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Treatment of Hyperuricemia With Rasburicase in Patients With Acute Lymphoblastic Leukemia or High Grade Lymphoma

This study is currently recruiting participants.
Study NCT00199043.   Last updated on May 16, 2008.   Information provided by Johann Wolfgang Goethe University Hospitals

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Descriptive Information Fields
Brief Title  Treatment of Hyperuricemia With Rasburicase in Patients With Acute Lymphoblastic Leukemia or High Grade Lymphoma
Official Title  Randomised Phase III Trial of Effectivity and Safety of Rasburicase Compared With Allopurinol for Treatment of Hyperuricemia in Patients With Acute Lymphoblastic Leukemia or High-Grade NHL With High Risk of Tumorlysis Syndrome (> 15 Yrs)
Brief Summary

In this study the efficacy and tolerability of two approaches to treat and prevent hyperuricemia is tested in patients with acute lymphoblastic leukemia or high-grade lymphoma with high risk of tumor lysis syndrome. Both arms are compared by randomisation. In one arm patients receive during pre-phase chemotherapy conventional prophylaxis with allopurinol whereas in the other arm Rasburicase is used.

Detailed Description
Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Open Label, Active Control, Crossover Assignment, Safety/Efficacy Study
Primary Outcome Measure  renal function, uric acid, electrolytes, adverse events and mortality in pre-phase and the two following cycles of chemotherapy, time and dose compliance of chemotherapy
Secondary Outcome Measure  response rate, incidence of tumor lysis syndrome
Condition  Adult Acute Lymphocytic Leukemia
High-Grade Lymphoma
Intervention  Drug: Allopurinol
Drug: Rasburicase
MEDLINE PMIDs
Links European Leukemia Trial Registry This link exits the ClinicalTrials.gov site
German Leukemia Trial Registry This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  80
Start Date  May 2003
Completion Date
Eligibility Criteria 

Inclusion Criteria:

  • patients of the GMALL B-ALL/NHL-Study 2002
  • patients of the GMALL-Study 07/2003
  • patients of the GMALL-Study Elderly 1/2003 which fulfill the following criteria:
  • bulky disease (> 7.5 cm)
  • high LDH (> 2 x UNL)
  • uric acid >8 mg/dl/ >475µmol/L at diagnosis
  • leukocytes > 30 000/µl

Exclusion Criteria:

  • exclusion Criteria of the GMALL B-ALL/NHL Study 2002 or the GMALL-Study 07/2003 or GMALL-Elderly 1/2003 and:
  • asthma or severe, live-threatening atopic allergy in history
  • hypersensitivity against Uricacid
  • Glucose-6-Phosphate-Dehydrogenase deficiency
  • pretreatment with Rasburicase or Urikozyme™
Gender Both
Ages 15 Years and older
Accepts Healthy Volunteers No
Contacts ††
Contact: Dieter Hoelzer, MD,PhD     ++49(0)69 63015194     hoelzer@em.uni-frankfurt.de    
Contact: Nicola Goekbuget, MD     ++49(0)69 63016365     goekbuget@em.uni-frankfurt.de    
Location Countries  Germany
Administrative Information Fields
NCT ID  NCT00199043
Organization ID GMALL08
Secondary IDs ††
Study Sponsor  Johann Wolfgang Goethe University Hospitals
Collaborators ††
Investigators 
Study Chair:     Dieter Hoelzer, MD,PhD     University Hospital of Frankfurt, Medical Dept. II    
Information Provided By Johann Wolfgang Goethe University Hospitals
Verification Date May 2008
First Received Date  September 12, 2005
Last Updated Date May 16, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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