Overview
Sponsor-declared trial summary
Relapsed Acute Lymphoblastic Leukemia (ALL)
SR Arm induction:Improvement of EFS probability with InO versus ALLR3-Mitox SR-MRD good response consolidation: Improvement of 4 years DFS with 3 courses of blinatumomab HR Arm with CR2 consolidation: DFS non-inferiority with one consolidation chemotherapy course HC1 before blinatumomab compared to historical controls …
Key facts
- Sponsor
- Charite Universitaetsmedizin Berlin KöR
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years, 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Hemic and Lymphatic Diseases [C15], Diseases [C] - Neoplasms [C04]
- Decision date (initial)
- 2025-12-14
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- European Commission · National Funding Organsisation (e.g. Deutsche Kinderkrebshilfe)
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety, Therapy
SR Arm induction:Improvement of EFS probability with InO versus ALLR3-Mitox
SR-MRD good response consolidation: Improvement of 4 years DFS with 3 courses of blinatumomab
HR Arm with CR2 consolidation: DFS non-inferiority with one consolidation chemotherapy course HC1 before blinatumomab compared to historical controls with 2 consolidation courses HC1 and 2
Isolated extramedullary relapses: EFS improvement with blinatumomab in late consolidation compared to historical controls
Secondary objectives 15
- SR Arm induction: Improvement of overall survival (OS) probability with the InO arm
- SR Arm induction: Improvement of MRD negative CR2 rates in the InO arm
- SR Arm induction: Reduction of patients requiring allo-HSCT in the InO arm
- SR Arm induction: Reduction of toxicity during induction in the InO arm
- SR Arm induction: Comparison of CD19+ cell recovery after SCB1 prior to Blinatumomab between patients given either InO or SOC
- SR-MRD good response consolidation: Improvement of OS as compared to historical controls (i.e. patients treated in the IntReALL SR 2010 arm B without epratuzumab)
- SR-MRD good response consolidation: Reduction of toxicity during and after blinatumomab as compared to historical controls
- HR with CR2 consolidation: Reduction of persisting MRD post HC1 with blinatumomab
- HR with CR2 consolidation: Improved rates of allo-HSCT in CR2 with negative MRD
- HR with CR2 consolidation: Improvement of OS as compared to historical controls
- HR with CR2 consolidation: Reduction of toxicity during consolidation therapy
- Isolated extramedullary relapses: Prognostic relevance of submicroscopic BM involvement at relapse diagnosis in IEM relapse
- Isolated extramedullary relapses: Improvement of OS as compared to historical controls
- Isolated extramedullary relapses: Prognostic relevance of MRD response after induction in MRD positive patients
- Pharmacokinetic parameters of InO
Conditions and MedDRA coding
Relapsed Acute Lymphoblastic Leukemia (ALL)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | HLT | 10024290 | Leukaemias acute lymphocytic | 10029104 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 22
- All study questions: Confirmed diagnosis of 1st relapsed B-cell precursor ALL
- Specific for HR consolidation arm: M1/CR2 after induction therapy
- All study questions: Patients ≥ 1 year and less than 18 years of age at diagnosis of primary ALL and less than 21 years of age at date of inclusion into the study
- Specific for HR consolidation arm: CD19 positive ALL at relapse (>10%)
- Specific for IEM arm: Histology or cytology proven extramedullary relapse
- Specific for IEM arm: No bone marrow involvement (M1 at relapse diagnosis) and bone marrow MRD <1%
- Specific for IEM arm: CD19 positive ALL at relapse (>10%)
- All study questions: Patient enrolled in a participating center
- All study questions: Written informed consent (IC)
- All study questions: Start of treatment falling into the study period
- Meeting SR criteria: No previous history of veno-occlusive disease (VOD)/ sinusoidal obstruction syndrome (SOS)
- All study questions: No participation in other clinical trials 30 day prior to study enrolment that interfere with this protocol, except trials for primary ALL
- Specific for SR induction randomization: Meeting SR criteria
- Meeting SR criteria: BM involvement (≥ 1% leukemic blasts)
- Meeting SR criteria: CD22 positive ALL (>80% confirmed by flow-cytometry)
- Specific for SR MRD poor response consolidation: Meeting SR criteria with bone marrow involvement at relapse diagnosis
- Specific for SR MRD poor response consolidation: M1/CR2 and MRD ≥ 10-4 after induction
- Specific for SR MRD poor response consolidation: CD19 positive ALL at relapse (>10%)
- Specific for SR MRD good response consolidation: Meeting SR criteria with bone marrow involvement at relapse diagnosis
- Specific for SR MRD good response consolidation: M1/CR2 and MRD < 10-4 after induction
- Specific for SR MRD good response consolidation: CD19 positive ALL at relapse (>10%)
- Specific for HR consolidation arm: Meeting HR or VHR (in case of no possibility to be treated with CAR T cells) criteria
Exclusion criteria 22
- Known hypersensitivity to the active substances or excipients of the IMP’s or the SOC drugs, except to PEG-asparaginase which can be replaced by Erwinase
- Relapse post chimeric antigen receptor T-cell (CAR-T) therapy
- The whole protocol or essential parts are declined either by patient himself/herself or the respective legal guardian
- Objection to the study participation by a minor patient
- Patients in a dependent or subordinate relationship to the investigator or site staff (e.g. employees, relatives, or students)
- Specific for SR induction randomization: Prior confirmed severe (grade 3 or 4) or ongoing VOD/SOS
- Specific for SR induction randomization: Serious ongoing hepatic disease (e.g., cirrhosis, active hepatitis) not related to the current ALL relapse or current diagnostic/therapeutic measures
- Specific for SR induction randomization: ALT > 2,5 x ULN (at relapse diagnosis before start of cytoreduction) and/or bilirubin > 1.5 x ULN
- No consent is given for saving and propagation of pseudonymized medical data for study reasons
- Left ventricular ejection fraction (LVEF) < 50% or fractional shortening < 25%, and/or current or prior treatment for cardiomyopathy and/or history of clinically significant arrhythmias
- Severe concomitant disease that, according to the treating physician, does not allow treatment according to the protocol at the investigator’s discretion (e.g. malformation syndromes, cardiac malformations, metabolic disorders)
- Subjects unwilling or unable to comply with the study procedures
- Subjects who are legally detained in an official institute
- Pregnancy or positive pregnancy test in female patients (urine sample positive for β-HCG > 10 U/l) at screening or within 7 days prior to the initiation of study treatment
- Sexually active adolescents and adults not willing to use highly effective contraceptive method (pearl index <1) until 12 months after end of anti-leukemic therapy
- Women not willing to refrain from Bbreast feeding until 12 months after end of anti-leukemic therapy
- Relapse post allogeneic HSCT
- Patients with any concurrent medical condition, laboratory abnormality, concomitant treatment, or comorbidity that, in the investigator’s clinical judgment would- compromise the patient’s ability to safely receive or tolerate inotuzumab ozogamicin and/or blinatumomab - significantly interfere with assessment of treatment efficacy or safety - make it unlikely that the patient would derive clinical benefit from protocol therapy - preclude adherence to study procedures or follow-up requirements
- Specific for SR induction randomization: Patients with intolerance to PEG-asparagniase and also to Erwinase are stratified to the inotuzumab arm
- Specific for SR induction randomization: Patients with insufficient expression of CD22 (< 80%) on leukemic blasts, they are assigned to the control chemotherapy arm
- Specific for blinatumomab treatment: Clinically relevant CNS pathology requiring treatment (eg, unstable epilepsy)
- Specific for blinatumomab treatment: Evidence of current CNS (CNS 2, CNS 3) involvement by ALL. Subjects with CNS relapse at the time of relapse are eligible if CNS is successfully treated prior to enrollment
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 4
- SR induction: Event-free survival (EFS)
- SR-MRD good response consolidation: DFS
- HR with CR2 consolidation: DFS
- IEM: EFS
Secondary endpoints 14
- SR induction: MRD negativity rate after induction
- SR induction: Proportion of patients requiring allo-HSCT
- SR induction: OS
- SR induction: Toxicity (assessed by CTCAE grades and SAE reports)
- SR induction: Rate of patients with CD19 positive cells after SCB1 prior to Blinatumomab
- SR-MRD good response consolidation: OS
- SR-MRD good response consolidation: Toxicity (quantified by CTCAE grades and SAE reports)
- HR with CR2 consolidation: OS
- HR with CR2 consolidation: MRD negativity rates before allo-HSCT
- HR with CR2 consolidation: allo-HSCT rates
- IEM: EFS by MRD at relapse diagnosis (cut-off 10-4)
- IEM: OS
- IEM: DFS by MRD after induction (cut-off 10-4) in patients with BM MRD > 10e-4 at relapse
- Serum pharmacokinetic parameters of InO (Cmax and Ctrough)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
SUB33081 · Substance
- Active substance
- Inotuzumab Ozogamicin
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 0.8 mg/m2 milligram(s)/square meter
- Max total dose
- 1.8 mg/m2 milligram(s)/square meter
- Max treatment duration
- 4 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
BLINCYTO 38.5 micrograms powder for concentrate and solution for solution for infusion.
PRD3418637 · Product
- Active substance
- Blinatumomab
- Substance synonyms
- MT-103, MEDI-538, MT103, Recombinant antibody derivative against human CD19 and CD3
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 15 µg/ m2 microgram(s)/ sq. Meter
- Max total dose
- 1.69 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 12 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01FX07 — -
- Marketing authorisation
- EU/1/15/1047/001
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Comparator 18
Oncaspar 750 U/ml powder for solution for injection/infusion
PRD6822247 · Product
- Active substance
- Pegaspargase
- Substance synonyms
- PEG-Asparaginase, PEG-L-Asparaginase
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 1000 Other
- Max total dose
- 7000 Other
- Max treatment duration
- 7 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01XX24 — PEGASPARGASE
- Marketing authorisation
- EU/1/15/1070/002
- MA holder
- LES LABORATOIRES SERVIER (SURESNES)
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
ELDISINE® 5 mg Pulver zur Herstellung einer Injektionslösung Vindesinsulfat
PRD1965638 · Product
- Active substance
- Vindesine Sulfate
- Substance synonyms
- VINDESINE SULPHATE
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 3 mg/m2 milligram(s)/sq. meter
- Max total dose
- 12 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01CA03 — VINDESINE
- Marketing authorisation
- 839.01.00
- MA holder
- STADAPHARM GMBH
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Vincristine Sulfate 1 mg/ml solution for injection
PRD11830369 · Product
- Active substance
- Vincristine Sulfate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 14 mg milligram(s)
- Max treatment duration
- 9 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01CA02 — VINCRISTINE
- Marketing authorisation
- PL 04515/0008
- MA holder
- HOSPIRA UK LIMITED,WALTON OAKS
- MA country
- XI
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08856MIG · Substance
- Active substance
- Methotrexate
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRATHECAL USE
- Max daily dose
- 12 mg milligram(s)
- Max total dose
- 132 mg milligram(s)
- Max treatment duration
- 16 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Cytarabin Accord 100 mg/ml Injektions-/Infusionslösung
PRD1167930 · Product
- Active substance
- Cytarabine
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 200 mg/m2 milligram(s)/square meter
- Max total dose
- 1400 mg/m2 milligram(s)/square meter
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01BC01 — CYTARABINE
- Marketing authorisation
- 88149.00.00
- MA holder
- ACCORD HEALTHCARE B.V.
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Thioguanin "Aspen" 40mg Tabletten
PRD981313 · Product
- Active substance
- Tioguanine
- Substance synonyms
- Thioguanine anhydrous, THIOGUANINE, 6-THIOGUANINE
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 100 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2240 µg/ m2 microgram(s)/ sq. Meter
- Max treatment duration
- 4 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01BB03 — TIOGUANINE
- Marketing authorisation
- 16.354
- MA holder
- ASPEN PHARMA TRADING LIMITED
- MA country
- Austria
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08856MIG · Substance
- Active substance
- Methotrexate
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 40 mg/m2 milligram(s)/sq. meter
- Max total dose
- 4240 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 106 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Etoposide 20 mg/ml Concentrate for Solution for Infusion
PRD11213472 · Product
- Active substance
- Etoposide
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS ADMINISTRATION
- Max daily dose
- 150 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1100 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01CB01 — ETOPOSIDE
- Marketing authorisation
- PA2315/201/001
- MA holder
- ACCORD HEALTHCARE IRELAND LIMITED
- MA country
- Ireland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Cytarabine Accord Healthcare 20 mg/ml injektio-/infuusioneste, liuos
PRD11981672 · Product
- Active substance
- Cytarabine
- Substance synonyms
- ARA-C, CYTOSINE ARABINOSIDE
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRATHECAL USE
- Max daily dose
- 30 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 16 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01BC01 — CYTARABINE
- Marketing authorisation
- 34948
- MA holder
- ACCORD HEALTHCARE B.V.
- MA country
- Finland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
DEXAMETHASONE MEDISOL 8 mg/2 ml, solution injectable
PRD10092713 · Product
- Active substance
- Dexamethasone Phosphate
- Substance synonyms
- DEXAMETHASONE 21-(DIHYDROGEN PHOSPHATE)
- Pharmaceutical form
- SOLUTON FOR INJECTION
- Route of administration
- ORAL
- Max daily dose
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1120 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 8 Week(s)
- Authorisation status
- Authorised
- ATC code
- H02AB02 — DEXAMETHASONE
- Marketing authorisation
- 34009 302 640 9 6
- MA holder
- MEDISOL
- MA country
- France
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD11830267 · Product
- Active substance
- Idarubicin Hydrochloride
- Substance synonyms
- 4-DEMETHOXYDAUNORUBICIN HYDROCHLORIDE
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS ADMINISTRATION
- Max daily dose
- 6 mg/m2 milligram(s)/sq. meter
- Max total dose
- 24 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01DB06 — IDARUBICIN
- Marketing authorisation
- 19345.00.00
- MA holder
- PFIZER PHARMA GMBH
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Cyclophosphamid beta 500 mg/ml Konzentrat zur Herstellung einer Injektions-/Infusionslösung
PRD10049049 · Product
- Active substance
- Cyclophosphamide
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 1000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 4400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01AA01 — CYCLOPHOSPHAMIDE
- Marketing authorisation
- 2205439.00.00
- MA holder
- BETAPHARM ARZNEIMITTEL GMBH
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD11749208 · Product
- Active substance
- Mercaptopurine
- Substance synonyms
- MERCAPTOPURINE ANHYDROUS, 3,7-DIHYDROPURINE-6-THIONE, 6-MERCAPTOPURINE, 6MP
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 50 mg/m2 milligram(s)/sq. meter
- Max total dose
- 40000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 104 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01BB02 — MERCAPTOPURINE
- Marketing authorisation
- PL 0142/1328
- MA holder
- ACCORD-UK LIMITED
- MA country
- XI
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Daunoblastin 20 mg Pulver zur Herstellung einer Infusions- oder Injektionslösung
PRD11825203 · Product
- Active substance
- Daunorubicin Hydrochloride
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 35 mg/m2 milligram(s)/sq. meter
- Max total dose
- 70 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 2 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01DB02 — DAUNORUBICIN
- Marketing authorisation
- 15.778
- MA holder
- PFIZER CORPORATION AUSTRIA GES.M.B.H.
- MA country
- Austria
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Mitoxantrone 2 mg/ml concentrate for solution for infusion
PRD2334187 · Product
- Active substance
- Mitoxantrone
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 10 mg/m2 milligram(s)/sq. meter
- Max total dose
- 20 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 2 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01DB07 — MITOXANTRONE
- Marketing authorisation
- PL 20075/0412
- MA holder
- ACCORD HEALTHCARE LIMITED
- MA country
- United Kingdom
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD10168902 · Product
- Active substance
- Prednisolone Sodium Succinate
- Substance synonyms
- PREDNISOLONE HEMISUCCINATE SODIUM SALT, PREDNISOLON-21-HYDROGENSUCCINAT NATRIUM
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRATHECAL USE
- Max daily dose
- 10 mg milligram(s)
- Max total dose
- 200 mg milligram(s)
- Max treatment duration
- 16 Day(s)
- Authorisation status
- Authorised
- ATC code
- H02AB06 — PREDNISOLONE
- Marketing authorisation
- 15.085
- MA holder
- MERCK GESELLSCHAFT MBH
- MA country
- Austria
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Metex 50 mg/ml injekcinis tirpalas užpildytame švirkšte
PRD10050713 · Product
- Active substance
- Methotrexate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 660 mg/m2 milligram(s)/sq. meter
- Max total dose
- 3000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- L04AX03 — -
- Marketing authorisation
- LT/1/09/1515/241
- MA holder
- MEDAC GESELLSCHAFT FÜR KLINISCHE SPEZIALPRÄPARATE MBH (WEDEL)
- MA country
- Lithuania
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
HOLOXAN 1000 mg Pulver zur Herstellung einer Injektionslösung
PRD11964601 · Product
- Active substance
- Ifosfamide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 4000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01AA06 — IFOSFAMIDE
- Marketing authorisation
- BE117451
- MA holder
- BAXTER SA
- MA country
- Belgium
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Charite Universitaetsmedizin Berlin KöR
- Sponsor organisation
- Charite Universitaetsmedizin Berlin KöR
- Address
- Augustenburger Platz 1, Wedding Wedding
- City
- Berlin
- Postcode
- 13353
- Country
- Germany
Scientific contact point
- Organisation
- Charite Universitaetsmedizin Berlin KöR
- Contact name
- Arend von Stackelberg
Public contact point
- Organisation
- Charite Universitaetsmedizin Berlin KöR
- Contact name
- Adriane Napp
Third parties 14
| Organisation | City, country | Duties |
|---|---|---|
| Ospedale Pediatrico Bambino Gesu ORG-100009738
|
Rome, Italy | Other |
| St. Anna Childrens Cancer Research Institute GmbH ORG-100010137
|
Vienna, Austria | Other |
| Amgen GmbH ORG-100004004
|
Munich, Germany | Code 5 |
| HUS-Yhtymae ORG-100022862
|
Helsinki, Finland | Other |
| Karolinska University Hospital ORG-100000573
|
Solna, Sweden | Other |
| Centre Hospitalier Universitaire De Nice ORG-100008529
|
Nice, France | Other |
| Oslo University Hospital HF ORG-100021349
|
Oslo, Norway | Other |
| Region Hovedstaden ORG-100003705
|
Frederiksberg, Denmark | On site monitoring |
| Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia ORG-100041697
|
Murcia, Spain | Other |
| Prinses Maxima Centrum voor Kinderoncologie B.V. ORG-100011005
|
Utrecht, Netherlands | Code 5 |
| Fakultni Nemocnice V Motole ORG-100012719
|
Prague, Czechia | Other |
| Pfizer Inc. ORG-100004191
|
New York, United States | Code 5 |
| Julius Clinical International B.V. ORG-100028683
|
Zeist, Netherlands | Other |
| Rigshospitalet ORG-100002431
|
Copenhagen Oe, Denmark | Other |
Locations
12 EU/EEA countries · 91 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Authorised, recruitment pending | 30 | 4 |
| Czechia | Authorised, recruitment pending | 20 | 4 |
| Denmark | Authorised, recruitment pending | 10 | 3 |
| Finland | Authorised, recruitment pending | 10 | 5 |
| France | Authorised, recruitment pending | 150 | 28 |
| Germany | Authorised, recruitment pending | 250 | 1 |
| Italy | Authorised, recruitment pending | 40 | 19 |
| Netherlands | Authorised, recruitment pending | 25 | 1 |
| Norway | Authorised, recruitment pending | 10 | 4 |
| Réunion | 0 | 1 | |
| Spain | Authorised, recruitment pending | 200 | 15 |
| Sweden | Authorised, recruitment pending | 20 | 6 |
| Rest of world
Israel, Australia, Switzerland
|
— | 30 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 149 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2023-509392-17-00_20260310 _redact | 1.7 |
| Protocol (for publication) | D1_Protocol_2023-509392-17-00_redact | 1.6 |
| Recruitment arrangements (for publication) | forfarande-for-rekrytering-och-samtyckesprocess | 1.1 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements and Informed consent procedure_IT | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure DE | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure ES | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed Consent Procedure_DK_Redacted | 1.1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangement_France | 0.1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_IntReALL BCP 2020 | 1.1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_NL | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment_Arragement_CZ | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment_arrangement_NO | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Summary public website_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | Informativa_minore_HR | 1 |
| Subject information and informed consent form (for publication) | Informativa_minore_IEM | 1 |
| Subject information and informed consent form (for publication) | Informativa_minore_SR | 1 |
| Subject information and informed consent form (for publication) | L1 SIS and IFC_IntReALL BCP 2020_letter_parents of 15-17 y old subject | 1.1 |
| Subject information and informed consent form (for publication) | L1_Bilaga Forsiktighetsatgarder for ungdomar som ar sexuellt aktiva for 15-18 ar | 1 |
| Subject information and informed consent form (for publication) | L1_Bilaga Forsiktighetsatgarder for ungdomar som ar sexuellt aktiva for vardnadshavare | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Adults Parents Guardians FRANCE_FP | 1.1 |
| Subject information and informed consent form (for publication) | L1_ICF Parents Guardians FRANCE_IntReALL BCP2020_consolidee finale_FP | 1.1 |
| Subject information and informed consent form (for publication) | L1_ICF_Adult_Parents_Guardians | 1 |
| Subject information and informed consent form (for publication) | L1_Information till forsoksperson 12-14 ar | 1.1 |
| Subject information and informed consent form (for publication) | L1_Information till forsoksperson 15-18 ar | 1.1 |
| Subject information and informed consent form (for publication) | L1_Information till forsoksperson 6-11 ar | 1.1 |
| Subject information and informed consent form (for publication) | L1_Information till vardnadshavare | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS Adults Patients FRANCE_FP | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF biobank HSJD | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF biobank HULP | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF children 13-17 years FRANCE_FP | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF children 6-12 years FRANCE_FP | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_10-13 | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_12-14y | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_12-17 yr | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_14-17_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_15-17y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_7-9 | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adult | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adults | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adults_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_biobank and accompanying research_parents_adult | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DK_15-17 yr_Main | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DK_15-17 yr_Randomisation | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DK_Adult_Main | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DK_Adult_Randomisation | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DK_Parent_Main | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DK_Parent_Randomisation | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_GDPR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Guardians-Adults_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_parents | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parents and Guardians | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_pregnant partner | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_add-ons_DRP_parents | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_add-ons_DRP_subjects over 18y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_Down syndrome_legal representatives | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_Down syndrome_subjects | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_fusion gene positive_parents | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_fusion gene positive_subjects 12-14 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_fusion gene positive_subjects over 15y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_fusion gene positive_subjects under 12 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_HR group_parents | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_HR group_subjects 12-14y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_HR group_subjects over 15y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_HR group_subjects under 12 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_IEM group_parents | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_IEM group_subjects 12-14y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_IEM group_subjects over 15 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_IEM group_subjects under 12 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_SR group_parents | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_SR group_subjects 12-14y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_SR group_subjects over 15 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and IFC_IntReALL2020_SR group_subjects under 12 y | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS Parents Guardians FRANCE_IntReALLBCP2020_consolidee finale_FP | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_12-17yr | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_6-11yr | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_Adult_Patients | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_DK_10-14 yr_Main | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_DK_10-14 yr_Randomisation | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_DK_5-9 yr_Main | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_DK_5-9 yr_Randomisation | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_parents_HR_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_parents_IEM_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_parents_OBS_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_parents_SR_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Participant_over_16yrs_HR_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Participant_over_16yrs_IEM_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Participant_over_16yrs_OBS_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Participant_over_16yrs_SR_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_Parents_Guardians | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_Participant_12-16yrs_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_participant_under_12yrs_NO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Child 12-15_High Risk_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Child 12-15_IEM_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Child 12-15_Standard Risk_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Child 16yr and older_High Risk_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Child 16yr and older_IEM_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Child 16yr and older_Standard Risk_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Parents_High Risk_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Parents_IEM_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF_Parents_Standard Risk_NL_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L2_ Other subject information material_Adults_Biobank_clean_redacted | 1 |
| Subject information and informed consent form (for publication) | L2_ Other subject information material_Parents_Biobank_clean_redacted | 1 |
| Subject information and informed consent form (for publication) | L2_ Other subject information material_Pregnancy | 1 |
| Subject information and informed consent form (for publication) | L2_Identifikacni karta subjektu klinickeho hodnoceni | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_patient card | 1 |
| Subject information and informed consent form (for publication) | L2_Site-specific contact details_redacted | 1 |
| Subject information and informed consent form (for publication) | Lettera Medico curante_v1_02072025 | 1 |
| Subject information and informed consent form (for publication) | Master_centri clinici_privacy notice_ex 13_paziente adulto | 1.1 |
| Subject information and informed consent form (for publication) | Master_centri clinici_privacy notice_ex 13_paziente minore | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_consenso_adulti_HR | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_consenso_adulti_IEM | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_consenso_adulti_SR | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_genitori_tutore_legale_HR | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_genitori_tutore_legale_IEM | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_genitori_tutore_legale_SR | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_minore_maturo_HR | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_minore_maturo_IEM | 1.1 |
| Subject information and informed consent form (for publication) | Modulo_minore_maturo_SR | 1.1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Cyclophosphamide | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Cytarabine ith | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Cytarabine_iv | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Daunorubicin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Dexamethasone | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Eldisine | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Etopophos | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Ifosfamide | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Mercaptopurine | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Methotrexate iv | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Methotrexate po | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Methotrexate_ith | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Mitoxantrone | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_oncaspar-epar | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Solu-Dacortin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Tioguanine | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Vincristine Sulfate | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SMPC_Zavedos | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | G1_IMPD_E-S Cross Reference Letter_InO | 1 |
| Synopsis of the protocol (for publication) | D1_ Protocol synopsis_2023-509392-17-00_IT_redacted | 1.2 |
| Synopsis of the protocol (for publication) | D1_IntReALL-BCP-2020_Prot Synopsis_NL_REDACTED | 1.3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis FI 2023-509392-17-00 | 1.3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_CZ_2023-509392-17-00 | 1.3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ES_2023-509392-17-00 | 1.3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_SE_2023-509392-17-00 | 1.2 |
| Synopsis of the protocol (for publication) | D1_Protocol_synopsis French_2023-509392-17-00_FP | 1.3 |
| Synopsis of the protocol (for publication) | D1_Protocol_Synopsis_AT_2023-509392-17-00_redact | 1.7 |
| Synopsis of the protocol (for publication) | D1_Protocol_Synopsis_DE_2023-509392-17-00_redact | 1.7 |
| Synopsis of the protocol (for publication) | D1_Protocol_Synopsis_DE_en_2023-509392-17-00_redact | 1.7 |
| Synopsis of the protocol (for publication) | D1_Protocol_synopsis_MS_2023-509392-17-00_NO | 1.2 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-08-22 | Germany | Acceptable with conditions 2025-12-08
|
2025-12-09 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-12-17 | Germany | Acceptable 2026-04-07
|
2026-04-07 |