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View Clinical Trial (Medical Research Study)

Erwinia Asparaginase After Allergy to PEG-Asparaginase in Treating Young Patients With Acute Lymphoblastic Leukemia - NCT00537030-10016 (Clinical Trial 186386)
Permalink: http://www.ClinicalConnection.com/exp/ExpandedPatientViewStudy186386.aspx



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City:  New York
State:  
NY
Zip Code: 10016
Conditions: Leukemia
Purpose: RATIONALE: Drugs used in chemotherapy, such as Erwinia asparaginase, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. PURPOSE: This clinical trial is studying the side effects of Erwinia asparaginase and what happens to the drug in the body in treating young patients with acute lymphoblastic leukemia who are allergic to PEG-asparaginase.
Study summary: OBJECTIVES: Primary - To determine if the 48-hour trough serum asparaginase activity is ≥ 0.1 IU/mL in young patients with acute lymphoblastic leukemia treated with Erwinia asparaginase after allergy to PEG-asparaginase. - To determine the frequency of asparaginase-related toxicity in these patients. - To characterize the pharmacokinetics of Erwinia asparaginase in these patients. Secondary - To compare serum asparaginase activity and serum asparagine concentration between patients treated with Erwinia asparaginase on this trial and historical controls treated with PEG-asparaginase on CCG-1961 and CCG-1962. - To determine the 72-hour serum asparaginase activity on days 8 or 11 or 13 based on the starting date of Erwinia asparaginase therapy. - To determine the presence of anti-Erwinia asparaginase antibodies in patients treated with a course(s) of Erwinia asparaginase following clinical allergy to PEG-asparaginase (PEG, pegaspargase). - To determine if serum asparagine is adequately depleted on days 12 or 13 in a subset of these patients. OUTLINE: This is a multicenter study. Patients receive 6 doses of Erwinia asparaginase intramuscularly on a Monday/Wednesday/Friday schedule as a replacement for each scheduled dose of PEG-asparaginase remaining on the original treatment protocol. All other chemotherapy continues according to the original treatment protocol. Blood samples are collected periodically for pharmacokinetic, pharmacodynamic, and antibody studies. After completion of study treatment, patients are followed periodically.
Criteria: DISEASE CHARACTERISTICS: - Diagnosis of acute lymphoblastic leukemia - Concurrently enrolled on a frontline Children's Oncology Group treatment trial (i.e., COG-AALL0232 or COG-AALL0531, COG-AALL0331, or COG-AALL0434) at a participating institution - Must have 1 or more courses of asparaginase remaining to be administered on the treatment protocol - Must have had a grade ≥ 2 hypersensitivity reaction to PEG-asparaginase PATIENT CHARACTERISTICS: - No history of pancreatitis ≥ grade 2 PRIOR CONCURRENT THERAPY: - No prior Erwinia asparaginase
Study is available at: NYU Cancer Institute at New York University Medical Center
New York, NY 10016
United States

Primary Contact:
Elizabeth Raetz
Phone: 212-263-8400
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 15, 2010
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Clinical trials are medical research studies designed to test the safety and/or effectiveness of new drugs, devices, or treatments in humans. These studies are conducted worldwide for a range of conditions and illnesses. Learn more about clinical research and participating in a study at About Clinical Trials.


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