Evaluating pediatric-like treatment for young adults with Ph-negative acute lymphoblastic leukemia
Official title: Real-world Evidence of First-line Treatment With Pediatric-like Protocol for Adolescents and Young Adults Patients Diagnosed With Philadelphia-negative Acute Lymphoblastic Leukemia
Run by Grupo Argentino de Tratamiento de la Leucemia Aguda · NCT05127148 · Data updated 2026-11-12
This study is testing a pediatric-style treatment for young adults with Ph-negative acute lymphoblastic leukemia in Argentina to see how well it works and what side effects it may have.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 40 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Grupo Argentino de Tratamiento de la Leucemia Aguda Academic / other |
| Drugs / interventions | chemotherapy, methotrexate, cyclophosphamide, prednisone |
| Locations | 2 sites (Paraná, Entre Ríos Province and 1 other locations) |
| Status | Recruiting |
| Started | March 1, 2021 |
| Main results expected | March 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | January 9, 2024 |
| Trial ID | NCT05127148 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adolescents and young adults diagnosed with Ph-negative acute lymphoblastic leukemia who have not received prior treatment.
✕Probably not a fit
Patients with Ph-positive ALL or those with mature B phenotype acute leukemias will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational clinical trial aims to gather real-world evidence on the treatment outcomes and toxicities of adolescent and young adult (AYA) patients with Ph-negative acute lymphoblastic leukemia (ALL) in Argentina. Participants will receive a first-line pediatric-like treatment protocol, and the study will assess survival rates, including event-free survival and overall survival, based on risk categories. Secondary endpoints include evaluating outcomes for patients who undergo allogeneic transplantation and assessing asparaginase toxicities. The trial will follow established guidelines for diagnosis and treatment throughout the participating institutions.
Why it matters
Potential benefit: If successful, this study could improve treatment outcomes for young adults with Ph-negative ALL by validating a pediatric-like treatment approach.
How similar studies have gone: Other studies have shown promising results using pediatric-like protocols for treating ALL, suggesting potential success for this approach in AYA patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Signature of the form consent for participation in the study * Ph-negative ALL diagnosis without previous treatment. Exclusion Criteria: * ALL with mature B phenotype (sIg +) or with the cytogenetic alterations characteristic of ALL mature B (t (8,14), t (2, 8), t (8, 22)). * Ph-positive ALL * Acute leukemias of ambiguous lineage (undifferentiated or mixed phenotype). * Patients with a history of coronary, valvular or hypertensive heart disease, that contraindicate the use of anthracyclines. * Patients with chronic liver disease in the activity phase and / or Bilirubin\> 2 mg / dl and / or transaminases 5 times the normal limit, not related to ALL. * Patients with severe chronic respiratory failure. * Renal failure and / or creatininemia\> 2 mg / dl not related to ALL. * Serious neurological disorders, not related to leukemic disease. * General condition affected (grades 3 and 4), not attributable to ALL. * Uncontrolled infection by HIV, HTLV-1, HBV, HCV. * Patient not a candidate for treatment based on the criteria of the treating physician. * Pregnant women will have to be evaluated by a multidisciplinary team and an ethics committee.
Where it's running
-
Instituto Privado de Hematologia y Hemoterapia
Paraná, Entre Ríos Province, Argentina Recruiting -
Fundaleu
Caba, Argentina Recruiting
Study contacts
- Principal investigator: Maria Moirano, Dr. — Grupo Argentino de Tratamiento de la Leucemia Aguda
- Study coordinator: Luciana Ferrari, Dr.
- Email: lferrari@fundaleu.org.ar
- Phone: 541148771000
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Pediatric-style chemotherapy with venetoclax and immunotherapy for adults with Ph-negative acute lymphoblastic leukemia
This treatment plan tests whether pediatric-style chemotherapy combined with venetoclax and optional immunotherapy helps people aged 14–60 with newly diagnosed Ph-negative ALL achieve remission and clear minimal residual disease.
-
Combined chemotherapy with venetoclax and stem cell transplant for adults with Ph-negative ALL
This trial will try a treatment plan that gives intensive chemotherapy including venetoclax, followed by consolidation chemotherapy and possible allogeneic stem cell transplant, for adults aged 18–60 with Philadelphia chromosome–negative acute lymphoblastic leukemia.
-
Comparing two conditioning regimens for stem cell transplantation in adult leukemia patients
This study is testing which of two radiation treatments helps adults with leukemia do better after getting a stem cell transplant.
-
Comparing two conditioning regimens for stem cell transplantation in adult leukemia patients
This study is testing which of two treatment methods, Total Body Irradiation or Total Marrow Irradiation, works better for adults with leukemia getting stem cell transplants to kill cancer cells while causing less harm to healthy tissue.
-
Combining chemotherapy with CAR-T cell therapy for newly diagnosed adult patients with Philadelphia Chromosome Negative ALL
This study is testing if combining CAR-T cell therapy with chemotherapy can help adults newly diagnosed with Philadelphia Chromosome Negative Acute Lymphoblastic Leukemia feel better and live longer.
-
Combining CAR-T therapy with chemotherapy for newly diagnosed Ph+ acute lymphoblastic leukemia
This study is testing a new treatment that combines CAR-T therapy with chemotherapy to see if it can help adults with newly diagnosed Ph+ acute lymphoblastic leukemia feel better and live longer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.