequency of adverse events of interest and severe adverse events overall
Measured: through study completion, maximal 7.25 years
Rate of evaluable patients for risk group stratification
Measured: during recruitment
Cumulative incidence of relapses in association with molecular markers
Measured: through study completion, maximal 7.25 years
Cumulative incidence of relapses in association with minimal residual disease results
Measured: through study completion, maximal 7.25 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Aug 2019
- Study start23 Aug 2019
- Primary completion22 Apr 2030 (estimated)
- Study completion22 Apr 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lymphoblastic Lymphoma, ChildhoodStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 683 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospital Muenster
- Sponsor type
- University, hospital or other
- Collaborators
- Deutsche Krebshilfe e.V., Bonn (Germany)
- Responsible party
- Sponsor
- Investigators
- Birgit Burkhardt, Prof. Dr. Dr., Principal investigator, University Hospital Muenster, Klinik für Kinder- und Jugendmedizin - Pädiatrische Hämatologie und Onkologie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04043494
- Sponsor's protocol ID
- UKM17_0023
- Other IDs
- 2017-001691-39, 2017
- Acronym
- LBL 2018
- Status last verified
- Apr 2026
- First submitted
- 15 Jul 2019
- Last updated
- 6 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Khanam T, Sandmann S, Seggewiss J, Ruether C, Zimmermann M, Norvil AB, Bartenhagen C, Randau G, Mueller S, Herbrueggen H, Hoffmann P, Herms S, Wei L, Woeste M, Wuensch C, Gowher H, Oschlies I, Klapper W, Woessmann W, Dugas M, Burkhardt B. Integrative genomic analysis of pediatric T-cell lymphoblastic lymphoma reveals candidates of clinical significance. Blood. 2021 Apr 29;137(17):2347-2359. doi: 10.1182/blood.2020005381.
PubMed 33152759
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- LBL 2018 - International Cooperative Treatment Protocol for Children and Adolescents With Lymphoblastic Lymphoma
- ClinicalTrials.gov ID
- NCT04043494
- Acronym / sponsor ID
- LBL 2018 / UKM17_0023
- Conditions
- Lymphoblastic Lymphoma, Childhood
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 683 participants (estimated)
- Lead sponsor
- University Hospital MuensterUniversity, hospital or other
- Collaborators
- Deutsche Krebshilfe e.V., Bonn (Germany)
- Study start
- 23 Aug 2019 (actual)
- Primary completion
- 22 Apr 2030 (estimated)
- Study completion
- 22 Apr 2030 (estimated)
- First posted
- 2 Aug 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary objectives:
- Randomization R1, all patients eligible: To examine, whether the cumulative incidence of relapses with involvement of the CNS (CNS relapse, pCICR) can be decreased by a modified induction therapy including dexamethasone (experimental arm) instead of prednisone (standard arm)
- Randomization R2, only patients with high risk LBL eligible: to examine, whether the probability of event-free survival (pEFS) in these patients can be improved by receiving an intensified treatment arm versus a standard treatment arm (as used in the EURO-LB 02)
Detailed description
The trial LBL 2018 is a collaborative prospective, multi-national, multi-center, randomized clinical trial for the treatment of children and adolescents with newly diagnosed lymphoblastic lymphoma.
The LBL 2018 trial will be open for the qualified centers of following participating study Groups (core study cohort): AIEOP (Italy), BFM (Austria, Czech Republic, Germany, Switzerland), BSPHO (Belgium), CoALL (Germany), DCOG (The Netherlands), NOPHO (Denmark, Finland, Norway, Sweden), PPLLSG (Poland), SEHOP (Spain) and SFCE (France). HKPHOSG (Hong Kong), HPOG (Hungary), ISPHO (Israel), NSPHO (Moscow), SHOP (Portugal) and SPS (Slovak Republic) start patient recruitment into the extended study cohort (without randomization). Over the trial period study groups may switch from the extended study cohort to the core study cohort.
Primary objectives:
- Randomization R1, all patients eligible: To examine, whether the cumulative incidence of relapses with involvement of the CNS (CNS relapse, pCICR) can be decreased by a modified induction therapy including dexamethasone (experimental arm) instead of prednisone (standard arm)
- Randomization R2, only patients with high risk LBL eligible: to examine, whether the probability of event-free survival (pEFS) in these patients can be improved by receiving an intensified treatment arm versus a standard treatment arm (as used in the EURO-LB 02)
Patients are stratified into 3 different risk groups according to CNS status, immunophenotype, genetic markers and stage of disease at diagnosis: high risk group (HR), standard risk group I/II (SR I/II) and standard risk group (SR).
Patients in the risk groups SR I/II and SR are randomized (R1) in two arms after a cytoreductive prephase with prednisone. Patients in standard arm receive the standard induction phase with prednisone. Patients in the experimental arm receive an induction phase with dexamethasone instead of prednisone.
In SR group, induction phase is followed by the consolidation phase, the non-HR extra-compartment phase with HD-MTX (high-dose methotrexate), the reintensification phase and the maintenance therapy for the total therapy duration of 24 months. In SR I/II group, patients receive no reintensification phase. The Induction phase is followed by the consolidation phase, the non-HR extra-compartment phase and the maintenance therapy for the total therapy duration of 24 months.
Patients in the HR group are eligible for randomization (R1) as outlined above. In addition high risk patients are eligible for second randomization (R2) at the end of induction phase. In the standard arm, HR-patients receive the consolidation phase and the non-HR extra-compartment phase. In the experimental arm, HR-patients receive a consolidation phase including two additional doses of PEG asparaginase and the HR-intensified extra-compartment phase consisting of two high risk courses alternating with two HD-MTX courses. Either phase is followed by the reintensification phase and the maintenance therapy for the total therapy duration of 24 months.
Patients with involvement of the CNS (CNS positive) are stratified to the high risk group (HR) and are eligible for both randomizations (R1 and R2). Additionally, patients with CNS involvement (CNS positive) receive intensified intrathecal therapy. Intrathecal therapy consists of TIT (triple intrathecal therapy) after diagnosis of CNS involvement. TIT is administered twice weekly until clearance of blasts in the cerebrospinal fluid is achieved. Further intrathecal therapy is provided at the same points of time as for patients without CNS involvement, but TIT instead of MTX IT. In addition, patients receive four additional doses of TIT during maintenance. Cranial irradiation is omitted for patients with CNS involvement.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| SR I/II: R1 into protocol Ia-Pred | Other | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Daunorubicin, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Vincristine1. cytoreductive prephase with prednisone 2. standard induction phase (protocol Ia-prednisone) 3. consolidation phase (protocol Ib) 4. non-HR extra-compartment phase (protocol M) 5. maintenance therapy |
| SR I/II: R1 into protocol Ia-Dexa | Experimental | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Vincristine1. cytoreductive prephase with prednisone 2. experimental induction phase (protocol Ia-dexamethasone) 3. consolidation phase (protocol Ib) 4. non-HR extra-compartment Phase (protocol M) 5. maintenance therapy |
| SR: R1 into protocol Ia-Pred | Other | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: Doxorubicin, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Thioguanine, Drug: Vincristine1. cytoreductive prephase with prednisone 2. standard induction phase (protocol Ia-prednisone) 3. consolidation phase (protocol Ib) 4. non-HR extra-compartment phase (protocol M) 5. reintensification phase (protocol II) 6. maintenance therapy |
| SR: R1 into protocol Ia-Dexa | Experimental | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: Doxorubicin, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Thioguanine, Drug: Vincristine1. cytoreductive prephase with prednisone 2. experimental induction phase (protocol Ia-dexamethasone) 3. consolidation phase (protocol Ib) 4. non-HR extra-compartment phase (protocol M) 5. reintensification phase (protocol II) 6. maintenance therapy |
| HR: R1 into "Pred" and R2 into non-HR extra-compartment phase | Other | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: Doxorubicin, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Thioguanine, Drug: Vincristine1. cytoreductive prephase with prednisone 2. standard induction phase (protocol Ia-prednisone) 3. consolidation phase (protocol Ib) 4. non-HR extra-compartment phase (protocol M) 5. reintensification phase (protocol II) 6. maintenance therapy |
| HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase | Experimental | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: Doxorubicin, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Thioguanine, Drug: Vincristine1. cytoreductive prephase with prednisone 2. experimental induction phase (protocol Ia-dexamethasone) 3. consolidation phase (protocol Ib) 4. non-HR extra-compartment phase (protocol M) 5. reintensification phase (protocol II) 6. maintenance therapy |
| HR: R1 into "Pred" and R2 into HR extra-compartment phase | Experimental | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: Doxorubicin, Drug: Ifosfamide, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Thioguanine, Drug: Vincristine, Drug: Vindesine1. cytoreductive prephase with prednisone 2. standard induction phase (protocol Ia-prednisone) 3. consolidation phase (protocol Ib*) 4. HR extra-compartment phase (intensified protocol M) 5. reintensification phase (protocol II) 6. maintenance therapy |
| HR: R1 into "Dexa" and R2 into HR extra-compartment phase | Experimental | Drug: Cyclophosphamide, Drug: Cytarabine, Drug: Dexamethasone, Drug: Daunorubicin, Drug: Doxorubicin, Drug: Ifosfamide, Drug: 6-Mercaptopurine, Drug: Methotrexate, Drug: PEG asparaginase, Drug: Prednisone, Drug: Prednisolone, Drug: Thioguanine, Drug: Vincristine, Drug: Vindesine1. cytoreductive prephase with prednisone 2. experimental induction phase (protocol Ia-dexamethasone) 3. consolidation phase (protocol Ib*) 4. HR extra-compartment phase (intensified protocol M) 5. reintensification phase (protocol II) 6. maintenance therapy |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (5 listed)
- newly diagnosed lymphoblastic lymphoma
- age <18 years
- patient enrolled in a participating center
- written informed consent of patient (>14 years of age or according to local law and regulation) and parents to trial participation and transfer and processing of data
- willingness of patients and the investigator/pathologist to provide adequate slides/blocks for reference (molecular) pathology and international pathology panel and/or fresh or fresh frozen samples for genetic risk group stratification if these samples are available after standard diagnostic procedures.
Key exclusion criteria (17 listed)
- lymphoblastic lymphoma as secondary malignancy
- non-lymphoma related relevant medical, psychiatric or social conditions incompatible with trial treatment, including among others
- steroid pre-treatment with ≥ 1 mg/kg/d for more than two weeks during the last month before diagnosis
- vaccination with live vaccines within 2 weeks before start of protocol treatment
- treatment started according to another protocol or pre-treatment with cytostatic drugs
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CyclophosphamidePart of standard chemotherapy and included in the experimental treatment phase protocol Ib* (Randomization 2) and in the experimental treatment phase Intensified Protocol M (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| CytarabineNo involvement of CNS: Part of standard chemotherapy and included in the experimental treatment phase protocol Ib* (Randomization 2) and in the experimental treatment phase Intensified Protocol M (Randomization R2). Involvement of CNS: Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| DexamethasonePart of the experimental therapy in Randomization R1 (Protocol Ia-Dexamethasone) and in Randomization R2 (Intensified Protocol M) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| DaunorubicinPart of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| DoxorubicinPart of standard chemotherapy | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| IfosfamidePart of the experimental therapy in Randomization R2 (Intensified Protocol M) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase |
| 6-MercaptopurinePart of standard chemotherapy and included in the experimental treatment phase protocol Ib* (Randomization 2) and in the experimental treatment phase Intensified Protocol M (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| MethotrexatePart of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| PEG asparaginasePart of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1) and in the experimental treatment phase Protocol Ib* (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| PrednisonePart of standard chemotherapy | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| PrednisoloneNo involvement of CNS: Part of standard chemotherapy. Involvement of CNS: Part of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1), in the experimental treatment phase Protocol Ib* (Randomization R2) and in the experimental treatment phase Intensified Protocol M (Randomization R2 | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| ThioguaninePart of standard chemotherapy | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| VincristinePart of standard chemotherapy and included in the experimental treatment phase Protocol Ia-Dexamethasone (Randomization R1) and in the experimental treatment phase Intensified Protocol M (Randomization R2) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Dexa" and R2 into non-HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into non-HR extra-compartment phase, SR I/II: R1 into protocol Ia-Dexa, SR I/II: R1 into protocol Ia-Pred, SR: R1 into protocol Ia-Dexa, SR: R1 into protocol Ia-Pred |
| VindesinePart of the experimental therapy in Randomization R2 (Intensified Protocol M) | Drug | HR: R1 into "Dexa" and R2 into HR extra-compartment phase, HR: R1 into "Pred" and R2 into HR extra-compartment phase |
Primary outcome
Cumulative incidence of relapse with involvement of the CNS (CNS-relapse, pCICR)
Time frame: through study completion, maximal 7.25 years
The time to relapse is defined as the time from randomization to the first relapse or the date of last follow-up. Other events (non-response, progressive disease, relapse, second malignancy or death before and in CR) will be taken into account as competing events.
Estimated probability of event-free survival (pEFS)
Time frame: through study completion, maximal 7.25 years
The pEFS is defined as the time from randomization to the first event (non-response, progressive disease, relapse, second malignancy or death from any cause) or date of last follow-up.
7 secondary outcomes
Survival (pOS)
Time frame: through study completion, maximal 7.25 years
Frequency of treatment-related toxicity overall and in specific protocol elements, randomized arms and during follow up
Time frame: through study completion, maximal 7.25 years
Frequency of treatment-related mortality overall and in specific protocol elements, randomized arms and during follow up
Time frame: through study completion, maximal 7.25 years
Frequency of adverse events of interest and severe adverse events overall
Time frame: through study completion, maximal 7.25 years
Rate of evaluable patients for risk group stratification
Time frame: during recruitment
Cumulative incidence of relapses in association with molecular markers
Time frame: through study completion, maximal 7.25 years
Cumulative incidence of relapses in association with minimal residual disease results
Time frame: through study completion, maximal 7.25 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2026.
- Derived from this study: PubMed 33152759Khanam T, Sandmann S, Seggewiss J, Ruether C, Zimmermann M, Norvil AB, Bartenhagen C, Randau G, Mueller S, Herbrueggen H, Hoffmann P, Herms S, Wei L, Woeste M, Wuensch C, Gowher H, Oschlies I, Klapper W, Woessmann W, Dugas M, Burkhardt B. Integrative genomic analysis of pediatric T-cell lymphoblastic lymphoma reveals candidates of clinical significance. Blood. 2021 Apr 29;137(17):2347-2359. doi: 10.1182/blood.2020005381.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Birgit Burkhardt, Prof. Dr. Dr. principal investigator
University Hospital Muenster, Klinik für Kinder- und Jugendmedizin - Pädiatrische Hämatologie und Onkologie
228 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cyclophosphamide, Cytarabine and Dexamethasone in people with Lymphoblastic Lymphoma, Childhood, run by University Hospital Muenster at 228 sites in 21 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 5 inclusion and 17 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: looking for participants now, as of the sponsor's last update on 6 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 228 sites in Germany, Italy, Spain, France, Poland and 16 more countries. 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.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Birgit Burkhardt, Prof. Dr. Dr. (+49 251 83 55696, LBL2018@ukmuenster.de), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cumulative incidence of relapse with involvement of the CNS (CNS-relapse, pCICR) (time frame: through study completion, maximal 7.25 years). The study lists 2 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 NCT04043494, 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 6 May 2026.