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Trial Title: Cladribine Combined With G-CSF and Cytarabine as a Salvage Treatment in R/R ALL

NCT ID: NCT05578378

Condition: Acute Lymphoblastic Leukemia

Conditions: Official terms:
Leukemia
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Lymphoid
Cytarabine
Methotrexate
Fludarabine
Cladribine

Study type: Interventional

Study phase: Phase 2/Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Cladribine
Description: Cladribine combine with cytarabine will be intravenous on days 1-5; G-CSF will be hypodermic injection on day0-5,4 weeks per cycle.
Arm group label: CLAG arm

Other name: G-CSF

Other name: Cytarabine

Intervention type: Drug
Intervention name: Fludarabine
Description: Control arm Patients in the control arm received the investigator's choice of one of the following three regimens: FLAG:Fludarabine(30mg/m2)should be intravenous use on day 1-5, granulocyte colony-stimulating factor will be hypodermic injection using 300 μg per day on days 0-5,cytarabine (1.5 mg/m2) every 12 hours, intravenous infusion on day1-5,4 weeks per cycle. a high-dose cytosine arabinoside-based regimen; a high-dose methotrexate-based regimen
Arm group label: Control arm

Other name: cytosine arabinoside

Other name: methotrexate

Summary: To explore the efficiency and safety of CLAG regimen in R/R ALL

Detailed description: R/R Acute Lymphoblastic Leukemia has poor response to second-line chemotherapy.Here,we want to explore efficiency and safety of CLAG regimen in R/R ALL.

Criteria for eligibility:
Criteria:
Inclusion Criteria: The patients meet the diagnostic criteria for Relapsed/Refractroy B-ALL. ECOG score is 0-3. Expecting life span is more than 6 weeks. Exclusion Criteria: Patients are combined with severe organ dysfunction or organ failure: Cardiac failure, Liver and kidney insufficiency. Patients are combined with severe infection or other complications that can not tolerate chemotherapy. Patients are considered as other tumor progression. Patients have used cladribine. Pregnant and lactating women will not be included.

Gender: All

Minimum age: 14 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital of Soochow University

Address:
City: Suzhou
Zip: 215006
Country: China

Status: Recruiting

Contact:
Last name: Yue Han, professor

Phone: +86 13901551669
Email: hanyuesz@163.com

Start date: January 1, 2022

Completion date: December 31, 2024

Lead sponsor:
Agency: The First Affiliated Hospital of Soochow University
Agency class: Other

Collaborator:
Agency: The First People's Hospital of Changzhou
Agency class: Other

Collaborator:
Agency: Zhongda Hospital
Agency class: Other

Collaborator:
Agency: Suzhou Municipal Hospital
Agency class: Other

Source: The First Affiliated Hospital of Soochow University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05578378

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