Combination Chemotherapy in Treating Young Patients With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or T-cell Lymphoblastic Lymphoma

This study is currently recruiting participants.
Verified March 2013 by National Cancer Institute (NCI)
Sponsor:
Information provided by (Responsible Party):
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00408005
First received: December 4, 2006
Last updated: March 26, 2013
Last verified: March 2013
  Purpose

This randomized phase III trial is studying different combination chemotherapy regimens and their side effects and comparing how well they work in treating young patients with newly diagnosed T-cell acute lymphoblastic leukemia or T-cell lymphoblastic lymphoma. Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more cancer cells. It is not yet known which combination chemotherapy regimen is more effective in treating T-cell acute lymphoblastic leukemia or T-cell lymphoblastic lymphoma.


Condition Intervention Phase
Contiguous Stage II Adult Lymphoblastic Lymphoma
Noncontiguous Stage II Adult Lymphoblastic Lymphoma
Stage II Adult T-cell Leukemia/Lymphoma
Stage II Childhood Lymphoblastic Lymphoma
Stage III Adult Lymphoblastic Lymphoma
Stage III Adult T-cell Leukemia/Lymphoma
Stage III Childhood Lymphoblastic Lymphoma
Stage IV Adult Lymphoblastic Lymphoma
Stage IV Adult T-cell Leukemia/Lymphoma
Stage IV Childhood Lymphoblastic Lymphoma
T-cell Adult Acute Lymphoblastic Leukemia
T-cell Childhood Acute Lymphoblastic Leukemia
Untreated Adult Acute Lymphoblastic Leukemia
Untreated Childhood Acute Lymphoblastic Leukemia
Drug: doxorubicin hydrochloride
Drug: cytarabine
Drug: daunorubicin hydrochloride
Drug: prednisone
Drug: pegaspargase
Drug: methotrexate
Drug: leucovorin calcium
Drug: cyclophosphamide
Drug: mercaptopurine
Drug: nelarabine
Drug: asparaginase
Drug: dexamethasone
Drug: thioguanine
Drug: vincristine sulfate
Radiation: radiation therapy
Other: laboratory biomarker analysis
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Intensified Methotrexate, Nelarabine (Compound 506U78; IND #52611) and Augmented BFM Therapy for Children and Young Adults With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia (ALL) or T-cell Lymphoblastic Lymphoma

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Event-free survival (EFS) after initial remission [ Time Frame: At 4 years ] [ Designated as safety issue: No ]
    This outcome can be modeled reasonably well by a linear decreasing hazard rate with no appreciable risk of failure after completion of year 4. EFS events include any type of relapse, death in remission or second malignant neoplasm. "Intent-to-treat" analyses (i.e. based on the regimen to which patients are initially randomized) will be the primary approach used to assess treatment efficacy.

  • Nelarabine toxicity assessment by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 [ Time Frame: From week 6 to up to week 43 ] [ Designated as safety issue: Yes ]
    Compared directly to their randomized control not receiving nelarabine with additional examination of the comparison within the separate methotrexate regimen subsets. These comparisons will focus on grade 3 or higher non-hematologic toxicities. The overall incidence of selected neurologic toxicities will also be monitored since these represent an important target category for nelarabine toxicity.

  • Safety of combination chemotherapy with vs without nelarabine as assessed by NCI CTCAE version 4.0 [ Time Frame: From week 6 to week 43 ] [ Designated as safety issue: Yes ]
    Futility testing boundaries will be used for the comparison of "Nelarabine" versus "No Nelarabine" to decide if stopping should occur for similarity of outcome. This will be tested with a Pampallona-Tsiatis type lower monitoring boundary when approximately 20%, 40%, 60% and 80% of the EFS event information is available.

  • Efficacy of combination chemotherapy with vs without nelarabine [ Time Frame: Assessed up to 10 years ] [ Designated as safety issue: Yes ]
    "Intent-to-treat" analyses (i.e. based on the regimen to which patients are initially randomized) will be the primary approach used to assess treatment efficacy.

  • Safety and efficacy of high-dose methotrexate (with leucovorin calcium rescue) and mercaptopurine vs escalating-dose methotrexate (without leucovorin calcium rescue) and pegaspargase [ Time Frame: At each dose level of treatment ] [ Designated as safety issue: Yes ]
    Analyses will be performed regularly to assess the possibility of an interaction effect (using a Cox regression likelihood ratio test) which will assess the four individual treatment regimens in the 2 x 2 design to see if a non-proportional hazards effect occurs for the combinations of the two main effect factors. Since the comparison of the methotrexate regimens utilizes a selection type analysis, no futility testing will be used for that comparison.


Estimated Enrollment: 1580
Study Start Date: January 2007
Estimated Primary Completion Date: September 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Arm I (Consolidation chemotherapy)
Patients receive methotrexate (MTX) intrathecally (IT) on days 1, 8, 15, and 22; cyclophosphamide IV over 30 minutes on days 1 and 29; cytarabine IV or subcutaneously (SC) on days 1-4, 8-11, 29-32, and 36-39; oral mercaptopurine on days 1-14 and 29-42; vincristine IV on days 15, 22, 43 and 50; and pegaspargase intramuscularly (IM) or IV over 1-2 hours on days 15 and 43. Patients with Down syndrome (DS) also receive oral leucovorin calcium at 48 and 60 hours after each MTX dose. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 11-12, 15-19, and 22-26. (DS patients excluded as of 09/29/10.) Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic cranial radiotherapy (CRT) (1,200 cGy/dose) once daily on days 15-21 and 22-28. Patients with low-risk disease do not undergo CRT.
Drug: doxorubicin hydrochloride
Given IV
Other Names:
  • ADM
  • ADR
  • Adria
  • Adriamycin PFS
  • Adriamycin RDF
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: daunorubicin hydrochloride
Given IV
Other Names:
  • Cerubidin
  • Cerubidine
  • daunomycin hydrochloride
  • daunorubicin
  • RP-13057
Drug: prednisone
Given IV or orally
Other Names:
  • DeCortin
  • Deltra
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Radiation: radiation therapy
Some patients undergo testicular and/or prophylactic cranial RT
Other Names:
  • irradiation
  • radiotherapy
  • therapy, radiation
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm II (Consolidation chemotherapy)
Patients receive nelarabine IV over 60 minutes on days 1-5 and 43-47; MTX IT on days 15, 22, 57, and 64; cyclophosphamide IV over 30 minutes on days 8 and 50; cytarabine IV or SC on days 8-11, 15-18, 50-53 and 57-60; oral mercaptopurine on days 8-21 and 50-63; vincristine IV on days 22, 29, 64, and 71; and pegaspargase IM or IV over 1-2 hours on days 22 and 64. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 15, 22-26, and 29-33 (DS patients excluded as of 09/29/10). (Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT once daily on days 22-28 and 29-35.
Drug: doxorubicin hydrochloride
Given IV
Other Names:
  • ADM
  • ADR
  • Adria
  • Adriamycin PFS
  • Adriamycin RDF
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: daunorubicin hydrochloride
Given IV
Other Names:
  • Cerubidin
  • Cerubidine
  • daunomycin hydrochloride
  • daunorubicin
  • RP-13057
Drug: prednisone
Given IV or orally
Other Names:
  • DeCortin
  • Deltra
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: nelarabine
Given IV
Other Names:
  • 506U78
  • Arranon
  • GW506U78
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Radiation: radiation therapy
Some patients undergo testicular and/or prophylactic cranial RT
Other Names:
  • irradiation
  • radiotherapy
  • therapy, radiation
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm III (Consolidation chemotherapy)
Patients receive MTX, cyclophosphamide, cytarabine, mercaptopurine, vincristine, and pegaspargase as in arm I. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy as in arm I (DS patients excluded as of 09/29/10).
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: daunorubicin hydrochloride
Given IV
Other Names:
  • Cerubidin
  • Cerubidine
  • daunomycin hydrochloride
  • daunorubicin
  • RP-13057
Drug: prednisone
Given IV or orally
Other Names:
  • DeCortin
  • Deltra
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm IV (Consolidation chemotherapy)
Patients receive nelarabine, MTX, cyclophosphamide, cytarabine, mercaptopurine, vincristine, and pegaspargase as in arm II. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy as in arm II (DS patients excluded as of 09/29/10).
Drug: daunorubicin hydrochloride
Given IV
Other Names:
  • Cerubidin
  • Cerubidine
  • daunomycin hydrochloride
  • daunorubicin
  • RP-13057
Drug: prednisone
Given IV or orally
Other Names:
  • DeCortin
  • Deltra
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: nelarabine
Given IV
Other Names:
  • 506U78
  • Arranon
  • GW506U78
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm I (Interim maintenance chemotherapy)

Patients receive vincristine IV and escalating doses of MTX IV on days 1, 11, 21, 31, and 41; pegaspargase* IM or IV over 1-2 hours on days 2 and 22; and MTX IT on days 1 and 31. Patients with DS also receive oral leucovorin calcium 48 and 60 hours after each MTX IT dose (DS patients excluded as of 09/29/10).

Note: *Patients with an allergy to pegaspargase receive Erwinia asparaginase on days 2, 4, 6, 8, 10, 12, 22, 24, 26, 28, 30, and 32.]

Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: asparaginase
Other Names:
  • ASNase
  • Colaspase
  • Crasnitin
  • Elspar
  • L-ASP
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm II (Interim maintenance chemotherapy)
Patients receive vincristine, escalating doses of MTX, pegaspargase, and MTX IT as in arm I.
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm III (Interim maintenance chemotherapy)
Patients receive high-dose methotrexate (HDMTX) IV over 24 hours and vincristine IV on days 1, 15, 29, and 43; oral mercaptopurine on days 1-56; and MTX IT on days 1 and 29. Beginning 42 hours after the start of HDMTX, patients also receive leucovorin calcium IV or orally once every 6 hours for 3 doses.
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm IV (Interim maintenance chemotherapy)
Patients receive HDMTX, vincristine, mercaptopurine, MTX IT, and leucovorin calcium as in arm III.
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm I (Delayed intensification chemotherapy)
Patients receive vincristine IV on days 1, 8, 15, 43, and 50; dexamethasone IV or orally twice daily on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients ≥ 10 years of age and for patients with DS); doxorubicin hydrochloride IV over 15 minutes on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6, AND day 43; MTX IT on days 1, 29, and 36; cyclophosphamide IV over 30 minutes on day 29; cytarabine IV or SC on days 29-32 and 36-39; and oral thioguanine on days 29-42. Patients with DS also receive oral leucovorin calcium at 48 and 60 hours after each MTX dose (DS patients excluded as of 09/29/10).
Drug: doxorubicin hydrochloride
Given IV
Other Names:
  • ADM
  • ADR
  • Adria
  • Adriamycin PFS
  • Adriamycin RDF
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: leucovorin calcium
Given orally
Other Names:
  • CF
  • CFR
  • LV
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm II (Delayed intensification chemotherapy)
Patients receive vincristine IV on days 1, 8, 15, and 50; dexamethasone IV or orally twice daily on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients ≥ 10 years of age); doxorubicin hydrochloride IV over 15 minutes on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6 AND day 50; MTX IT on days 1, 36, and 43; nelarabine IV over 60 minutes on days 29-33; cyclophosphamide IV over 30 minutes on day 36; cytarabine IV or SC on days 36-39 and 43-46; and oral thioguanine on days 36-49.
Drug: doxorubicin hydrochloride
Given IV
Other Names:
  • ADM
  • ADR
  • Adria
  • Adriamycin PFS
  • Adriamycin RDF
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: nelarabine
Given IV
Other Names:
  • 506U78
  • Arranon
  • GW506U78
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: thioguanine
Given orally
Other Name: 6-TG
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm III (Delayed intensification chemotherapy)
Patients receive vincristine, dexamethasone, doxorubicin hydrochloride, pegaspargase, MTX IT, cyclophosphamide, cytarabine, and thioguanine as in arm I. Patients with intermediate- or high-risk disease (CNS1 or CNS2 disease) undergo prophylactic CRT (1,200 cGy/dose) once daily on days 50-54 and 57-59.
Drug: doxorubicin hydrochloride
Given IV
Other Names:
  • ADM
  • ADR
  • Adria
  • Adriamycin PFS
  • Adriamycin RDF
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: thioguanine
Given orally
Other Name: 6-TG
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Active Comparator: Arm IV (Delayed intensification chemotherapy)
Patients receive vincristine, dexamethasone, doxorubicin hydrochloride, pegaspargase, MTX IT, nelarabine, cyclophosphamide, cytarabine, and thioguanine as in arm II. Patients with intermediate- or high-risk disease (CNS 1 or CNS2 disease) undergo prophylactic CRT on days 50-54 and 57-59.
Drug: doxorubicin hydrochloride
Given IV
Other Names:
  • ADM
  • ADR
  • Adria
  • Adriamycin PFS
  • Adriamycin RDF
Drug: cytarabine
Given IT, IV, or SC
Other Names:
  • ARA-C
  • arabinofuranosylcytosine
  • arabinosylcytosine
  • Cytosar-U
  • cytosine arabinoside
Drug: pegaspargase
Given intramuscularly or IV
Other Names:
  • L-asparaginase with polyethylene glycol
  • Oncaspar
  • PEG-ASP
  • PEG-L-asparaginase
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: cyclophosphamide
Given IV
Other Names:
  • CPM
  • CTX
  • Cytoxan
  • Endoxan
  • Endoxana
Drug: nelarabine
Given IV
Other Names:
  • 506U78
  • Arranon
  • GW506U78
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: thioguanine
Given orally
Other Name: 6-TG
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm I (Maintenance chemotherapy)
Patients receive vincristine IV on days 1, 29, and 57; oral dexamethasone twice daily on days 1-5, 29-33, and 57-61; oral mercaptopurine once daily on days 1-84; oral MTX on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; and MTX IT on day 1. Treatment repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 119) (for girls with T-ALL) and 3 years from the start of interim maintenance therapy (approximately week 171) (for boys with T-ALL).
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm II (Maintenance chemotherapy)
Patients receive vincristine IV on days 1 and 57; oral dexamethasone on days 1-5 and 57-61; oral mercaptopurine once daily on days 1-84; oral MTX on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; MTX IT on day 1; and nelarabine IV over 60 minutes on days 29-33. Treatment (that includes nelarabine) repeats every 84 days for 3 courses. Patients then receive treatment (without nelarabine) as follows: vincristine IV on days 1 and 57; oral dexamethasone on days 1-5, 29-33, and 57-61; oral mercaptopurine on days 1-84; oral MTX on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; and MTX IT on day 1. Treatment (without nelarabine) repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 121) (for girls with T-ALL) and 3 years from the start of interim maintenance therapy (approximately week 173) (for boys with T-ALL).
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: nelarabine
Given IV
Other Names:
  • 506U78
  • Arranon
  • GW506U78
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm III (Maintenance chemotherapy)
Patients receive vincristine, dexamethasone, mercaptopurine, oral MTX, and MTX IT as in arm I. Treatment repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 119) (for girls with T-ALL) and 3 years from the start of interim maintenance therapy (approximately week 171) (for boys with T-ALL).
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Radiation: radiation therapy
Some patients undergo testicular and/or prophylactic cranial RT
Other Names:
  • irradiation
  • radiotherapy
  • therapy, radiation
Other: laboratory biomarker analysis
Correlative studies
Active Comparator: Arm IV (Maintenance chemotherapy)
Patients receive vincristine, dexamethasone, mercaptopurine, oral MTX, MTX IT, and nelarabine as in arm II. Patients then receive treatment (without nelarabine) as follows: vincristine, dexamethasone, mercaptopurine, oral MTX, and MTX IT as in arm II. Treatment (without nelarabine) repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 121) (for girls with T-ALL) and 3 years from the start of interim maintenance therapy (approximately week 173) (for boys with T-ALL).
Drug: methotrexate
Given intrathecally or orally
Other Names:
  • amethopterin
  • Folex
  • methylaminopterin
  • Mexate
  • MTX
Drug: mercaptopurine
Given orally
Other Names:
  • 6-mercaptopurine
  • 6-MP
  • Leukerin
  • MP
Drug: nelarabine
Given IV
Other Names:
  • 506U78
  • Arranon
  • GW506U78
Drug: dexamethasone
Given IV or orally
Other Names:
  • Aeroseb-Dex
  • Decaderm
  • Decadron
  • DM
  • DXM
Drug: vincristine sulfate
Given IV
Other Names:
  • leurocristine sulfate
  • VCR
  • Vincasar PFS
Other: laboratory biomarker analysis
Correlative studies

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   1 Year to 30 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Newly diagnosed with 1 of the following:

    • T-cell acute lymphoblastic leukemia (ALL), meeting the following criteria:

      • Leukemic blasts lack myeloperoxidase or evidence of B-lineage derivation(CD19/CD22/CD20) AND express either surface or cytoplasmic CD3 or two or more of the antigens CD8,CD7, CD5, CD4, CD2 or CD1a
      • If surface CD3 is expressed on all leukemic cells, additional markers of immaturity, including TdT, CD34, or CD99 will be assessed for expression
      • Concurrently enrolled on protocol COG-AALL03B1 and/or COG-AALL08B1
    • T-lineage lymphoblastic lymphoma (T-NHL)

      • Stage II-IV disease

        • No B-lineage lymphoblastic lymphoma
        • No morphologically unclassifiable lymphoma
        • No absence of both B-cell and T-cell phenotype markers
        • No CNS3-positive or testicular involvement
  • No patients with ALL or T-NHL and Down syndrome
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No peripheral neurotoxicity ≥ grade 2 (for patients randomized to receive nelarabine)
  • No prior seizure disorder (for patients randomized to receive nelarabine)
  • Prior steroid therapy allowed
  • No prior cytotoxic chemotherapy except intrathecal cytarabine
  • At least 2 years since prior and no concurrent anticonvulsant therapy (for patients randomized to receive nelarabine)
  • No concurrent milk or citrus products during thioguanine or mercaptopurine administration
  • No concurrent intensity-modulated radiotherapy
  • No concurrent nonsteroidal anti-inflammatory drugs, penicillin, or acetylsalicylic acid-containing medications for at least 3 days after high-dose methotrexate
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00408005

  Hide Study Locations
Locations
United States, Alabama
Children's Hospital of Alabama Recruiting
Birmingham, Alabama, United States, 35233
Contact: Alyssa T. Reddy     205-934-0309        
Principal Investigator: Alyssa T. Reddy            
University of Alabama at Birmingham Withdrawn
Birmingham, Alabama, United States, 35294
University of South Alabama Recruiting
Mobile, Alabama, United States, 36604
Contact: Felicia L. Wilson     251-665-8000        
Principal Investigator: Felicia L. Wilson            
United States, Arizona
Phoenix Childrens Hospital Recruiting
Phoenix, Arizona, United States, 85016
Contact: Jessica Boklan     602-546-0920        
Principal Investigator: Jessica Boklan            
University of Arizona Health Sciences Center Recruiting
Tucson, Arizona, United States, 85724
Contact: Brenda J. Wittman     520-626-9008        
Principal Investigator: Brenda J. Wittman            
United States, Arkansas
University of Arkansas for Medical Sciences Recruiting
Little Rock, Arkansas, United States, 72205
Contact: David L. Becton     501-364-7373        
Principal Investigator: David L. Becton            
United States, California
Southern California Permanente Medical Group Recruiting
Downey, California, United States, 90242
Contact: Robert M. Cooper     626-564-3455        
Principal Investigator: Robert M. Cooper            
City of Hope Medical Center Active, not recruiting
Duarte, California, United States, 91010
Loma Linda University Medical Center Recruiting
Loma Linda, California, United States, 92354
Contact: Antranik A. Bedros     909-558-3375        
Principal Investigator: Antranik A. Bedros            
Miller Children's Hospital Recruiting
Long Beach, California, United States, 90806
Contact: Shadi Farzin-Gohar     909-558-3375        
Principal Investigator: Shadi Farzin-Gohar            
Cedars-Sinai Medical Center Recruiting
Los Angeles, California, United States, 90048
Contact: Carole H. Hurvitz     310-423-8965        
Principal Investigator: Carole H. Hurvitz            
Children's Hospital Los Angeles Recruiting
Los Angeles, California, United States, 90027
Contact: Leo Mascarenhas     323-361-4110        
Principal Investigator: Leo Mascarenhas            
Children's Hospital Central California Recruiting
Madera, California, United States, 93636-8762
Contact: Vonda L. Crouse     866-353-5437        
Principal Investigator: Vonda L. Crouse            
Children's Hospital and Research Center at Oakland Recruiting
Oakland, California, United States, 94609-1809
Contact: Carla B. Golden     510-450-7600        
Principal Investigator: Carla B. Golden            
Kaiser Permanente-Oakland Recruiting
Oakland, California, United States, 94611
Contact: Vincent A. Kiley     626-564-3455        
Principal Investigator: Vincent A. Kiley            
Childrens Hospital of Orange County Recruiting
Orange, California, United States, 92868-3874
Contact: Violet Shen     714-997-3000        
Principal Investigator: Violet Shen            
Lucile Packard Children's Hospital Stanford University Recruiting
Palo Alto, California, United States, 94304
Contact: Neyssa M. Marina     650-498-7061     clinicaltrials@med.stanford.edu    
Principal Investigator: Neyssa M. Marina            
UC Davis Comprehensive Cancer Center Recruiting
Sacramento, California, United States, 95817
Contact: Jay Michael S. Balagtas     916-734-3089        
Principal Investigator: Jay Michael S. Balagtas            
Rady Children's Hospital - San Diego Recruiting
San Diego, California, United States, 92123
Contact: William D. Roberts     858-966-5934        
Principal Investigator: William D. Roberts            
University of California San Francisco Medical Center-Parnassus Recruiting
San Francisco, California, United States, 94143
Contact: Mignon L. Loh     877-827-3222        
Principal Investigator: Mignon L. Loh            
United States, Colorado
Children's Hospital Colorado Recruiting
Aurora, Colorado, United States, 80045
Contact: Kelly W. Maloney     720-777-6672        
Principal Investigator: Kelly W. Maloney            
Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center Recruiting
Denver, Colorado, United States, 80218
Contact: Jennifer J. Clark     866-775-6246        
Principal Investigator: Jennifer J. Clark            
United States, Connecticut
Connecticut Children's Medical Center Recruiting
Hartford, Connecticut, United States, 06106
Contact: Michael S. Isakoff     860-545-9981        
Principal Investigator: Michael S. Isakoff            
Yale University Recruiting
New Haven, Connecticut, United States, 06520-8032
Contact: Nina S. Kadan-Lottick     203-785-5702        
Principal Investigator: Nina S. Kadan-Lottick            
United States, Delaware
Alfred I duPont Hospital for Children Recruiting
Wilmington, Delaware, United States, 19803
Contact: Christopher N. Frantz     302-651-5755        
Principal Investigator: Christopher N. Frantz            
United States, District of Columbia
Children's National Medical Center Recruiting
Washington, District of Columbia, United States, 20010
Contact: Jeffrey S. Dome     202-884-2549        
Principal Investigator: Jeffrey S. Dome            
Lombardi Comprehensive Cancer Center at Georgetown University Recruiting
Washington, District of Columbia, United States, 20057
Contact: Aziza T. Shad     202-444-0381        
Principal Investigator: Aziza T. Shad            
United States, Florida
Broward General Medical Center Recruiting
Fort Lauderdale, Florida, United States, 33316
Contact: Hector M. Rodriguez-Cortes     954-355-5346        
Principal Investigator: Hector M. Rodriguez-Cortes            
Lee Memorial Health System Recruiting
Fort Myers, Florida, United States, 33901
Contact: Emad K. Salman     239-343-5333        
Principal Investigator: Emad K. Salman            
University of Florida Recruiting
Gainesville, Florida, United States, 32610
Contact: William B. Slayton     352-273-8675     trials@cancer.ufl.edu    
Principal Investigator: William B. Slayton            
Memorial Healthcare System - Joe DiMaggio Children's Hospital Recruiting
Hollywood, Florida, United States, 33021
Contact: Iftikhar Hanif     954-265-2234        
Principal Investigator: Iftikhar Hanif            
Nemours Children's Clinic - Jacksonville Recruiting
Jacksonville, Florida, United States, 32207-8426
Contact: Eric S. Sandler     904-697-3529        
Principal Investigator: Eric S. Sandler            
Baptist Hospital of Miami Recruiting
Miami, Florida, United States, 33176
Contact: Doured Daghistani     800-599-2456     cancerinfo@baptisthealth.net    
Principal Investigator: Doured Daghistani            
Miami Children's Hospital Recruiting
Miami, Florida, United States, 33155
Contact: Enrique A. Escalon     305-662-8360        
Principal Investigator: Enrique A. Escalon            
University of Miami Miller School of Medicine-Sylvester Cancer Center Recruiting
Miami, Florida, United States, 33136
Contact: Julio C. Barredo     866-574-5124     Sylvester@emergingmed.com    
Principal Investigator: Julio C. Barredo            
M D Anderson Cancer Center- Orlando Recruiting
Orlando, Florida, United States, 32806
Contact: Vincent F. Giusti     321-841-7246        
Principal Investigator: Vincent F. Giusti            
Nemours Childrens Clinic - Orlando Recruiting
Orlando, Florida, United States, 32806
Contact: Ramamoorthy Nagasubramanian     407-650-7150        
Principal Investigator: Ramamoorthy Nagasubramanian            
Florida Hospital Recruiting
Orlando, Florida, United States, 32803
Contact: Clifford A. Selsky     407-303-5623        
Principal Investigator: Clifford A. Selsky            
Nemours Children's Clinic - Pensacola Recruiting
Pensacola, Florida, United States, 32504
Contact: Jeffrey H. Schwartz     904-697-3529        
Principal Investigator: Jeffrey H. Schwartz            
All Children's Hospital Recruiting
Saint Petersburg, Florida, United States, 33701
Contact: Gregory A. Hale     727-767-2423     HamblinF@allkids.org    
Principal Investigator: Gregory A. Hale            
Saint Joseph Children's Hospital of Tampa Recruiting
Tampa, Florida, United States, 33607
Contact: Hardeo K. Panchoosingh     800-882-4123        
Principal Investigator: Hardeo K. Panchoosingh            
Saint Mary's Hospital Recruiting
West Palm Beach, Florida, United States, 33407
Contact: Narayana Gowda     888-823-5923     ctsucontact@westat.com    
Principal Investigator: Narayana Gowda            
United States, Georgia
Children's Healthcare of Atlanta - Egleston Recruiting
Atlanta, Georgia, United States, 30322
Contact: Howard M. Katzenstein     888-785-1112        
Principal Investigator: Howard M. Katzenstein            
Georgia Health Sciences University Recruiting
Augusta, Georgia, United States, 30912
Contact: Colleen H. McDonough     706-721-1663     cancer@georgiahealth.edu    
Principal Investigator: Colleen H. McDonough            
Memorial Health University Medical Center Recruiting
Savannah, Georgia, United States, 31403
Contact: J. Martin Johnston     912-350-8568        
Principal Investigator: J. Martin Johnston            
United States, Hawaii
Tripler Army Medical Center Recruiting
Honolulu, Hawaii, United States, 96859
Contact: Tonya M. Kratovil     808-433-6336        
Principal Investigator: Tonya M. Kratovil            
University of Hawaii Recruiting
Honolulu, Hawaii, United States, 96813
Contact: Robert W. Wilkinson     808-983-6090        
Principal Investigator: Robert W. Wilkinson            
United States, Idaho
Saint Luke's Mountain States Tumor Institute Withdrawn
Boise, Idaho, United States, 83712
United States, Illinois
Childrens Memorial Hospital Recruiting
Chicago, Illinois, United States, 60614
Contact: David O. Walterhouse     773-880-4562        
Principal Investigator: David O. Walterhouse            
University of Chicago Comprehensive Cancer Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Susan L. Cohn     773-834-7424        
Principal Investigator: Susan L. Cohn            
University of Illinois Recruiting
Chicago, Illinois, United States, 60612
Contact: Mary L. Schmidt     312-355-3046        
Principal Investigator: Mary L. Schmidt            
Loyola University Medical Center Recruiting
Maywood, Illinois, United States, 60153
Contact: Ricarchito B. Manera     708-226-4357        
Principal Investigator: Ricarchito B. Manera            
Advocate Hope Children's Hospital Recruiting
Oak Lawn, Illinois, United States, 60453
Contact: Sharad N. Salvi     847-723-7570        
Principal Investigator: Sharad N. Salvi            
Advocate Lutheran General Hospital Recruiting
Park Ridge, Illinois, United States, 60068
Contact: Jong H. Kwon     847-384-3621        
Principal Investigator: Jong H. Kwon            
Southern Illinois University Recruiting
Springfield, Illinois, United States, 62702
Contact: Gregory P. Brandt     217-545-7929        
Principal Investigator: Gregory P. Brandt            
United States, Indiana
Riley Hospital for Children Recruiting
Indianapolis, Indiana, United States, 46202
Contact: Robert J. Fallon     317-274-2552        
Principal Investigator: Robert J. Fallon            
Saint Vincent Hospital and Health Services Recruiting
Indianapolis, Indiana, United States, 46260
Contact: Bassem I. Razzouk     317-338-2194        
Principal Investigator: Bassem I. Razzouk            
United States, Iowa
Raymond Blank Children's Hospital Recruiting
Des Moines, Iowa, United States, 50309
Contact: Wendy L. Woods-Swafford     888-823-5923     ctsucontact@westat.com    
Principal Investigator: Wendy L. Woods-Swafford            
University of Iowa Hospitals and Clinics Recruiting
Iowa City, Iowa, United States, 52242
Contact: Raymond Tannous     800-237-1225        
Principal Investigator: Raymond Tannous            
United States, Kentucky
University of Kentucky Recruiting
Lexington, Kentucky, United States, 40536
Contact: Martha F. Greenwood     859-257-3379        
Principal Investigator: Martha F. Greenwood            
Kosair Children's Hospital Recruiting
Louisville, Kentucky, United States, 40202
Contact: Salvatore J. Bertolone     866-530-5516        
Principal Investigator: Salvatore J. Bertolone            
United States, Louisiana
Children's Hospital-Main Campus Recruiting
New Orleans, Louisiana, United States, 70118
Contact: Lolie C. Yu     504-894-5377        
Principal Investigator: Lolie C. Yu            
Ochsner Clinic Foundation Recruiting
New Orleans, Louisiana, United States, 70121
Contact: Rajasekharan (Raj) P. Warrier     504-894-5377        
Principal Investigator: Rajasekharan (Raj) P. Warrier            
Tulane University Health Sciences Center Recruiting
New Orleans, Louisiana, United States, 70112
Contact: Tammuella C. Singleton     504-988-6121        
Principal Investigator: Tammuella C. Singleton            
United States, Maine
Eastern Maine Medical Center Recruiting
Bangor, Maine, United States, 04401
Contact: Sarah J. Fryberger     207-973-4274        
Principal Investigator: Sarah J. Fryberger            
Maine Children's Cancer Program Recruiting
Scarborough, Maine, United States, 04074
Contact: Eric C. Larsen     207-396-8090     wrighd@mmc.org    
Principal Investigator: Eric C. Larsen            
United States, Maryland
Johns Hopkins University Recruiting
Baltimore, Maryland, United States, 21287-8936
Contact: Patrick A. Brown     410-955-8804     jhcccro@jhmi.edu    
Principal Investigator: Patrick A. Brown            
Sinai Hospital of Baltimore Recruiting
Baltimore, Maryland, United States, 21215
Contact: Joseph M. Wiley     410-601-6120     pridgely@lifebridgehealth.org    
Principal Investigator: Joseph M. Wiley            
University of Maryland Greenebaum Cancer Center Recruiting
Baltimore, Maryland, United States, 21201-1595
Contact: Teresa A. York     800-888-8823        
Principal Investigator: Teresa A. York            
Walter Reed National Military Medical Center Recruiting
Bethesda, Maryland, United States, 20889-5600
Contact: Anne B. Warwick     301-319-2100        
Principal Investigator: Anne B. Warwick            
United States, Massachusetts
Massachusetts General Hospital Cancer Center Recruiting
Boston, Massachusetts, United States, 02114
Contact: Howard J. Weinstein     877-726-5130        
Principal Investigator: Howard J. Weinstein            
University of Massachusetts Medical School Recruiting
Worcester, Massachusetts, United States, 01655
Contact: Christopher P. Keuker     508-856-2464     laura.lefko@umassmed.edu    
Principal Investigator: Christopher P. Keuker            
United States, Michigan
C S Mott Children's Hospital Recruiting
Ann Arbor, Michigan, United States, 48109
Contact: Raymond J. Hutchinson     800-865-1125        
Principal Investigator: Raymond J. Hutchinson            
Wayne State University Recruiting
Detroit, Michigan, United States, 48202
Contact: Jeffrey W. Taub     313-576-9363        
Principal Investigator: Jeffrey W. Taub            
Saint John Hospital and Medical Center Recruiting
Detroit, Michigan, United States, 48236
Contact: Hadi Sawaf     313-343-3166        
Principal Investigator: Hadi Sawaf            
Hurley Medical Center Recruiting
Flint, Michigan, United States, 48502
Contact: Susumu Inoue     888-606-6556        
Principal Investigator: Susumu Inoue            
Helen DeVos Children's Hospital at Spectrum Health Recruiting
Grand Rapids, Michigan, United States, 49503
Contact: David S. Dickens     616-267-1925        
Principal Investigator: David S. Dickens            
Kalamazoo Center for Medical Studies Withdrawn
Kalamazoo, Michigan, United States, 49008
Bronson Methodist Hospital Recruiting
Kalamazoo, Michigan, United States, 49007
Contact: Jeffrey S. Lobel     800-227-2345        
Principal Investigator: Jeffrey S. Lobel            
Michigan State University - Breslin Cancer Center Recruiting
Lansing, Michigan, United States, 48910
Contact: Renuka Gera     517-334-2765        
Principal Investigator: Renuka Gera            
United States, Minnesota
Children's Hospitals and Clinics of Minnesota - Minneapolis Recruiting
Minneapolis, Minnesota, United States, 55404
Contact: Bruce C. Bostrom     612-813-5193        
Principal Investigator: Bruce C. Bostrom            
University of Minnesota Medical Center-Fairview Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Michael J. Burke     612-624-2620        
Principal Investigator: Michael J. Burke            
Mayo Clinic Recruiting
Rochester, Minnesota, United States, 55905
Contact: Vilmarie Rodriguez     507-538-7623        
Principal Investigator: Vilmarie Rodriguez            
United States, Mississippi
University of Mississippi Medical Center Recruiting
Jackson, Mississippi, United States, 39216
Contact: Gail C. Megason     601-815-6700        
Principal Investigator: Gail C. Megason            
United States, Missouri
University of Missouri-Columbia Recruiting
Columbia, Missouri, United States, 65212
Contact: Thomas W. Loew     573-882-7440        
Principal Investigator: Thomas W. Loew            
The Childrens Mercy Hospital Recruiting
Kansas City, Missouri, United States, 64108
Contact: Maxine L. Hetherington     816-234-3265        
Principal Investigator: Maxine L. Hetherington            
Saint John's Mercy Medical Center Recruiting
Saint Louis, Missouri, United States, 63141
Contact: Bethany G. Sleckman     913-948-5588        
Principal Investigator: Bethany G. Sleckman            
Washington University School of Medicine Recruiting
Saint Louis, Missouri, United States, 63110
Contact: Robert J. Hayashi     800-600-3606     info@siteman.wustl.edu    
Principal Investigator: Robert J. Hayashi            
United States, Nebraska
Children's Hospital and Medical Center of Omaha Recruiting
Omaha, Nebraska, United States, 68114
Contact: Minnie Abromowitch     402-955-3949        
Principal Investigator: Minnie Abromowitch            
University of Nebraska Medical Center Recruiting
Omaha, Nebraska, United States, 68198
Contact: Peter F. Coccia     800-999-5465        
Principal Investigator: Peter F. Coccia            
United States, Nevada
Nevada Cancer Research Foundation CCOP Recruiting
Las Vegas, Nevada, United States, 89106
Contact: Jonathan Bernstein     702-384-0013        
Principal Investigator: Jonathan Bernstein            
United States, New Hampshire
Dartmouth Hitchcock Medical Center Recruiting
Lebanon, New Hampshire, United States, 03756
Contact: Sara Chaffee     800-639-6918     cancer.research.nurse@dartmouth.edu    
Principal Investigator: Sara Chaffee            
United States, New Jersey
Hackensack University Medical Center Recruiting
Hackensack, New Jersey, United States, 07601
Contact: Burton E. Appel     201-996-2879        
Principal Investigator: Burton E. Appel            
Saint Barnabas Medical Center Recruiting
Livingston, New Jersey, United States, 07039
Contact: Stacey Rifkin-Zenenberg     973-926-7230        
Principal Investigator: Stacey Rifkin-Zenenberg            
Morristown Memorial Hospital Recruiting
Morristown, New Jersey, United States, 07962
Contact: Steven L. Halpern     973-971-5900        
Principal Investigator: Steven L. Halpern            
Saint Peter's University Hospital Recruiting
New Brunswick, New Jersey, United States, 08901
Contact: Stanley Calderwood     732-745-8600 ext 6163     kcovert@saintpetersuh.com    
Principal Investigator: Stanley Calderwood            
UMDNJ - Robert Wood Johnson University Hospital Recruiting
New Brunswick, New Jersey, United States, 08903
Contact: Richard A. Drachtman     732-235-8675        
Principal Investigator: Richard A. Drachtman            
Newark Beth Israel Medical Center Recruiting
Newark, New Jersey, United States, 07112
Contact: Peri Kamalakar     973-926-7230        
Principal Investigator: Peri Kamalakar            
Saint Joseph's Regional Medical Center Recruiting
Paterson, New Jersey, United States, 07503
Contact: Mary A. Bonilla     973-754-2909        
Principal Investigator: Mary A. Bonilla            
Overlook Hospital Withdrawn
Summit, New Jersey, United States, 07902
United States, New Mexico
University of New Mexico Cancer Center Recruiting
Albuquerque, New Mexico, United States, 87106
Contact: Koh B. Boayue     505-272-6972        
Principal Investigator: Koh B. Boayue            
United States, New York
Albany Medical Center Recruiting
Albany, New York, United States, 12208
Contact: Vikramjit S. Kanwar     518-262-3368        
Principal Investigator: Vikramjit S. Kanwar            
Montefiore Medical Center Recruiting
Bronx, New York, United States, 10467-2490
Contact: Rosanna J. Ricafort     718-904-2730     aecc@aecom.yu.edu    
Principal Investigator: Rosanna J. Ricafort            
Brooklyn Hospital Center Active, not recruiting
Brooklyn, New York, United States, 11201
Roswell Park Cancer Institute Recruiting
Buffalo, New York, United States, 14263
Contact: Martin L. Brecher     877-275-7724        
Principal Investigator: Martin L. Brecher            
Winthrop University Hospital Recruiting
Mineola, New York, United States, 11501
Contact: Mark E. Weinblatt     866-946-8476        
Principal Investigator: Mark E. Weinblatt            
The Steven and Alexandra Cohen Children's Medical Center of New York Recruiting
New Hyde Park, New York, United States, 11040
Contact: Arlene S. Redner     718-470-3470        
Principal Investigator: Arlene S. Redner            
New York University Langone Medical Center Recruiting
New York, New York, United States, 10016
Contact: Elizabeth A. Raetz     212-263-4434     prmc.coordinator@nyumc.org    
Principal Investigator: Elizabeth A. Raetz            
Mount Sinai Medical Center Recruiting
New York, New York, United States, 10029
Contact: Birte Wistinghausen     212-824-7320     jenny.figueroa@mssm.edu    
Principal Investigator: Birte Wistinghausen            
Weill Medical College of Cornell University Recruiting
New York, New York, United States, 10065
Contact: Alexander Aledo     212-746-1848        
Principal Investigator: Alexander Aledo            
University of Rochester Recruiting
Rochester, New York, United States, 14642
Contact: Jeffrey R. Andolina     585-275-5830        
Principal Investigator: Jeffrey R. Andolina            
State University of New York Upstate Medical University Recruiting
Syracuse, New York, United States, 13210
Contact: Karol H. Kerr     315-464-5476        
Principal Investigator: Karol H. Kerr            
New York Medical College Recruiting
Valhalla, New York, United States, 10595
Contact: Mehmet F. Ozkaynak     914-594-3794        
Principal Investigator: Mehmet F. Ozkaynak            
United States, North Carolina
Mission Hospitals Inc Recruiting
Asheville, North Carolina, United States, 28801
Contact: Orren Beaty     828-213-4150        
Principal Investigator: Orren Beaty            
University of North Carolina Recruiting
Chapel Hill, North Carolina, United States, 27599
Contact: Stuart H. Gold     877-668-0683        
Principal Investigator: Stuart H. Gold            
Presbyterian Hospital Recruiting
Charlotte, North Carolina, United States, 28204
Contact: Paulette C. Bryant     704-384-5369        
Principal Investigator: Paulette C. Bryant            
Carolinas Medical Center Recruiting
Charlotte, North Carolina, United States, 28203
Contact: Joel A. Kaplan     704-355-2884        
Principal Investigator: Joel A. Kaplan            
Duke University Medical Center Recruiting
Durham, North Carolina, United States, 27710
Contact: Susan G. Kreissman     888-275-3853        
Principal Investigator: Susan G. Kreissman            
East Carolina University Recruiting
Greenville, North Carolina, United States, 27858
Contact: Mauro Grossi     252-744-2161        
Principal Investigator: Mauro Grossi            
Wake Forest University Health Sciences Recruiting
Winston-Salem, North Carolina, United States, 27157
Contact: Thomas W. McLean     336-713-6771        
Principal Investigator: Thomas W. McLean            
United States, North Dakota
Sanford Medical Center-Fargo Recruiting
Fargo, North Dakota, United States, 58122
Contact: Nathan L. Kobrinsky     701-234-6161        
Principal Investigator: Nathan L. Kobrinsky            
United States, Ohio
Children's Hospital Medical Center of Akron Recruiting
Akron, Ohio, United States, 44308
Contact: Steven J. Kuerbitz     330-543-3193        
Principal Investigator: Steven J. Kuerbitz            
Cincinnati Children's Hospital Medical Center Recruiting
Cincinnati, Ohio, United States, 45229
Contact: John P. Perentesis     513-636-2799        
Principal Investigator: John P. Perentesis            
Cleveland Clinic Foundation Recruiting
Cleveland, Ohio, United States, 44195
Contact: Tanya M. Tekautz     866-223-8100        
Principal Investigator: Tanya M. Tekautz            
Rainbow Babies and Childrens Hospital Recruiting
Cleveland, Ohio, United States, 44106
Contact: Yousif (Joe) H. Matloub     216-844-5437        
Principal Investigator: Yousif (Joe) H. Matloub            
Nationwide Children's Hospital Recruiting
Columbus, Ohio, United States, 43205
Contact: Laura T. Martin     614-722-2708        
Principal Investigator: Laura T. Martin            
The Children's Medical Center of Dayton Recruiting
Dayton, Ohio, United States, 45404
Contact: Emmett H. Broxson     800-228-4055        
Principal Investigator: Emmett H. Broxson            
Mercy Children's Hospital Recruiting
Toledo, Ohio, United States, 43608
Contact: Rama Jasty     419-251-8210        
Principal Investigator: Rama Jasty            
The Toledo Hospital/Toledo Children's Hospital Recruiting
Toledo, Ohio, United States, 43606
Contact: Dagmar T. Stein     419-824-1842        
Principal Investigator: Dagmar T. Stein            
United States, Oklahoma
University of Oklahoma Health Sciences Center Recruiting
Oklahoma City, Oklahoma, United States, 73104
Contact: Rene Y. McNall-Knapp     405-271-4272     julie-traylor@ouhsc.edu    
Principal Investigator: Rene Y. McNall-Knapp            
Natalie W Bryant Cancer Center Recruiting
Tulsa, Oklahoma, United States, 74136
Contact: Gregory B. Kirkpatrick     918-494-2200        
Principal Investigator: Gregory B. Kirkpatrick            
United States, Oregon
Legacy Emanuel Hospital and Health Center Withdrawn
Portland, Oregon, United States, 97227
Legacy Emanuel Children's Hospital Recruiting
Portland, Oregon, United States, 97227
Contact: Janice F. Olson     503-413-2560        
Principal Investigator: Janice F. Olson            
Oregon Health and Science University Recruiting
Portland, Oregon, United States, 97239
Contact: Linda C. Stork     503-494-1080     trials@ohsu.edu    
Principal Investigator: Linda C. Stork            
United States, Pennsylvania
Lehigh Valley Hospital - Muhlenberg Recruiting
Bethlehem, Pennsylvania, United States, 18017
Contact: Philip M. Monteleone     484-884-2201        
Principal Investigator: Philip M. Monteleone            
Geisinger Medical Center Recruiting
Danville, Pennsylvania, United States, 17822-2001
Contact: Jeffrey S. Taylor     570-271-5251        
Principal Investigator: Jeffrey S. Taylor            
Penn State Hershey Children's Hospital Recruiting
Hershey, Pennsylvania, United States, 17033
Contact: John F. Kuttesch     505-272-6972     CTO@hmc.psu.edu    
Principal Investigator: John F. Kuttesch            
Children's Hospital of Philadelphia Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Frank M. Balis     215-590-2810        
Principal Investigator: Frank M. Balis            
Saint Christopher's Hospital for Children Recruiting
Philadelphia, Pennsylvania, United States, 19134
Contact: Gregory E. Halligan     215-427-8991        
Principal Investigator: Gregory E. Halligan            
Children's Hospital of Pittsburgh of UPMC Recruiting
Pittsburgh, Pennsylvania, United States, 15224
Contact: Arthur K. Ritchey     412-692-5573        
Principal Investigator: Arthur K. Ritchey            
United States, South Carolina
Medical University of South Carolina Recruiting
Charleston, South Carolina, United States, 29425
Contact: Jacqueline M. Kraveka     843-792-9321        
Principal Investigator: Jacqueline M. Kraveka            
Palmetto Health Richland Recruiting
Columbia, South Carolina, United States, 29203
Contact: Ronnie W. Neuberg     803-434-3680        
Principal Investigator: Ronnie W. Neuberg            
Greenville Cancer Treatment Center Withdrawn
Greenville, South Carolina, United States, 29605
BI-LO Charities Children's Cancer Center Recruiting
Greenville, South Carolina, United States, 29605
Contact: Nichole L. Bryant     864-241-6251        
Principal Investigator: Nichole L. Bryant            
United States, South Dakota
Sanford USD Medical Center - Sioux Falls Recruiting
Sioux Falls, South Dakota, United States, 57117-5134
Contact: Kayelyn J. Wagner     605-328-1367        
Principal Investigator: Kayelyn J. Wagner            
United States, Tennessee
T C Thompson Children's Hospital Recruiting
Chattanooga, Tennessee, United States, 37403
Contact: Manoo G. Bhakta     423-778-7289        
Principal Investigator: Manoo G. Bhakta            
East Tennessee Childrens Hospital Recruiting
Knoxville, Tennessee, United States, 37916
Contact: Ray C. Pais     865-541-8266        
Principal Investigator: Ray C. Pais            
Vanderbilt University Recruiting
Nashville, Tennessee, United States, 37232
Contact: Haydar A. Frangoul     800-811-8480        
Principal Investigator: Haydar A. Frangoul            
United States, Texas
Texas Tech University Health Science Center-Amarillo Recruiting
Amarillo, Texas, United States, 79106
Contact: Osvaldo Regueira     806-354-5411        
Principal Investigator: Osvaldo Regueira            
Dell Children's Medical Center of Central Texas Recruiting
Austin, Texas, United States, 78723
Contact: Sharon K. Lockhart     512-324-8022        
Principal Investigator: Sharon K. Lockhart            
Driscoll Children's Hospital Recruiting
Corpus Christi, Texas, United States, 78411
Contact: M. Cris Johnson     361-694-5311        
Principal Investigator: M. Cris Johnson            
University of Texas Southwestern Medical Center Recruiting
Dallas, Texas, United States, 75390
Contact: Naomi J. Winick     214-648-7097        
Principal Investigator: Naomi J. Winick            
Medical City Dallas Hospital Recruiting
Dallas, Texas, United States, 75230
Contact: Carl Lenarsky     972-566-5588        
Principal Investigator: Carl Lenarsky            
Cook Children's Medical Center Recruiting
Fort Worth, Texas, United States, 76104
Contact: Mary Meaghan P. Granger     682-885-2103        
Principal Investigator: Mary Meaghan P. Granger            
Baylor College of Medicine Recruiting
Houston, Texas, United States, 77030
Contact: Lisa R. Bomgaars     713-798-1354     burton@bcm.edu    
Principal Investigator: Lisa R. Bomgaars            
Covenant Children's Hospital Recruiting
Lubbock, Texas, United States, 79410
Contact: Latha Prasannan     806-725-8000     jaccresearch@covhs.org    
Principal Investigator: Latha Prasannan            
University of Texas Health Science Center at San Antonio Recruiting
San Antonio, Texas, United States, 78229-3900
Contact: Anne-Marie R. Langevin     210-567-0653     che@uthscsa.edu    
Principal Investigator: Anne-Marie R. Langevin            
Methodist Children's Hospital of South Texas Recruiting
San Antonio, Texas, United States, 78229
Contact: Jaime Estrada     210-575-7000        
Principal Investigator: Jaime Estrada            
Scott and White Memorial Hospital Recruiting
Temple, Texas, United States, 76508
Contact: Guy H. Grayson     254-724-5407        
Principal Investigator: Guy H. Grayson            
United States, Utah
Primary Children's Medical Center Recruiting
Salt Lake City, Utah, United States, 84113
Contact: Phillip E. Barnette     801-585-5270        
Principal Investigator: Phillip E. Barnette            
United States, Vermont
University of Vermont Recruiting
Burlington, Vermont, United States, 05401
Contact: Alan C. Homans     802-656-8990        
Principal Investigator: Alan C. Homans            
United States, Virginia
University of Virginia Recruiting
Charlottesville, Virginia, United States, 22908
Contact: Kimberly P. Dunsmore     434-243-6143        
Principal Investigator: Kimberly P. Dunsmore            
Inova Fairfax Hospital Recruiting
Falls Church, Virginia, United States, 22042
Contact: Marshall A. Schorin     703-208-6650        
Principal Investigator: Marshall A. Schorin            
Childrens Hospital-King's Daughters Recruiting
Norfolk, Virginia, United States, 23507
Contact: Eric J. Lowe     757-668-7243        
Principal Investigator: Eric J. Lowe            
Virginia Commonwealth University Recruiting
Richmond, Virginia, United States, 23298
Contact: Kamar Godder     804-628-1939        
Principal Investigator: Kamar Godder            
Carilion Clinic Children's Hospital Recruiting
Roanoke, Virginia, United States, 24014
Contact: Mandy M. Atkinson     540-981-7376        
Principal Investigator: Mandy M. Atkinson            
United States, Washington
Seattle Children's Hospital Recruiting
Seattle, Washington, United States, 98105
Contact: Blythe G. Thomson     866-987-2000        
Principal Investigator: Blythe G. Thomson            
Providence Sacred Heart Medical Center and Children's Hospital Recruiting
Spokane, Washington, United States, 99204
Contact: Judy L. Felgenhauer     800-228-6618     HopeBeginsHere@providence.org    
Principal Investigator: Judy L. Felgenhauer            
Mary Bridge Children's Hospital and Health Center Recruiting
Tacoma, Washington, United States, 98405
Contact: Robert G. Irwin     888-823-5923     ctsucontact@westat.com    
Principal Investigator: Robert G. Irwin            
Madigan Army Medical Center Recruiting
Tacoma, Washington, United States, 98431
Contact: Melissa A. Forouhar     253-968-0129     mamcdci@amedd.army.mil    
Principal Investigator: Melissa A. Forouhar            
United States, West Virginia
West Virginia University Charleston Recruiting
Charleston, West Virginia, United States, 25304
Contact: Allen R. Chauvenet     304-388-9944        
Principal Investigator: Allen R. Chauvenet            
United States, Wisconsin
Saint Vincent Hospital Recruiting
Green Bay, Wisconsin, United States, 54301
Contact: John R. Hill     920-433-8889        
Principal Investigator: John R. Hill            
University of Wisconsin Hospital and Clinics Recruiting
Madison, Wisconsin, United States, 53792
Contact: Kenneth B. De Santes     608-262-5223        
Principal Investigator: Kenneth B. De Santes            
Marshfield Clinic Recruiting
Marshfield, Wisconsin, United States, 54449
Contact: Michael J. McManus     715-389-4457        
Principal Investigator: Michael J. McManus            
Midwest Children's Cancer Center Recruiting
Milwaukee, Wisconsin, United States, 53226
Contact: Michael G. Kelly     336-713-6771     ContactUsCancerCenter@TuftsMedicalCenter.org    
Principal Investigator: Michael G. Kelly            
Australia, Queensland
Royal Brisbane and Women's Hospital Withdrawn
Herston, Queensland, Australia, 4029
Royal Childrens Hospital Recruiting
Herston, Queensland, Australia, 4029
Contact: Christopher J. Fraser     888-823-5923     ctsucontact@westat.com    
Principal Investigator: Christopher J. Fraser            
Australia, South Australia
Women's and Children's Hospital-Adelaide Recruiting
North Adelaide, South Australia, Australia, 5006
Contact: Maria L. Kirby     (08) 8161 7327     cywhs.oncsec@health.sa.gov.au    
Principal Investigator: Maria L. Kirby            
Australia, Victoria
Royal Children's Hospital Recruiting
Parkville, Victoria, Australia, 3052
Contact: Francoise M. Mechinaud         crdo.info@mcri.edu.au    
Principal Investigator: Francoise M. Mechinaud            
Australia, Western Australia
Princess Margaret Hospital for Children Recruiting
Perth, Western Australia, Australia, 6008
Contact: Catherine H. Cole     (08) 9340 8330     admin@childcancerresearch.com.au    
Principal Investigator: Catherine H. Cole            
Canada, Alberta
Alberta Children's Hospital Recruiting
Calgary, Alberta, Canada, T3B 6A8
Contact: Douglas R. Strother     403-220-6898     research4kids@ucalgary.ca    
Principal Investigator: Douglas R. Strother            
University of Alberta Hospital Recruiting
Edmonton, Alberta, Canada, T6G 2B7
Contact: Sunil Jayantilal` S. Desai     780-407-6615     val.taylor@albertahealthservices.ca    
Principal Investigator: Sunil Jayantilal` S. Desai            
Canada, British Columbia
British Columbia Children's Hospital Recruiting
Vancouver, British Columbia, Canada, V6H 3V4
Contact: Caron Strahlendorf     604-875-2345ext6477        
Principal Investigator: Caron Strahlendorf            
Canada, Manitoba
CancerCare Manitoba Recruiting
Winnipeg, Manitoba, Canada, R3E 0V9
Contact: Rochelle A. Yanofsky     866-561-1026     CIO_Web@cancercare.mb.ca    
Principal Investigator: Rochelle A. Yanofsky            
Canada, Newfoundland and Labrador
Janeway Child Health Centre Recruiting
Saint John's, Newfoundland and Labrador, Canada, A1B 3V6
Contact: Lisa Anne B. Goodyear     866-722-1126        
Principal Investigator: Lisa Anne B. Goodyear            
Canada, Nova Scotia
IWK Health Centre Recruiting
Halifax, Nova Scotia, Canada, B3J 3G9
Contact: Margaret C. Yhap     902-470-8394        
Principal Investigator: Margaret C. Yhap            
Canada, Ontario
Cancer Centre of Southeastern Ontario at Kingston General Hospital Recruiting
Kingston, Ontario, Canada, K7L 5P9
Contact: Mariana P. Silva     613-544-2630        
Principal Investigator: Mariana P. Silva            
Children's Hospital Recruiting
London, Ontario, Canada, N6A 5W9
Contact: Anne E. Cairney     519-685-8306        
Principal Investigator: Anne E. Cairney            
Children's Hospital of Eastern Ontario Recruiting
Ottawa, Ontario, Canada, K1H 8L1
Contact: Jacqueline M. Halton     613-738-3931        
Principal Investigator: Jacqueline M. Halton            
Hospital for Sick Children Recruiting
Toronto, Ontario, Canada, M5G 1X8
Contact: Sheila Weitzman     416-813-7654ext2027     jason.mcguire@sickkids.ca    
Principal Investigator: Sheila Weitzman            
Canada, Quebec
The Montreal Children's Hospital of the MUHC Recruiting
Montreal, Quebec, Canada, H3H 1P3
Contact: Sharon B. Abish     514-412-4445     info@thechildren.com    
Principal Investigator: Sharon B. Abish            
Canada, Saskatchewan
Allan Blair Cancer Centre Recruiting
Regina, Saskatchewan, Canada, S4T 7T1
Contact: Mansoor M. Haq     306-766-2213        
Principal Investigator: Mansoor M. Haq            
Saskatoon Cancer Centre Recruiting
Saskatoon, Saskatchewan, Canada, S7N 4H4
Contact: Christopher Mpofu     306-655-2914        
Principal Investigator: Christopher Mpofu            
New Zealand
Starship Children's Hospital Recruiting
Grafton, Auckland, New Zealand, 1145
Contact: Lochie R. Teague     0800 728 436        
Principal Investigator: Lochie R. Teague            
Christchurch Hospital Recruiting
Christchurch, New Zealand, 8011
Contact: Michael J. Sullivan     03 364 0640        
Principal Investigator: Michael J. Sullivan            
Switzerland
Swiss Pediatric Oncology Group - Geneva Recruiting
Geneva, Switzerland, 1205
Contact: Ayse H. Ozsahin     031 389 91 89        
Principal Investigator: Ayse H. Ozsahin            
Swiss Pediatric Oncology Group - Lausanne Recruiting
Lausanne, Switzerland, 1011
Contact: Maja Beck Popovic     31 389 91 89        
Principal Investigator: Maja Beck Popovic            
Sponsors and Collaborators
Investigators
Principal Investigator: Stuart Winter Children's Oncology Group
  More Information

No publications provided

Responsible Party: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00408005     History of Changes
Other Study ID Numbers: NCI-2009-00307, AALL0434, CDR0000514500, COG-AALL0434, U01CA98543
Study First Received: December 4, 2006
Last Updated: March 26, 2013
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Leukemia
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, T-Cell
Leukemia-Lymphoma, Adult T-Cell
Lymphoma
Lymphoma, Non-Hodgkin
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
6-Mercaptopurine
Cytarabine
Methotrexate
Thioguanine
Cyclophosphamide
Pegaspargase
Asparaginase
Daunorubicin
Dexamethasone
Doxorubicin
Prednisone
Vincristine
BB 1101
Dexamethasone acetate
Dexamethasone 21-phosphate
Leucovorin

ClinicalTrials.gov processed this record on May 23, 2013