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Pulses of Vincristine and Dexamethasone in BFM Protocols for Children With Acute Lymphoblastic Leukemia
This study has been completed.
First Received: December 13, 2006   No Changes Posted
Sponsor: International BFM Study Group
Collaborators: Associazione Italiana Ematologia Oncologia Pediatrica
BFM-A, Austria
BFM-G, Germany and Switzerland
CPH, Czech republic
European Organization for Research and Treatment of Cancer
GATLA, Argentina
H-POG, Hungary
PINDA, Chile
Information provided by: International BFM Study Group
ClinicalTrials.gov Identifier: NCT00411541
  Purpose

Studies in the 1970s and 1980s suggested that the outcome of childhood acute lymphoblastic leukemia could be improved by intensification of conventional continuation chemotherapy with pulses of vincristine sulfate and steroids. We aimed to investigate the efficacy and toxic effects of vincristine-dexamethasone pulses as an addition to the continuation-therapy phase in a large cohort of children with intermediate-risk disease who were treated with the BFM treatment strategy


Condition Intervention Phase
Acute Lymphoblastic Leukemia
Drug: vincristine
Drug: dexamethasone
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Pulses of Vincristine and Dexamethasone During Maintenance in BFM Protocols for Children With Intermediate-Risk Acute Lymphoblastic Leukemia

Resource links provided by NLM:


Further study details as provided by International BFM Study Group:

Primary Outcome Measures:
  • disease free survival

Secondary Outcome Measures:
  • survival

Estimated Enrollment: 2600
Study Start Date: April 1995
Estimated Study Completion Date: January 2004
Detailed Description:

The study enrols children from 8 participating organizations. All children are treated with similar protocols based on the BFM treatment strategy, which include induction, consolidation, reinduction and continuation-therapy phases. At the beginning of the continuation-therapy phase, those patients in complete remission are randomly assigned to either a treatment or a control group. Control patients are given conventional mercaptopurine and methotrexate chemotherapy only. Patients in the treatment arm are also given pulses of vincristine (1.5 mg/sqm weekly for 2 weeks) and dexamethasone (6 mg/sqm daily for 7 days) every 10 weeks for six cycles.

  Eligibility

Ages Eligible for Study:   up to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age <1 or >5 years or
  • white blood cell count at diagnosis >=20000

Exclusion Criteria:

  • prednisone poor response
  • no complete remission at the end of induction (IA)
  • t(9,22) clonal translocation
  • t(4,11) clonal translocation
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00411541

Locations
Argentina
Department of Pediatric Hematology-Oncology, Italian Hospital
Buenos Aires, Argentina
Austria
Children's Cancer Research Institute, St Anna Kinderspital
Vienna, Austria
Belgium
Department of Pediatric Hemato-Oncology, Gent University Hospital
Gent, Belgium
Chile
Department of Pediatrics Hematology and Oncology, Hospital Roberto del Rio
Santiago, Chile
Czech Republic
Department of Pediatric Hematology and Oncology, University Hospital Motol
Prague, Czech Republic
Germany
Medizinische Hochschule Hannover
Hannover, Germany, 30625
Hungary
Department of Pediatrics, Semmelweis University
Budapest, Hungary
Italy
Pediatric Clinic - University of Milano-Bicocca
Monza, Italy, 20052
Sponsors and Collaborators
International BFM Study Group
Associazione Italiana Ematologia Oncologia Pediatrica
BFM-A, Austria
BFM-G, Germany and Switzerland
CPH, Czech republic
European Organization for Research and Treatment of Cancer
GATLA, Argentina
H-POG, Hungary
PINDA, Chile
Investigators
Principal Investigator: Martin Schrappe, MD BFM-G, Germany and Switzerland
Principal Investigator: Helmut Gadner, MD BFM-A, Austria
Principal Investigator: Giuseppe Masera, MD AIEOP, Itlay
Principal Investigator: Jan Stary, MD CPH, Czech republic
Principal Investigator: Ives Benoit, MD EORTC-CLG, France, Belgium, Portugal
Principal Investigator: Edina Magyarosy, MD H-POG, Hungary
Principal Investigator: Myriam Campbell, MD PINDA, Chile
Principal Investigator: Eduardo Dibar, MD GATLA, Argentina
  More Information

No publications provided by International BFM Study Group

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):
Study ID Numbers: I-BFM-SG IR ALL
Study First Received: December 13, 2006
Last Updated: December 13, 2006
ClinicalTrials.gov Identifier: NCT00411541     History of Changes
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by International BFM Study Group:
acute lymphoblastic leukemia, maintenance, BFM protocol
intermediate risk childhood acute lymphoblastic leukemia

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Dexamethasone
Leukemia, Lymphoid
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Antiemetics
Hormones
Leukemia
Therapeutic Uses
Dexamethasone acetate
Immunoproliferative Disorders
Neoplasms by Histologic Type
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immune System Diseases
Antineoplastic Agents, Hormonal
Mitosis Modulators
Gastrointestinal Agents
Vincristine
Antimitotic Agents
Glucocorticoids
Pharmacologic Actions
Lymphatic Diseases
Neoplasms
Autonomic Agents
Tubulin Modulators
Peripheral Nervous System Agents
Lymphoproliferative Disorders
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on February 08, 2010