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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00900445
Registration number
NCT00900445
Ethics application status
Date submitted
9/05/2009
Date registered
12/05/2009
Date last updated
7/08/2018
Titles & IDs
Public title
Studying Body Mass Index in Younger Patients Who Are Receiving Treatment for High-Risk Acute Lymphoblastic Leukemia
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Scientific title
Impact of Obesity on the Pharmacokinetics of Anticancer Therapy in Children With High Risk Acute Lymphoblastic Leukemia (ALL)
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Secondary ID [1]
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NCI-2011-02151
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Secondary ID [2]
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ACCL0631
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Lymphoblastic Leukemia
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Untreated Childhood Acute Lymphoblastic Leukemia
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Condition category
Condition code
Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Cancer
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Children's - Leukaemia & Lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Drugs - Daunorubicin Hydrochloride
Other interventions - Pharmacological Study
Treatment: Drugs - Prednisolone
Treatment: Drugs - Prednisone
Treatment: Drugs - Vincristine Sulfate
Basic science (pharmacokinetics) - Patients receive anticancer therapy as prescribed by their treating clinicians. Patients receive prednisone/prednisolone orally twice on either day 1 or day 8. Patients also receive daunorubicin hydrochloride IV over 30 minutes and vincristine IV once on the same day.
Treatment: Drugs: Daunorubicin Hydrochloride
Given IV
Other interventions: Pharmacological Study
Correlative studies
Treatment: Drugs: Prednisolone
Given orally
Treatment: Drugs: Prednisone
Given orally
Treatment: Drugs: Vincristine Sulfate
Given IV
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pharmacokinetic parameters of prednisone/prednisolone
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Assessment method [1]
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Two multiple comparisons (normal weight versus obese and normal weight versus underweight groups) will be conducted with a priori planned contrasts using the Bonferroni adjustment method.
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Timepoint [1]
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Pre-dose, 0.5, 1, 1.5, 2, 4, 6 to 8, 10 and 12 hours
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Primary outcome [2]
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Pharmacokinetic parameters of daunorubicin hydrochloride
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Assessment method [2]
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Two multiple comparisons (normal weight versus obese and normal weight versus underweight groups) will be conducted with a priori planned contrasts using the Bonferroni adjustment method.
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Timepoint [2]
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Pre-dose, 0.5, 0.75, 1, 2, 4, 8, 12, 24 to 36 hours, and 48 to 72 hours
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Primary outcome [3]
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Pharmacokinetic parameters of vincristine sulfate
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Assessment method [3]
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Two multiple comparisons (normal weight versus obese and normal weight versus underweight groups) will be conducted with a priori planned contrasts using the Bonferroni adjustment method.
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Timepoint [3]
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Pre-dose, 0.5, 1, 2, 4, 8, 24 to 36 hours, and 48 to 72 hours
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Secondary outcome [1]
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RER and SER status
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Assessment method [1]
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To examine the relationship between pharmacokinetic parameters and RER versus SER status, univariate and multiple logistic regressions will be performed.
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Timepoint [1]
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Up to 1.5 years
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Eligibility
Key inclusion criteria
- Patients must be newly diagnosed with acute lymphoblastic leukemia and the intended
induction treatment must contain prednisone/prednisolone, vincristine and daunorubicin
in the doses and schedule as per the current COG AALL0232 protocol; prior registration
onto a COG protocol is not required
- Patients must be able to take either prednisone/prednisolone reliably by mouth on day
1 or 8 of induction (depending on sampling schedule chosen); patients who are being
sampled on Induction day 8 and who have received intravenous corticosteroid therapy in
the first week of induction must have received a minimum of six oral
prednisone/prednisolone doses prior to the morning prednisone/prednisolone dose on
induction day 8
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Minimum age
10
Years
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Maximum age
19
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Serum transaminase concentrations >= 5 X ULN for age
- Total serum bilirubin (conjugated + unconjugated) >= 1.5 mg/dl (>= 26 micromol/L)
- Serum creatinine > 1.5 X ULN for age
- With the exception of prednisone/prednisolone, receipt of medications or food known or
with the potential to alter the pharmacokinetics of the drugs under study within 14
days of diagnosis and throughout the period of pharmacokinetic sampling; such agents
include but are not limited to: grapefruit, tangelos or the juice of these fruits; St.
Johns wort; anticonvulsants: carbamazepine, oxcarbazepine, phenytoin, phenobarbital,
primidone; azole antifungal agents: ketoconazole, fluconazole, itraconazole,
voriconazole; macrolide antibiotics: erythromycin, clarithromycin; isoniazid;
rifampin; verapamil; and diltiazem
- Presence of known malabsorption syndrome
- Females with known pregnancy (pregnancy test must be negative to be eligible)
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/03/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Pennsylvania
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's Oncology Group
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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National Cancer Institute (NCI)
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This clinical trial is studying body mass index in younger patients receiving
prednisone/prednisolone, vincristine, daunorubicin, and pegaspargase for high-risk acute
lymphoblastic leukemia. Studying samples of blood from patients with cancer in the laboratory
may help doctors learn more about the affect of body mass index on the way anticancer drugs
work in the body. It may also help doctors predict how patients will respond to treatment
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00900445
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Trial related presentations / publications
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Public notes
This record is viewable in the ANZCTR as it had previously listed Australia and/or New Zealand as a recruitment site, however these sites have since been removed
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Contacts
Principal investigator
Name
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Ian Pollack
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Address
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Children's Oncology Group
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00900445
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