Overview
Sponsor-declared trial summary
Acute lymphoblastic leukemia
Compare the rate of MRD(-) at TP2 in ruxolitinib + Consol. IB ext. to appropriate external control.
Key facts
- Sponsor
- Medical University Of Lodz
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 18 Nov 2024 → ongoing
- Decision date (initial)
- 2024-11-18
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2024-518316-39-00
- EudraCT number
- 2020-005019-29
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
Compare the rate of MRD(-) at TP2 in ruxolitinib + Consol. IB ext. to appropriate external control.
Secondary objectives 2
- Compare the change of absolute MRD count across TP1 and TP2 in ruxolitinib + Consol. IB ext. to that in appropriate external control.
- Evaluate the safety and tolerability of ruxolitinib + Consol. IB ext. to appropriate external control.
Conditions and MedDRA coding
Acute lymphoblastic leukemia
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10000845 | Acute lymphoblastic leukemia | 10029104 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 3
- Newly diagnosed ALL treated according to AIEOP-BFM 2017 Poland or AIEOP-BFM 2017 standard of care protocol.
- Confirmed genetic lesion causing activation of JAK-STAT pathway (CRLF2, JAK2, EPOR, or CRLF2 expression on leukemic cells`surface).
- Stratification as early high risk: - no complete remission on day 33 OR - positivity for KMT2A-AFF1 OR - positivity for TCF3-HLF OR o hypodiploidy <45 chromosomes OR - FCM-MRD in bone marrow on day 15 ≥ 10% and not ETV6-RUNX1 positive OR - IKZF1plus and PCR-MRD at TP1 positive or inconclusive and not positive for ETV6-RUNX1, TCF3-PBX1 or KMT2A rearr. other than KMT2A-AFF1 OR - PCR-MRD at TP1 ≥ 5x10-4 OR -age < 1 year and any KMT2A rearrangement
Exclusion criteria 4
- ALL classified as a standard or intermediate risk (SR, MR).
- Early high risk (eHR) ALL without genetic lesions within CRLF2, JAK2, EPOR, or CRLF2 expression on leukemic cells.
- Participation in another clinical trial except for ad-on trials within the scope of supportive care approved by the sponsor
- Other condition (either pre-existing or related to leukemia biology as present at diagnosis) or circumstances that significantly conflict with the treatment according to the protocol
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Proportion of patients with MRD(-) at TP2.
Secondary endpoints 2
- Frequency and grading of adverse events in Consol. IB ext. phase (number, percentage, number per patient-days, number per each grade of significance).
- Incidence of treatment-related adverse and severe adverse events.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 24
SUB01827MIG · Substance
- Active substance
- Doxorubicin Hydrochloride
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 30 mg/m2 milligram(s)/sq. meter
- Max total dose
- 180 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 6 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB32273 · Substance
- Active substance
- Ruxolitinib
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 80 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2240 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 28 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB32273 · Substance
- Active substance
- Ruxolitinib
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 80 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2240 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 28 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB12149MIG · Substance
- Active substance
- Mercaptopurine
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 60 mg/m2 milligram(s)/sq. meter
- Max total dose
- 30240 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 630 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB12950MIG · Substance
- Active substance
- Asparaginase
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 20000 IU international unit(s)
- Max total dose
- 980000 IU international unit(s)
- Max treatment duration
- 49 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06917MIG · Substance
- Active substance
- Daunorubicin
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 30 mg/m2 milligram(s)/sq. meter
- Max total dose
- 30 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB05102MIG · Substance
- Active substance
- Vindesine Sulfate
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 3 mg/m2 milligram(s)/sq. meter
- Max total dose
- 6 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 2 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08125MIG · Substance
- Active substance
- Ifosfamide
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 800 mg/m2 milligram(s)/sq. meter
- Max total dose
- 400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 3 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08125MIG · Substance
- Active substance
- Ifosfamide
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 800 mg/m2 milligram(s)/sq. meter
- Max total dose
- 4000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 3 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06859MIG · Substance
- Active substance
- Cyclophosphamide
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 1000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 4500 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 8 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB05101MIG · Substance
- Active substance
- Vincristine Sulfate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 20 mg milligram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06880MIG · Substance
- Active substance
- Cytarabine
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 14400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 35 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06880MIG · Substance
- Active substance
- Cytarabine
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 14400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 35 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB11084MIG · Substance
- Active substance
- Tioguanine
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 60 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2520 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 42 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07017MIG · Substance
- Active substance
- Dexamethasone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 868.75 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 91 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB01612MIG · Substance
- Active substance
- Dexamethasone Phosphate
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 868.75 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 91 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07017MIG · Substance
- Active substance
- Dexamethasone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 868.75 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 91 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB03666MIG · Substance
- Active substance
- Pegaspargase
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 3750 IU international unit(s)
- Max total dose
- 17500 IU international unit(s)
- Max treatment duration
- 7 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08856MIG · Substance
- Active substance
- Methotrexate
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 5000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 20000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- 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
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1600 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 80 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- 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
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1600 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 80 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB16442MIG · Substance
- Active substance
- Methotrexate Disodium
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRATHECAL USE
- Max daily dose
- 12 mg milligram(s)
- Max total dose
- 228 mg milligram(s)
- Max treatment duration
- 19 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- 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
- 20 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1600 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 80 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07337MIG · Substance
- Active substance
- Etoposide
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 100 mg/m2 milligram(s)/sq. meter
- Max total dose
- 500 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 3 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Medical University Of Lodz
- Sponsor organisation
- Medical University Of Lodz
- Address
- Al. Tadeusza Kosciuszki 4
- City
- Lodz
- Postcode
- 90-419
- Country
- Poland
Scientific contact point
- Organisation
- Medical University Of Lodz
- Contact name
- Wojciech Młynarski
Public contact point
- Organisation
- Medical University Of Lodz
- Contact name
- Wojciech Młynarski
Locations
1 EU/EEA country · 15 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Poland | Ongoing, recruiting | 25 | 15 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Poland | 2024-11-18 | 2024-11-18 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 28 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2024-518316-39-00 | 5.0 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_blank | 1 |
| Subject information and informed consent form (for publication) | L1_IS parents_legal guardians and ICF | 5.1 |
| Subject information and informed consent form (for publication) | L1_IS parents_legal guardians and ICF_GDPR | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS 11-15 yr | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS 16-18 yr | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS under 11 yr | 2.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_ASPARAGINASE | 2.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_CYCLOPHOSPHAMIDE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_CYTARABINE_20 | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_CYTARABINE_50 | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_DAUNURUBICINE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_DEXAMETHASONE_IV | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_DEXAMETHASONE_PO | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_DOXORUBICINE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_ETOPOSIDE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_IFOSFAMIDE_1 | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_IFOSFAMIDE_2 | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_MERCAPTOPURINE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_METHOTREXATE_10_IV | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_METHOTREXATE_100_IV | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_METHOTREXATE_PO | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_PEGASPARAGINASE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_RUXOLITINIB | 2.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_THIOGUANINE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_VINCRISTINE | 2.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_VINDESINE | 1 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-09-29 | Poland | Acceptable 2024-11-12
|
2024-11-18 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-02-04 | Poland | Acceptable 2025-04-04
|
2025-04-04 |