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ALLTogether1 - A Treatment Study Protocol of the ALLTogether Consortium for Children and Young Adults (0-45 Years of Age) With Newly Diagnosed Acute Lymphoblastic Leukaemia (ALL)

Who is this study for? Child to adult patients with Acute Lymphoblastic Leukemia
Status: Recruiting
Location: See all (139) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

ALLTogether collects the experience of previously successful treatment of infants, children and young adults, with ALL from a number of well-renowned study groups into a new master protocol, which is both a comprehensive system for stratification and treatment of ALL in this age-group as well as the basis for several randomised and interventional trials included in the study-design.

Eligibility
Participation Requirements
Sex: All
Maximum Age: 45
Healthy Volunteers: f
View:

• Patients newly diagnosed with T-lymphoblastic (T-cell) or B-lymphoblastic precursor (BCP) leukaemia (ALL) according to the WHO-classification of Tumours of Haematopoetic and Lymphoid Tissues (Revised 4th edition 2017) and with a diagnosis confirmed by an accredited laboratory at a participating paediatric oncology or adult haematology centre.

• Age 0 - \< 46 years (one day before 46th birthday) at the time of diagnosis with the exception of infants with KMT2A-rearranged (KMT2A-r) BCP ALL.

• Patients with surface immunoglobulin negative (sIG-) BCP-ALL and an IG::MYC rearrangement, unless they have a concurrent BCL2/6 rearrangement. T-ALL patients with MYC translocations.

• Informed consent signed by the patient and/or parents/legal guardians according to country-specific age-related guidelines.

• The ALL diagnosis should be confirmed by an accredited laboratory at a participating paediatric oncology or adult haematology centre.

• The patient should be diagnosed and treated at a participating paediatric oncology or adult haematology centre in the participating countries.

• The patient should be a resident in one of the participating countries on a permanent basis or should intend to settle in a participating country, for instance by an application for asylum. Patients who are visiting the country as tourists should not be included. However, returning expatriots with primary diagnosis abroad may be included if no treatment has been administered and the diagnostic procedures are repeated at a participating centre.

• All women of childbearing potential (WOCBP) have to have a negative pregnancy test within 2 weeks prior to the start of treatment.

• For each intervention/randomisation an additional set of inclusion-criteria is provided.

Locations
Other Locations
Belgium
Cliniques Universitaires Saint-Luc (UCL)
RECRUITING
Brussels
L'hôpital Universitaire des enfants Reine Fabiola (Huderf)
RECRUITING
Brussels
University Hospital Antwerp
RECRUITING
Edegem
University Hospital Ghent
RECRUITING
Ghent
University Hospital Leuven, Dept of Paediatrics
RECRUITING
Leuven
CHC MontLégia, Boulevard Patience et Beaujonc 2
RECRUITING
Liège
CHR de la Citadelle
RECRUITING
Liège
Denmark
Aalborg University Hospital, Dept of Paediatrics
RECRUITING
Aalborg
Aarhus University Hospital
RECRUITING
Aarhus
Aarhus University Hospital, Child and Adolescent Health
RECRUITING
Aarhus
Rigshospitalet, Dept of Haematology
RECRUITING
Copenhagen
Rigshospitalet, Dept of Paediatrics
RECRUITING
Copenhagen
Odense University Hospital, Dept of Paediatrics
RECRUITING
Odense
Estonia
North Estonia Medical Centre, Dept of Haematology
RECRUITING
Tallinn
Tallinn Children´s Hospital, Dept of Paediatrics
RECRUITING
Tallinn
Tartu University Hospital
RECRUITING
Tartu
Finland
Helsinki University Hospital, Dept of Haematology
RECRUITING
Helsinki
Helsinki University Hospital, Dept of Paediatrics
RECRUITING
Helsinki
Kuopio University Hospital, Dept of Haematology
RECRUITING
Kuopio
Kuopio University Hospital, Dept of Paediatrics
RECRUITING
Kuopio
Oulu University Hospital, Dept of Haematology, Dept of Medicine
RECRUITING
Oulu
Oulu University Hospital, Dept of Paediatrics
RECRUITING
Oulu
Tampere University Hospital, Dept of Haematology
RECRUITING
Tampere
Tampere University Hospital, Dept of Paediatrics
RECRUITING
Tampere
Turku University Hospital, Clinical Haematology and Stem Cell Transplantation Unit
RECRUITING
Turku
Turku University Hospital, Dept of Paediatrics
RECRUITING
Turku
France
CHU Amiens Groupe Hospitalier Sud
RECRUITING
Amiens
CHU Angers
RECRUITING
Angers
CHRU Besançon
RECRUITING
Besançon
CHU Bordeaux - Groupe Hospitalier Pellegrin
RECRUITING
Bordeaux
CHRU Brest - Morvan
RECRUITING
Brest
Centre Hospitalier Universitaire Caen
RECRUITING
Caen
CHU Clermont-Ferrand
RECRUITING
Clermont-ferrand
CHU Dijon Hôpital François Mitterrand
RECRUITING
Dijon
CHU de Grenoble site Nord - Hôpital Albert Michallon
RECRUITING
Grenoble
CHRU de Lille - Hôpital Jeanne de Flandre
RECRUITING
Lille
Hôpital de la mère et de l'enfant
RECRUITING
Limoges
CHU de Lyon HCL - GH Est-Institut d'hématologie et d'oncologie pédiatrique IHOP
RECRUITING
Lyon
CHU de Marseille - Hôpital de la Timone
RECRUITING
Marseille
CHU de Montpellier - Hôpital Arnaud de Villeneuve
RECRUITING
Montpellier
CHU Nantes-Hôpital enfant-adolescent
RECRUITING
Nantes
CHU Nice - Hôpital l'Archet 2
RECRUITING
Nice
CHU Paris - Hôpital Robert Debré
RECRUITING
Paris
CHU Paris Armand Trousseau
RECRUITING
Paris
CHU Paris Saint Louis
RECRUITING
Paris
CHU Poitiers
RECRUITING
Poitiers
CHU Reims-American Hospital
RECRUITING
Reims
CHU Rennes - Hôpital sud
RECRUITING
Rennes
CHU Rouen
RECRUITING
Rouen
CHU De La Réunion - Site Nord (Hôpital Félix GUYON)
RECRUITING
Saint-denis
CHU Saint Etienne Hôpital Nord
RECRUITING
Saint-etienne
CHU Strasbourg -Hôpital de Hautepierre
RECRUITING
Strasbourg
CHU Toulouse
RECRUITING
Toulouse
CHRU Tours- Hôpital Clocheville
RECRUITING
Tours
CHU de Nancy - Hôpital de Brabois Enfant
RECRUITING
Vandœuvre-lès-nancy
Germany
Evangelisches Klinikum Bethel
RECRUITING
Bielefeld
Universitätsklinikum Bonn
RECRUITING
Bonn
Klinikum Bremen Mitte
RECRUITING
Bremen
Universitätsklinikum Hamburg-Eppendorf
RECRUITING
Hamburg
HELIOS Klinikum Krefeld
RECRUITING
Krefeld
Universitätsmedizin Mainz
RECRUITING
Mainz
Iceland
Landspitali University Hospital, Children's Hospital
RECRUITING
Reykjavik
Ireland
Our Lady's Children's Hospital
RECRUITING
Dublin
Lithuania
Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos
RECRUITING
Vilnius
Vilnius University Hospital Santaros Klinikos
NOT_YET_RECRUITING
Vilnius
Netherlands
Princess Máxima Center for Pediatric Oncology
RECRUITING
Utrecht
University Medical Center Utrecht
RECRUITING
Utrecht
Norway
Haukeland University Hospital, Dept of Haematology
RECRUITING
Bergen
Haukeland University Hospital, Dept of Paediatrics
RECRUITING
Bergen
Oslo University Hospital, Dept of Haematology
RECRUITING
Oslo
Oslo University Hospital, Dept of paediatric haemato- and oncology
RECRUITING
Oslo
Stavanger University Hospital, Dept of Haematology
RECRUITING
Stavanger
University Hospital North Norway, Dept of Haematology
RECRUITING
Tromsø
University Hospital of North Norway, Dept of Paediatrics
RECRUITING
Tromsø
St. Olavs University Hospital, Dept of Haematology
RECRUITING
Trondheim
St. Olavs University Hospital, Dept of Paediatrics
RECRUITING
Trondheim
Portugal
Centro Hospitalar e Universitário de Coimbra, EPE - Hospital Pediátrico de Coimbra
NOT_YET_RECRUITING
Coimbra
Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE
RECRUITING
Lisbon
Instituto Português de Oncologia do Porto Francisco Gentil, EPE
RECRUITING
Porto
Spain
Hospital Universitario De Cruces
NOT_YET_RECRUITING
Barakaldo
Hospital Universitari Vall D Hebron
NOT_YET_RECRUITING
Barcelona
Hospital Sant Joan De Deu Barcelona
NOT_YET_RECRUITING
Esplugues De Llobregat
Hospital Infantil Universitario Nino Jesus
NOT_YET_RECRUITING
Madrid
Hospital Universitario La Paz
NOT_YET_RECRUITING
Madrid
University Hospital Son Espases
NOT_YET_RECRUITING
Palma De Mallorca
University Hospital Virgen Del Rocio S.L.
NOT_YET_RECRUITING
Seville
Hospital Universitario Y Politecnico La Fe
NOT_YET_RECRUITING
Valencia
Hospital Universitario Miguel Servet
NOT_YET_RECRUITING
Zaragoza
Sweden
Sahlgrenska University Hospital, Dept of Paediatric Haematology and Oncology
RECRUITING
Gothenburg
Sahlgrenska University Hospital, Section for Haematology and coagulation
RECRUITING
Gothenburg
Linköping University Hospital, Dept of Haematology
RECRUITING
Linköping
Linköping University Hospital, Dept of Paediatrics
RECRUITING
Linköping
Skåne University Hospital, Dept of Haematology
RECRUITING
Lund
Skåne University Hospital, Dept of Paediatrics
RECRUITING
Lund
Örebro University Hospital, Section for Haematology
RECRUITING
Örebro
Karolinska University Hospital, Dept of Paediatric Oncology and Haematology
RECRUITING
Stockholm
Karolinska University Hospital, Patient area Haematology
RECRUITING
Stockholm
Norrland University Hospital, Dept of Haematology
RECRUITING
Umeå
Norrland University Hospital, Dept of Paediatrics
RECRUITING
Umeå
Uppsala University Hospital, Dept of Haematology
RECRUITING
Uppsala
Uppsala University Hospital, Dept of Paediatric Haematology and Oncology
RECRUITING
Uppsala
United Kingdom
Aberdeen Royal Infirmary, Aberdeen
NOT_YET_RECRUITING
Aberdeen
Royal Aberdeen Children's Hospital, Aberdeen
RECRUITING
Aberdeen
Belfast City Hospital, Belfast
NOT_YET_RECRUITING
Belfast
Royal Belfast Hospital for Sick Children, Belfast
NOT_YET_RECRUITING
Belfast
Birmingham Children's Hospital, Birmingham
RECRUITING
Birmingham
The Queen Elizabeth Hospital, Birmingham
RECRUITING
Birmingham
Bristol Royal Hospital for Children / Bristol Haematology and Oncology Centre
RECRUITING
Bristol
Addenbrooke's Hospital, Cambridge
RECRUITING
Cambridge
Noah's Ark Children's Hospital for Wales, Cardiff
NOT_YET_RECRUITING
Cardiff
University Hospital of Wales, Cardiff
NOT_YET_RECRUITING
Cardiff
Ninewells Hospital, Dundee
NOT_YET_RECRUITING
Dundee
Royal Hospital for Children and Young People, Edinburgh
RECRUITING
Edinburgh
Western General Hospital, Edinburgh
RECRUITING
Edinburgh
Beatson West of Scotland Cancer Centre, Glasgow
NOT_YET_RECRUITING
Glasgow
Royal Hospital for Children, Glasgow
RECRUITING
Glasgow
Leeds General Infirmary, Leeds
RECRUITING
Leeds
Leeds St James University Hospital
RECRUITING
Leeds
Leicester Royal Infirmary, Leicester
RECRUITING
Leicester
Alder Hey Children's Hospital, Liverpool
RECRUITING
Liverpool
The Clatterbridge Cancer Centre NHS Foundation Trust
RECRUITING
Liverpool
Great Ormond Street Hospital for Children, London
RECRUITING
London
King's College Hospital
RECRUITING
London
St. Bartholomews Hospital
RECRUITING
London
University College London Hospital, London
RECRUITING
London
Royal Manchester Children's Hospital, Manchester
RECRUITING
Manchester
The Christie NHS Foundation Trust (PTC)
RECRUITING
Manchester
Freeman Hospital, Newcastle
NOT_YET_RECRUITING
Newcastle
Royal Victoria Infirmary, Newcastle
RECRUITING
Newcastle Upon Tyne
Nottingham City Hospital
NOT_YET_RECRUITING
Nottingham
Nottingham Queen's Medical Centre
RECRUITING
Nottingham
Churchill Hospital, Oxford
NOT_YET_RECRUITING
Oxford
John Radcliffe Hospital, Oxford
RECRUITING
Oxford
Derriford Hospital
RECRUITING
Plymouth
Royal Hallamshire Hospital, Sheffield
RECRUITING
Sheffield
Sheffield Children's Hospital, Sheffield
RECRUITING
Sheffield
Southampton General Hospital, Southampton
RECRUITING
Southampton
Royal Stoke University Hospital, Stoke
NOT_YET_RECRUITING
Stoke
Royal Marsden Hospital, Sutton
RECRUITING
Sutton
Contact Information
Primary
Global Clinical Trial Manager ALLTogether1
alltogether.karolinska@regionstockholm.se
+46 8 123 700 00
Time Frame
Start Date: 2020-07-13
Estimated Completion Date: 2033-06
Participants
Target number of participants: 6430
Treatments
No_intervention: R1 - SR standard arm
Standard risk arm receiving standard treatment (Delayed Intensification including Doxorubicin).
Experimental: R1 - SR experimental arm
Standard risk arm, receiving Delayed Intensification without Doxorubicin IV 3 x 30 mg/m2/dose.
No_intervention: R2 - IR-low standard arm
Standard treatment with Delayed Intensification including Doxorubicin and Maintenance including Vincristine+Dexamethasone pulses.
Experimental: R2 - IR-low experimental arm A
Standard treatment with omission of Doxorubicin IV 3 x 30 mg/m2/dose in the Delayed Intensification phase.
No_intervention: R3 - IR-high standard arm
Intermediate risk high arm receiving Standard Maintenance Therapy.
Experimental: R3-InO - IR-high experimental arm
Inotuzumab IV 0,5 mg/m2, given on days 253, 260, 267 and on days 274, 281, 288 before start of Standard Maintenance Therapy.
Experimental: ABL-class fusions intervention
Imatinib p.o. 340 mg/m2 given daily from day 15 or 30 (depending on age) to the end of therapy (week 106) in addition to Standard IR-high chemotherapy.
Experimental: R3-TEAM - IR-high experimental arm
6-tioguanine p.o, 2,5-12,5 mg/m2, given daily in addition to Standard Maintenance Therapy.
Experimental: ALLTogether1 DS Blinatumomab intervention
Blinatumomab IV, 5 mcg/m2/day up to 28 mcg/day (detailed dosing in protocol) continous infusion. Two 28 day courses with a two week treatment free interval in between. Blinatumomab courses replace Consolidation 1 and Consolidation 2 in the standard protocol adapted for Down syndrome patients.
Experimental: R2 - IR-low experimental arm B
Standard treatment with omission of monthly pulses of Vincristine IV 1,5 mg/m2/dose and 5 days of Dexamethasone p.o. 6 mg/m2/day in the Maintenance Phase.
Sponsors
Collaborators: Nova Laboratories Limited, Karolinska Institutet, The Novo Nordic Foundation, NordForsk, Fundação Rui Osório de Castro, Swedish Cancer Society, Direction Générale de l'Offre de Soins, The Swedish Research Council, The Swedish Childhood Cancer Foundation, Servier, Aamu Pediatric Cancer Foundation, Amgen, Belgium Health Care Knowledge Centre, Pfizer, Acreditar - Associação de Pais e Amigos das Crianças com Cancro, Cancer Research UK, Assistance Publique - Hôpitaux de Paris, Clinical Trial Center North (CTC North GmbH & Co. KG), German Society for Pediatric Oncology and Hematology GPOH gGmbH, Danish Cancer Society, Grupo Português De Leucemias Pediátricas, Danish Child Cancer Foundation
Leads: Mats Heyman

This content was sourced from clinicaltrials.gov