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Trial registered on ANZCTR
Registration number
ACTRN12605000072617
Ethics application status
Approved
Date submitted
4/08/2005
Date registered
4/08/2005
Date last updated
28/09/2023
Date data sharing statement initially provided
4/08/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Glivec plus chemotherapy in blast-phase CML and Ph+ ALL
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Scientific title
A Phase II Pilot Study of Glivec (imatinib mesylate formerly known as STI571) Combined with Induction Chemotherapy in Blast-Phase Chronic Myeloid Leukemia and Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia, to evaluate safety and improve remission rate.
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Secondary ID [1]
99
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Australasian Leukaemia and Lymphoma Group (ALLG): ALLG CMLALL1
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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:
Blast-Phase Chronic Myeloid Leukemia
145
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Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia
146
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Condition category
Condition code
Cancer
164
164
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0
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Leukaemia - Acute leukaemia
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Cancer
165
165
0
0
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Leukaemia - Chronic leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Combined therapy with Glivec for Philadelphia-chromosome positive leukemias.
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Intervention code [1]
113
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Treatment: Drugs
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Comparator / control treatment
Conventional chemotherapy for Philadelphia-chromosome positive leukemias.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To determine the safety and tolerability of Glivec (STI571) at 600 mg daily in combination with induction chemotherapy in adult patients with CML in blast crisis or Ph+ ALL during the first 2 months of treatment
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Assessment method [1]
205
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Timepoint [1]
205
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During the first 2 months of treatment
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Secondary outcome [1]
465
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1. To investigate the efficacy of Glivec combined with induction chemotherapy in Ph+ acute leukaemias. This will be evaluated in terms of response rate (haematological, cytogenetic and molecular)
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Assessment method [1]
465
0
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Timepoint [1]
465
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At 4 weeks, leukaemia-free survival and overall survival at 3 years.
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Secondary outcome [2]
466
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2. To examine the inhibition of Bcr-Abl kinase activity in leukaemic blasts induced in-vivo by Glivec. This will be determined using Western blot analysis.
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Assessment method [2]
466
0
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Timepoint [2]
466
0
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Eligibility
Key inclusion criteria
1. Patients with a confirmed diagnosis of Ph+ CML in myeloid or lymphoid blast crisis, defined by the presence of the Philadelphia chromosome or Bcr-Abl fusion transcript and one or both of the following: i) >30% blasts in peripheral blood and/or bone marrow ii) Presence of extramedullary disease other than spleen and/or liver involvement (i.e. chloromas) OR Patients with a confirmed diagnosis of Ph+ ALL 2. Patients of childbearing potential must have a negative pregnancy test prior to the initiation of therapy. Male and female patients agree to employ an effective barrier method of birth control throughout the study and for up to 3 months following the discontinuation of Glivec. 3. Written informed consent.
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Minimum age
16
Years
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Maximum age
70
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
1. Exposure to any other investigational agents within 30 days of commencing Glivec 2. Known sensitivity to Glivec or the phenylaminopyrimidine class of drugs 3. ECOG Performance Status Score > 2 (Appendix 1) 4. Left ventricular ejection fraction < 50% on a radionuclide cardiac scan or echocardiogram 5. Creatinine > 1.5 ´ the upper limit of normal (ULN) at the laboratory where the analysis was performed 6. Serum bilirubin > 2 ´ ULN 7. AST or ALT > 2.5 ´ ULN. In patients with suspected leukaemic involvement of the liver, AST or ALT > 5 ´ ULN. 8. Known HIV seropositivity 9. Any serious concomitant medical condition that could, in the opinion of the Investigator, compromise participation in the study 10. Pregnancy or breastfeeding 11. Dementia, intellectual impairment or any other psychiatric disorder that prohibits the patient from understanding and giving informed consent.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/03/2003
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Actual
18/03/2002
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Date of last participant enrolment
Anticipated
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Actual
27/02/2007
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Date of last data collection
Anticipated
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Actual
31/12/2008
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Sample size
Target
46
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Accrual to date
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Final
41
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
218
0
Commercial sector/Industry
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Name [1]
218
0
Novartis Australia
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Address [1]
218
0
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Country [1]
218
0
Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Leukaemia and Lymphoma Group
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Address
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Country
Australia
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Secondary sponsor category [1]
164
0
None
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Name [1]
164
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nil
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Address [1]
164
0
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Country [1]
164
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1002
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Royal Adelaide
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Ethics committee address [1]
1002
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Port Road Adelaide SA 5000
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Ethics committee country [1]
1002
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Australia
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Date submitted for ethics approval [1]
1002
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Approval date [1]
1002
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11/07/2002
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Ethics approval number [1]
1002
0
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Ethics committee name [2]
1003
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Canberra
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Ethics committee address [2]
1003
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Yamba Dr, Garran ACT 2605
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Ethics committee country [2]
1003
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Australia
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Date submitted for ethics approval [2]
1003
0
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Approval date [2]
1003
0
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Ethics approval number [2]
1003
0
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Ethics committee name [3]
1004
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Launceston
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Ethics committee address [3]
1004
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274-280 Charles St, Launceston TAS 7250
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Ethics committee country [3]
1004
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Australia
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Date submitted for ethics approval [3]
1004
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Approval date [3]
1004
0
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Ethics approval number [3]
1004
0
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Ethics committee name [4]
1005
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Mater Brisbane
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Ethics committee address [4]
1005
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Level 3, Aubigny Place Raymond Terrace South Brisbane, Qld 4101
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Ethics committee country [4]
1005
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Australia
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Date submitted for ethics approval [4]
1005
0
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Approval date [4]
1005
0
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Ethics approval number [4]
1005
0
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Ethics committee name [5]
1006
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Mater Private Med Centre
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Ethics committee address [5]
1006
0
Level 3, Aubigny Place Raymond Terrace South Brisbane, Qld 4101
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Ethics committee country [5]
1006
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Australia
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Date submitted for ethics approval [5]
1006
0
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Approval date [5]
1006
0
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Ethics approval number [5]
1006
0
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Ethics committee name [6]
1007
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Peter MacCallum
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Ethics committee address [6]
1007
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Peter MacCallum Cancer Centre Locked Bag 1, A’Beckett Street Victoria 8006
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Ethics committee country [6]
1007
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Australia
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Date submitted for ethics approval [6]
1007
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Approval date [6]
1007
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Ethics approval number [6]
1007
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Ethics committee name [7]
1008
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Royal Brisbane
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Ethics committee address [7]
1008
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Royal Brisbane and Women's Hospital Cnr Butterfield St and Bowen Bridge Rd HERSTON QLD 402
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Ethics committee country [7]
1008
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Australia
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Date submitted for ethics approval [7]
1008
0
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Approval date [7]
1008
0
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Ethics approval number [7]
1008
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Ethics committee name [8]
1009
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Royal Melbourne
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Ethics committee address [8]
1009
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300 Grattan Street Parkville, Victoria 3050
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Ethics committee country [8]
1009
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Australia
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Date submitted for ethics approval [8]
1009
0
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Approval date [8]
1009
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Ethics approval number [8]
1009
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Ethics committee name [9]
1010
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Royal North Shore
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Ethics committee address [9]
1010
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NSLHD Research Office, Level 13 Kolling Building, Royal North Shore Hospital, Reserve Road, St Leonards, NSW, 2065??
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Ethics committee country [9]
1010
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Australia
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Date submitted for ethics approval [9]
1010
0
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Approval date [9]
1010
0
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Ethics approval number [9]
1010
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Ethics committee name [10]
1011
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St Vincent's Melb
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Ethics committee address [10]
1011
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Research Governance Unit St Vincent's Hospital PO Box 2900 Fitzroy VIC 3065
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Ethics committee country [10]
1011
0
Australia
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Date submitted for ethics approval [10]
1011
0
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Approval date [10]
1011
0
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Ethics approval number [10]
1011
0
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Ethics committee name [11]
1012
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Townsville
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Ethics committee address [11]
1012
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100 Angus Smith Dr, Douglas QLD 4814
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Ethics committee country [11]
1012
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Australia
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Date submitted for ethics approval [11]
1012
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Approval date [11]
1012
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Ethics approval number [11]
1012
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Ethics committee name [12]
1013
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Westmead
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Ethics committee address [12]
1013
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Darcy Rd, Westmead NSW 2145
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Ethics committee country [12]
1013
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Australia
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Date submitted for ethics approval [12]
1013
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Approval date [12]
1013
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12/03/2002
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Ethics approval number [12]
1013
0
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Summary
Brief summary
Primary Objective: Investigation of the safety and tolerability of Glivec in combination with induction chemotherapy for blast-phase chronic myeloid leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia Secondary Objective(s): (1) Investigation of the efficacy of Glivec combined with induction chemotherapy in Ph+ acute leukaemias (2) Biochemical evaluation of Abl kinase suppression by Glivec in leukaemic blasts Patients aged 16-70 with CML in blast crisis or Ph+ ALL All patients will receive Glivec 600 mg orally once daily, beginning 7 days prior to induction chemotherapy. Subsequent therapy will be delivered on one of three arms: (1) CML in myeloid blast crisis : Chemotherapy will consist of induction with idarubicin and standard-dose cytarabine, followed by consolidation with 2 cycles of intermediate-dose cytarabine. Glivec will be administered without interruption in combination with the chemotherapy and then continued as a single agent until relapse or unacceptable toxicity. (2) CML in lymphoid blast crisis and relapsed Ph+ ALL: Chemotherapy will consist of 8 courses of hyper-CVAD and Glivec will be administered as in Arm 1. (3) De-novo Ph+ ALL: Chemotherapy will be given according to the French cooperative group ALL protocol (LALA 94). Glivec will be continued synchronously with induction, consolidation and maintenance chemotherapy, except for an interruption during cranial radiation.
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Trial website
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Trial related presentations / publications
Jason D Lickliter , Kerry Taylor , Jeff Szer , Andrew Grigg , Christopher Arthur , Timothy P Hughes , Simon Durrant , Robin Filshie , Ian Irving , Michael Seldon , Jennifer Ellacott , Andrew W Boyd , James D’Rozario , Kim Rooney , Kevin Lynch , and Ken Bradstock , for the Australasian Leukaemia and Lymphoma Group. An imatinib-only window followed by imatinib and chemotherapy for Philadelphia chromosomepositive acute leukemia: long-term results of the CMLALL1 trial. Leukaemia and Lymphoma 56:630-638 (2015).
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Public notes
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Contacts
Principal investigator
Name
35859
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Address
35859
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Country
35859
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Phone
35859
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Fax
35859
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Email
35859
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Contact person for public queries
Name
9302
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Associate Professor Kenneth Bradstock
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Address
9302
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Haematology Department
Westmead Hospital
Darcy Rd
Westmead NSW 2145
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Country
9302
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Australia
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Phone
9302
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+61 2 98457073
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Fax
9302
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+61 2 96892331
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Email
9302
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[email protected]
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Contact person for scientific queries
Name
230
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Associate Professor Kenneth Bradstock
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Address
230
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Haematology Department
Westmead Hospital
Darcy Rd
Westmead NSW 2145
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Country
230
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Australia
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Phone
230
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+61 2 98457073
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Fax
230
0
+61 2 96892331
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Email
230
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
De-identified IPD data, for all data collected during the trial
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When will data be available (start and end dates)?
Data available 3 months following publication, for an indefinite period
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Available to whom?
Data are potentially available to:
• Researchers from not-for-profit organisations
• Commercial organisations
• Other
Based in:
• Any location
Further information:
All data requests will be considered by the primary sponsor on a case by case basis. Requests must include a methodologically sound proposal. Specific conditions of use may apply and will be specified in a data sharing agreement (or similar) that the requester must agree to before access is granted.
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Available for what types of analyses?
Any type of analysis
Assessed on a case-by-case basis
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How or where can data be obtained?
Access can be requested via the Health Data Australia catalogue (https://researchdata.edu.au/health/). Search for the ACTRN number in the catalogue to find datasets associated with this trial or email enquiries to
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
19917
Study protocol
[email protected]
Access can be requested via the Health Data Austra...
[
More Details
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Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF