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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01802814
Additional trial details provided through ANZCTR are available at the end of this record.
Registration number
NCT01802814
Ethics application status
Date submitted
18/02/2013
Date registered
1/03/2013
Date last updated
9/02/2024
Titles & IDs
Public title
International Study for Treatment of Standard Risk Childhood Relapsed ALL 2010
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Scientific title
International Study for Treatment of Standard Risk Childhood Relapsed ALL 2010 A Randomized Phase III Study Conducted by the Resistant Disease Committee of the International BFM Study Group
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Secondary ID [1]
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IntReALL SR 2010
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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 (ALL)
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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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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
Interventional
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Description of intervention(s) / exposure
No intervention: SR-A - Patients randomized to the SR-A Arm receive induction, consolidation and maintenance therapy according to a modified protocol ALL-REZ BFM 2002 with Protocol II-IDA as 1st consolidation element. In this arm patients are randomized not to receive epratuzumab.This randomization has been stopped pre-term on 1.2.2019 since the investigational product is not provided anymore by the manufacturer.
Active comparator: SR-A + Epratuzumab - Patients randomized to the SR-A Arm receive induction, consolidation and maintenance therapy according to a modified protocol ALL-REZ BFM 2002 with Protocol II-IDA as 1st consolidation element. In this arm patients are randomized to receive epratuzumab. This randomization has been stopped pre-term on 1.2.2019 since the investigational product is not provided anymore by the manufacturer.
No intervention: SR-B - Patients randomized to the SR-B Arm receive induction, post-induction and maintenance therapy according to the protocol ALL-R3. In this arm patients are randomized not to receive epratuzumab. This randomization has been stopped pre-term on 1.2.2019 since the investigational product is not provided anymore by the manufacturer.
Active comparator: SR-B + Epratuzumab - Patients randomized to the SR-B Arm receive induction, post-induction and maintenance therapy according to the protocol ALL-R3. In this arm patients are randomized to receive epratuzumab. This randomization has been stopped pre-term on 1.2.2019 since the investigational product is not provided anymore by the manufacturer.
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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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SR induction/consolidation ALL-REZ BFM 2002 versus UK-ALL-R3 (randomisation 1)
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Assessment method [1]
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SR induction/consolidation ALL-REZ BFM 2002 versus UK-ALL-R3 (randomisation 1): 10% pEFS superiority of arm B above a 65% pEFS at 4 years of arm A
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Timepoint [1]
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Up to 9 years
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Primary outcome [2]
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SR consolidation +/- epratuzumab (randomisation 2)
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Assessment method [2]
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SR consolidation +/- epratuzumab (randomisation 2): 10% pEFS superiority of the arm with epratuzumab above an expected 74% pEFS at 4 years of the standard arm
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Timepoint [2]
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Up to 9 years
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Secondary outcome [1]
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SR induction/consolidation
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Assessment method [1]
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SR induction/consolidation: comparison of OS, toxicity, rate of CR2, and rate of MRD between treatment groups
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Timepoint [1]
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Up to 9 years
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Secondary outcome [2]
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SR consolidation +/- epratuzumab
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Assessment method [2]
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SR consolidation +/- epratuzumab: comparison of OS, toxicity, MRD levels, rate of MRD and evaluation of pharmacokinetic parameters of Epratuzumab
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Timepoint [2]
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Up to 9 years
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Eligibility
Key inclusion criteria
* Morphologically confirmed diagnosis of 1st relapsed precursor B-cell or T-cell ALL
* Children less than 18 years of age at inclusion
* Meeting SR criteria: late isolated or late/early combined B-cell precursor (BCP) bone marrow (BM) relapse, any late/early isolated extramedullary relapse
* Patient enrolled in a participating centre
* Written informed consent
* Start of treatment falling into the study period
* No participation in other clinical trials 30 days prior to study enrolment that interfere with this protocol, except trials for primary ALL Inclusion criteria specific for the epratuzumab randomization
* Precursor B-cell immunophenotype. A specific CD22 expression level is not required
* M1 or M2 status of the bone marrow after induction
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Minimum age
1
Day
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Maximum age
17
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
* BCR-ABL / t(9;22) positive ALL
* Pregnancy or positive pregnancy test (urine sample positive for ß-HCG > 10 U/l)
* Sexually active adolescents not willing to use highly effective contraceptive method (pearl index <1) until 2 years after end of antileukemic therapy
* Breast feeding
* Relapse post allogeneic stem-cell transplantation
* The whole protocol or essential parts are declined either by patient himself/herself or the respective legal guardian
* No consent is given for saving and propagation of pseudonymized medical data for study reasons
* Severe concomitant disease that does not allow treatment according to the protocol at the investigator's discretion (e.g. malformation syndromes, cardiac malformations, metabolic disorders)
* Karnovsky / Lansky score < 50%
* Subjects unwilling or unable to comply with the study procedures
* Subjects who are legally detained in an official institute
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
1/05/2014
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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
31/07/2023
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Sample size
Target
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Accrual to date
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Final
700
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Australian & New Zealand Childhood Hematology & Oncology Group - Clayton
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Recruitment postcode(s) [1]
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3168 - Clayton
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Recruitment outside Australia
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Austria
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State/province [1]
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Vienna
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Belgium
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Bruxelles
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Czechia
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Prague
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Denmark
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Copenhagen
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Finland
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Turku
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France
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Nice
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Germany
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Berlin
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Israel
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Tel Aviv
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Italy
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State/province [9]
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Roma
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Japan
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State/province [10]
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Tokyo
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Netherlands
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State/province [11]
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Utrecht
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Norway
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Oslo
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Poland
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State/province [13]
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Wroclaw
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Portugal
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State/province [14]
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Lisboa
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Switzerland
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State/province [15]
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Zürich
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Country [16]
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United Kingdom
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State/province [16]
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Manchester
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Funding & Sponsors
Primary sponsor type
Other
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Name
Charite University, Berlin, Germany
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Australian & New Zealand Children's Haematology/Oncology Group
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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St. Anna Kinderkrebsforschung (Co-Sponsor Austria)
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Address [2]
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Other collaborator category [3]
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Other
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Name [3]
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European Organisation for Research and Treatment of Cancer - EORTC
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Address [3]
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Other collaborator category [4]
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Other
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Name [4]
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University Hospital Motol (Co-Sponsor Czech Republic)
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Other collaborator category [5]
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Other
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Copenhagen University Hospital (Rigshospitalet) (Co-Sponsor Copenhagen)
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Other collaborator category [6]
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Other
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Turku University (Co-Sponsor Finland)
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Other collaborator category [7]
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Other
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Name [7]
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Centre Hospitalier Universitaire de Nice
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Address [7]
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Other collaborator category [8]
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Other
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Our Lady's Chilrden's Hospital (Co-Sponsor Ireland)
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Other collaborator category [9]
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Other
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Tel Aviv Sourasky Medical Centre (Co-Sponsor Israel)
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Other
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Ospedale Pediatrico Bambino Gesù (Co-Sponsor Italy)
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Other
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National Hospital Organization Nagoya Medical Center (Co-Sponsor Japan)
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Other collaborator category [12]
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Other
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Prinses Máxima Centrum (Co-Sponsor Netherlands)
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Other
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Oslo University Hospital (Co-Sponsor Oslo)
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Other
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Medical University of Wroclaw (Co-Sponsor Poland)
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Other
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Instituto Português de Oncologia de Lisboa (Co-Sponsor Lisboa)
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Other collaborator category [16]
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Other
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Name [16]
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Spanish Society of Pediatric Hematology and Oncology (SEHOP) (Co-Sponsor Spain)
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Other collaborator category [17]
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Other
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Name [17]
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University Children's Hospital, Zurich
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Other
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Name [18]
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Central Manchester University (Co-Sponsor United Kingdom)
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Ethics approval
Ethics application status
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Summary
Brief summary
The main goal of this study is to improve the outcome of children and adolescents with standard risk (SR) first relapsed acute lymphoblastic leukemia. Furthermore, goal is to set up a large international study group platform allowing for optimization of standard treatment strategies and integration of new agents.
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Trial website
https://clinicaltrials.gov/study/NCT01802814
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Arend von Stackelberg, MD
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Address
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University Hospital of Berlin - Charité
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01802814
Additional trial details provided through ANZCTR
Accrual to date
38
Recruiting in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
Recruitment hospital [1]
61
The Children's Hospital at Westmead
Recruitment hospital [2]
62
The Royal Childrens Hospital
Recruitment hospital [3]
63
John Hunter Children's Hospital
Recruitment hospital [4]
64
Queensland Children's Hospital
Recruitment hospital [5]
65
Womens and Childrens Hospital
Recruitment hospital [6]
66
Sydney Children's Hospital
Recruitment hospital [7]
67
Princess Margaret Hospital
Recruitment hospital [8]
68
Monash Medical Centre - Clayton campus
Recruitment postcode(s) [1]
65
2145
Recruitment postcode(s) [2]
66
3052
Recruitment postcode(s) [3]
67
2305
Recruitment postcode(s) [4]
68
4101
Recruitment postcode(s) [5]
69
5006
Recruitment postcode(s) [6]
70
2031
Recruitment postcode(s) [7]
71
6008
Recruitment postcode(s) [8]
72
3168
Recruiting in New Zealand
Province(s)/district(s)
Christchurch Children's Hospital, Christchurch Starship Children's Hospital, Auckland
Funding & Sponsors
Primary sponsor
University
Primary sponsor name
Charité – Universitätsmedizin Berlin
Primary sponsor address
Campus Virchow Klinikum
Augustenburger Platz 1
13353 Berlin
Primary sponsor country
Germany
Secondary sponsor category [1]
68
Other Collaborative groups
Name [1]
68
ANZCHOG
Address [1]
68
ANZCHOG Hudson Institute of Medical Research Level 6, TRF Building 27-31 Wright St, Clayton, Victoria 3168
Country [1]
68
Australia
Ethics approval
Ethics application status
Approved
Public notes
This trial is closed to recruitment
Contacts
Principal investigator
Title
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Dr
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Name
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Arend von Stackelberg
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Address
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Country
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Germany
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Phone
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Fax
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Email
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Contact person for public queries
Title
170
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Dr
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Name
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Tom Revesz
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Address
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Country
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Australia
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Phone
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Fax
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Email
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Contact person for scientific queries
Title
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Dr
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Name
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Tom Revesz
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Address
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Australia
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Phone
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Email
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