New treatment protocol for childhood acute lymphoblastic leukemia
Moscow-Berlin 2015 Multicenter Randomized Study for Treatment of Acute Lymphoblastic Leukemia in Children, Adolescents and Young Adults
This study is testing a new treatment plan for children and young adults with acute lymphoblastic leukemia to see if it can help them live longer and healthier by using different chemotherapy drugs.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 4000 (estimated) |
| Ages | 1 Year to 50 Years |
| Sex | All |
| Sponsor | Federal Research Institute of Pediatric Hematology, Oncology and Immunology Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 58 sites (Ereván and 57 other locations) |
| Trial ID | NCT03390387 on ClinicalTrials.gov |
What this trial studies
This study evaluates a new treatment protocol for childhood acute lymphoblastic leukemia (ALL) that includes risk group stratification and various chemotherapy regimens. It aims to improve overall and event-free survival rates, particularly for patients older than 15 years and young adults. The protocol investigates the effects of intermittent dexamethasone administration, the use of methylprednisolone, and the addition of Bortezomib and Idarubicin in specific patient groups. The study will assess the feasibility and efficacy of these interventions in a multicenter setting across several locations.
Who should consider this trial
Good fit: Ideal candidates are patients aged 1 to 50 years diagnosed with acute lymphoblastic leukemia who can start induction therapy within the study recruitment phase.
Not a fit: Patients with second malignancies, relapsed ALL, or severe concomitant diseases that impede chemotherapy may not benefit from this study.
Why it matters
Potential benefit: If successful, this protocol could significantly improve survival rates and reduce treatment-related toxicity for children and young adults with ALL.
How similar studies have performed: Other studies have shown promise with similar treatment approaches, but this specific protocol is novel in its comprehensive risk stratification and treatment combinations.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age at diagnosis at 1 to 50 years. * The start of induction therapy within a time interval of study recruitment phase. * The diagnosis of ALL is to be proved by the morphological, cytochemical, and immunological analysis of tumor cells in bone marrow (see "Diagnostics"). Patients with B-cell (Burkitt) ALL are excluded. * Informed consent of the patient parents (guardians) to be treated in one of the clinics included in this multicenter study. Exclusion Criteria: * ALL is a second malignancies; * The disease is a relapse of previously misdiagnosed and, therefore, inadequately treated ALL; * There is severe concomitant disease, which significantly impedes chemotherapy protocol (such as multiple malformations, heart diseases, metabolic disorders, etc.); * There is a lack of important data needed for the exact adherence to the cytostatic therapy according to a specific chemotherapy protocol (differential diagnosis of ALL-AML (acute myeloid leukemia) is not possible, stratification according to therapeutic group is not possible); * The patient was treated before for a long time with cytotoxic drugs; * There were treatment deviations not covered by the protocol and/or not due to side effects of treatment and/or complications of the disease
Where this trial is running
Ereván and 57 other locations
- prof. R.O.Eolyan Hematology Center — Ereván, Armenia (Completed)
- Republican Research and Practical Center of Radiation Medicine and Human Ecology — Gomel, Belarus (Recruiting)
- Republic Research and Practical Center of Pediatric Oncology, Hematology and Immunology — Minsk, Belarus (Recruiting)
- Mogilev Regional Children's Hospital — Mogilev, Belarus (Recruiting)
- National Oncology and Hematology Center, Ministry of Health of the Kyrgyz Republic — Bishkek, Kyrgyzstan (Completed)
- Arkhangelsk Regional Clinical Children's Hospital — Arkhangelsk, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Astrakhan, Russian Federation (Recruiting)
- Altay Regional Clinical Children's Hospital — Barnaul, Russian Federation (Recruiting)
- Amur Regional Clinical Children's Hospital — Blagoveshchensk, Russian Federation (Recruiting)
- Bryansk Regional Children's Hospital — Bryansk, Russian Federation (Recruiting)
- Chelyabinsk Regional Clinical Children's Hospital — Chelyabinsk, Russian Federation (Recruiting)
- Transbaikal Regional Oncology Dispensary — Chita, Russian Federation (Recruiting)
- Irkutsk Regional Children Clinical Hospital — Irkutsk, Russian Federation (Recruiting)
- Ivanovo Regional Clinical Hospital — Ivanovo, Russian Federation (Recruiting)
- Republic Clinical Children's Hospital — Izhevsk, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Khabarovsk, Russian Federation (Recruiting)
- Kirov Research Institute of Hematology and Blood Transfusion — Kirov, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Krasnodar, Russian Federation (Recruiting)
- Krasnoyarsk Territorial Clinical Children's Hospital — Krasnoyarsk, Russian Federation (Recruiting)
- Kurgan Regional Clinical Children's Hospital — Kurgan, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Kursk, Russian Federation (Recruiting)
- Regional Children's Hospital — Lipetsk, Russian Federation (Recruiting)
- Republic Children's Clinical Hospital — Makhachkala, Russian Federation (Recruiting)
- Morozov Children's Municipal Clinical Hospital — Moscow, Russian Federation (Recruiting)
- Research Institute of Pediatric Hematology, Oncology and Immunology named after Dmitry Rogachev — Moscow, Russian Federation (Recruiting)
- Russian Children's Clinical Hospital — Moscow, Russian Federation (Recruiting)
- Murmansk Clinical Children's Hospital — Murmansk, Russian Federation (Recruiting)
- Republic Clinical Children's Hospital — Nal'chik, Russian Federation (Recruiting)
- Nizhnevartovsk Regional Clinical Children's Hospital — Nizhnevartovsk, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Nizhny Novgorod, Russian Federation (Recruiting)
- Novokuznetsk Municipal Clinical Children's Hospital N4 — Novokuznetsk, Russian Federation (Recruiting)
- Novosibirsk Central District Clinical Hospital — Novosibirsk, Russian Federation (Recruiting)
- Orenburg Regional Clinical Oncology Dispensary — Orenburg, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Orël, Russian Federation (Recruiting)
- Perm Territorial Clinical Children's Hospital — Perm, Russian Federation (Recruiting)
- Regional Clinical Children's Hospital — Rostov-on-Don, Russian Federation (Recruiting)
- Rostov Research Institute of Oncology — Rostov-on-Don, Russian Federation (Recruiting)
- N. Dmitrieva Ryazan Regional Clinical Children's Hospital — Ryazan, Russian Federation (Recruiting)
- Almazov National Medical Research Center — Saint Petersburg, Russian Federation (Recruiting)
- Children's Municipal Hospital N1 — Saint Petersburg, Russian Federation (Recruiting)
- Municipal Clinical Hospital N31 — Saint Petersburg, Russian Federation (Recruiting)
- N.N.Petrov National Medical Research Oncology Center — Saint Petersburg, Russian Federation (Recruiting)
- R. Gorbacheva Research Institute of Pediatric Hematology and Transfusiology; Pavlov First Saint-Petersburg State Medical University — Saint Petersburg, Russian Federation (Recruiting)
- Municipal Clinical Children's Hospital N1 — Samara, Russian Federation (Recruiting)
- Regional Children's Clinical Hospital — Stavropol, Russian Federation (Recruiting)
- Surgut Regional Clinical Hospital — Surgut, Russian Federation (Completed)
- Republic Clinical Children's Hospital — Syktyvkar, Russian Federation (Recruiting)
- Tomsk Regional Clinical Hospital — Tomsk, Russian Federation (Recruiting)
- Tula Regional Clinical Children's Hospital — Tula, Russian Federation (Recruiting)
- Republic Clinical Children's Hospital — Ulan-Ude, Russian Federation (Recruiting)
+8 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Alexander I. Karachunskiy, Professor, MD — Research Institute of Pediatric Hematology, Oncology and Immunology
- Study coordinator: Alexander I. Karachunskiy, Professor, MD
- Email: info@mbstudy.net
- Phone: +7-926-218-84-09
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.