Comparative pharmacokinetics, pharmacodynamics, efficacy and safety of two asparaginase preparations in children with previously untreated acute lymphoblastic leukaemia (ALL)

ISRCTN ISRCTN75734403
DOI https://doi.org/10.1186/ISRCTN75734403
Secondary identifying numbers NTR402
Submission date
27/01/2006
Registration date
27/01/2006
Last edited
07/10/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Rob Pieters
Scientific

Erasmus MC-Sophia Children's Hospital Rotterdam
Dutch Childhood Oncology Group
Pediatric Oncology
P.O. Box 2060
Rotterdam
3015 GJ
Netherlands

Phone +31 (0)10 4636691
Email rob.pieters@erasmusmc.nl

Study information

Study designSingle centre, randomised, double-blind, parallel-group, phase II study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study objectivesComparison of pharmacokinetics, pharmacodynamics, efficacy and safety of recombinant asparaginase (ASNase) versus asparaginase medac during induction treatment in children with de novo acute lymphoblastic leukaemia (ALL) and to demonstrate that any clinical important difference to the disadvantage of recombinant ASNase is unlikely.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedAcute lymphoblastic leukaemia (ALL)
InterventionRecombinant ASNase instead of regular ASNase Medac during induction therapy.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Recombinant asparaginase
Primary outcome measureTo determine the ratio of the population geometric means of the 72 hour serum concentration versus time curves (AUC) for the first administration of recombinant asparaginase versus asparaginase medac.
Secondary outcome measures1. Trough levels of ASNase activity in serum during subsequent ASNase infusions
2. Serum and cerebrospinal fluid (CSF) levels of asparagine, aspartic acid, glutamine, glutamic acid
3. Complete remission (CR) rate and minimal residual disease (MRD) status at day 33
4. Adverse events
Overall study start date01/11/2004
Completion date01/11/2006

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit1 Year
Upper age limit18 Years
SexBoth
Target number of participants32
Key inclusion criteria1. Previously untreated ALL
2. Morphological proof of ALL; bone marrow greater than 25% blasts
3. Aged 1 - 18 years
4. Informed consent
Key exclusion criteria1. Known allergy to ASNase
2. General health status according to Karnofsky/Lansky less than 40%
3. Pre-existing coagulopathy (e.g. haemophilia)
4. Pre-existing pancreatitis
5. Kidney insufficiency (creatinine greater than 220 umol/l)
6. Liver insufficiency (bilirubin greater than 50 umol/l; aspartate aminotransferase [ASAT] and alanine aminotransferase [ALAT] greater than 5 x upper limit of normal
7. Other current malignancies
8. Pregnancy, breast feeding
9. Patients suffering from mental disorders
Date of first enrolment01/11/2004
Date of final enrolment01/11/2006

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus MC-Sophia Children's Hospital Rotterdam
Rotterdam
3015 GJ
Netherlands

Sponsor information

Medac GmbH (Germany)
Industry

Theaterstrasse 6
Wedel
D-22880
Germany

ROR logo "ROR" https://ror.org/05e0gzh77

Funders

Funder type

Not defined

Not provided at time of registration

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 15/12/2008 Yes No