Treatment of Newly Diagnosed Standard Risk Acute Lymphoblastic Leukemia in Children

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age1-9
SponsorHee Young Ju

About this trial

Aim of this study is to investigate the outcome of NGS MRD based risk stratified treatment for high risk acute lymphoblastic leukemia in children and adolescents.

Eligibility criteria

Qualifiers

Newly diagnosed pediatric/adolescent acute lymphomblastic leukemia patient with NCL standard risk that stratifies all 1-4 of following

1 year old ≤ Age < 10 years old

white blood cell at initial diagnosis < 5x10^10/L (50,000uL)

No testis involvement

Disqualifiers

Steroid administration within 2 weeks before the registration

t(9;22) or t(4;11)(q11;q23) or chromosome < 44 or iAMP21 or t(17;19)/TCF3-HLF

Newly diagnosed T cell ALL

One of the following syndromes: Down syndrome, Bloom syndrome, ataxia-telangiectasia, Fanconi anemia, Kostmann syndrome, Shwachman-Diamond syndrome, or other bone marrow failure syndrome

Trial design

Treatments tested in this trial

  • induction: vincristine, L-asparaginase, dexamethasone, intrathecal Ara-C, intrathecal Methotrexate
  • Consolidation: Vincristine, Mecaptopurine, Intrathecal Methotrexate
  • Consolidation: Vincristine, Mecaptopurine, Cyclophosphamide, Cytarabine, L-asparaginase, Intrathecal Methotrexate
  • Interim Maintenance(IM): Vincristine, Methotrexate, Intrathecal Methotrexate
  • Interim Maintenance(IM): Vincristine, Methotrexate, Mercaptopurine, Intrathecal Methotrexate
  • Delayed Intesification(DI): Vincristine, Mercaptopurine, L-asparaginase, Doxorubicin, Cyclophosphamide, Cytarabine, Dexamethasone, Intrathecal Methotrexate
  • Delayed Intesification(DI): Vincristine, L-asparaginase, Doxorubicin, Cyclophosphamide, Cytarabine, Dexamethasone, Intrathecal Methotrexate
  • Maintenance: Vincristine, Mercaptopurine, Methotrexate, Dexamethasone, Intrathecal Methotrexate

Treatment groups

116 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Hee Young Ju

Lead sponsor

Samsung Medical Center

Sponsor institution

Asan Medical Center

Collaborator

Seoul National University Hospital

Collaborator

Seoul St. Mary's Hospital

Collaborator

Severance Hospital

Collaborator

Pusan National University Yangsan Hospital

Collaborator

Korea University Anam Hospital

Collaborator

Chonnam National University Hospital

Collaborator

Jeju National University Hospital

Collaborator