At a glance
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Total Therapy for Infants With Acute Lymphoblastic Leukemia (ALL) I
In Brief
A Phase 2 clinical trial evaluating ITMHA, Dexamethasone, and 12 other interventions for Acute Lymphoblastic Leukemia. Active but no longer recruiting, targeting 50 participants across 15 sites in 2 countries.
Detailed Summary
The purpose of this study is to test the good and bad effects of the study drugs bortezomib and vorinostat when they are given in combination with chemotherapy commonly used to treat acute lymphoblastic leukemia (ALL) in infants. For example, adding these drugs could decrease the number of leukemia cells, but it could also cause additional side effects. Bortezomib and vorinostat have been approved by the US Food and Drug Administration (FDA) to treat other cancers in adults, but they have not been approved for treating children with leukemia. With this research, we plan to meet the following goals: PRIMARY OBJECTIVE: * Determine the tolerability of incorporating bortezomib and vorinostat into an ALL chemotherapy backbone for newly diagnosed infants with ALL. SECONDARY OBJECTIVES: * Estimate the event-free survival and overall survival of infants with ALL who are treated with bortezomib and vorinostat in combination with an ALL chemotherapy backbone. * Measure minimal residual disease (MRD) positivity using both flow cytometry and PCR. * Compare end of induction, end of consolidation, and end of reinduction MRD levels to Interfant99 (ClinicalTrials.gov registration ID number NCT00015873) participant outcomes.
Study Details
Timeline
Interventions
Given intrathecally (IT).
Given orally (PO) or naso-gastrically (NG) or intravenously (IV).
Given IV.
Given IV. If participant is allergic to pegaspargase, Asparaginase Erwinia Chrysanthemi will be used.
Asparaginase Erwinia Chrysanthemi will be used in case of allergy or intolerance of participant to PEG-asparaginase. Given IV (preferred) or intramuscularly (IM).
Given IV.
Taken PO or NG.
Given IV.
Given PO or NG.
Given IV, IM or PO.
Leucovorin rescue PO or IV.
Given IV.
Given IV. In case of participant allergy, etoposide phosphate (Etopophos®) will be given.
Given IV.