Single-arm interventional study with ruxolitinib and AIEOP-BFM 2017 Poland or AIEOP-BFM 2017 standard of care chemotherapy in children with acute lymphoblastic leukemia and confirmed activation of JAK/STAT pathway.

2024-518316-39-00 Protocol Rux-cALL-Pol 2020 Phase II and Phase III (Integrated) Ongoing, recruiting

Start 18 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 15 sites · Protocol Rux-cALL-Pol 2020

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruiting
Participants planned 25
Countries 1
Sites 15

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

  1. Compare the change of absolute MRD count across TP1 and TP2 in ruxolitinib + Consol. IB ext. to that in appropriate external control.
  2. Evaluate the safety and tolerability of ruxolitinib + Consol. IB ext. to appropriate external control.

Conditions and MedDRA coding

Acute lymphoblastic leukemia

VersionLevelCodeTermSystem organ class
21.0 LLT 10000845 Acute lymphoblastic leukemia 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Newly diagnosed ALL treated according to AIEOP-BFM 2017 Poland or AIEOP-BFM 2017 standard of care protocol.
  2. Confirmed genetic lesion causing activation of JAK-STAT pathway (CRLF2, JAK2, EPOR, or CRLF2 expression on leukemic cells`surface).
  3. 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

  1. ALL classified as a standard or intermediate risk (SR, MR).
  2. Early high risk (eHR) ALL without genetic lesions within CRLF2, JAK2, EPOR, or CRLF2 expression on leukemic cells.
  3. Participation in another clinical trial except for ad-on trials within the scope of supportive care approved by the sponsor
  4. 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

  1. Proportion of patients with MRD(-) at TP2.

Secondary endpoints 2

  1. Frequency and grading of adverse events in Consol. IB ext. phase (number, percentage, number per patient-days, number per each grade of significance).
  2. Incidence of treatment-related adverse and severe adverse events.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 24

Doxorubicin Hydrochloride

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

Ruxolitinib

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

Ruxolitinib

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

Mercaptopurine

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

Asparaginase

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

Daunorubicin

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

Vindesine Sulfate

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

Ifosfamide

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

Ifosfamide

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

Cyclophosphamide

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

Vincristine Sulfate

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

Cytarabine

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

Cytarabine

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

Tioguanine

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

Dexamethasone

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

Dexamethasone Phosphate

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

Dexamethasone

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

Pegaspargase

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

Methotrexate

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

Methotrexate

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

Methotrexate

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

Methotrexate Disodium

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

Methotrexate

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

Etoposide

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

CountryMS statusPlanned subjectsSites
Poland Ongoing, recruiting 25 15
Rest of world 0

Investigational sites

Poland

15 sites · Ongoing, recruiting
Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
Klinika Transplantacji Szpiku, Onkologii i Hematologii Dziecięcej, Ul. Borowska 213, 50-556, Wroclaw
Gornoslaskie Centrum Zdrowia Dziecka Im. Sw. Jana Pawla II Samodzielny Publiczny Szpital Kliniczny Nr 6 Slaskiego Uniwersytetu Medycznego W Katowicach
Oddział Onkologii, Hematologii i Chemioterapii, Klinika Pediatrii, Ul. Medykow 16, 40-752, Katowice
Uniwersytecki Szpital Kliniczny Nr 1 Im. Prof. Tadeusza Sokolowskiego Pum W Szczecinie
Klinika Pediatrii, Hemato-Onkologii i Gastroenterologii Dziecięcej, Ul. Unii Lubelskiej 1, 71-252, Szczecin
Uniwersytecki Dzieciecy Szpital Kliniczny Im. L. Zamenhofa W Bialymstoku
Klinika Pediatrii, Onkologii i Hematologii, Ul. Jerzego Waszyngtona 17, 15-274, Bialystok
Wojewodzki Specjalistyczny Szpital Dzieciecy Im. Prof. Dr Stanislawa Popowskiego W Olsztynie Sp. z o.o.
Oddział Kliniczny Onkologii i Hematologii Dziecięcej, Ul. Zolnierska 18 A, 10-561, Olsztyn
Swietokrzyskie Centrum Onkologii Samodzielny Publiczny Zaklad Opieki Zdrowotnej W Kielcach
II Klinika Pediatrii - Oddział Onkologii i Hematologii Dziecięcej, Ul. Prezydenta Stefana Artwinskiego 3, 25-734, Kielce
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Centralny Szpital Kliniczny Uniwersytetu Medycznego W Lodzi
Klinika Pediatrii, Onkologii i Hematologii, Ul Sporna 36/50, 91-738, Lodz
Uniwersytecki Szpital Dzieciecy W Lublinie
Klinika Hematologii, Onkologii i Transplantologii Dziecięcej, Ul. Prof. Antoniego Gebali Nr 6, 20-093, Lublin
Uniwersyteckie Centrum Kliniczne
Klinika Pediatrii, Hematologii i Onkologii, Ul. Debinki 7, 80-211, Gdansk
Szpital Kliniczny Im. Karola Jonschera Uniwersytetu Medycznego Im. Karola Marcinkowskiego W Poznaniu
Klinika Onkologii, Hematologii i Transplantologii Pediatrycznej, Ul. Szpitalna 27/33, 60-572, Poznan
Samodzielny Publiczny Szpital Kliniczny Nr 1 Im.Prof.Stanislawa Szyszko Slaskiego Uniwersytetu Medycznego W Katowicach
Katedra i Klinika Pediatrii, Hematologii i Onkologii Dziecięcej, Ul. 3 Maja 13/15, 41-800, Zabrze
Kliniczny Szpital Wojewodzki Nr 2 Im. Sw. Jadwigi Krolowej W Rzeszowie
Klinika Onkohematologii Dziecięcej, Ul. Lwowska 60, 35-301, Rzeszow
Samodzielny Publiczny Dzieciecy Szpital Kliniczny Im. Jozefa Polikarpa Brudzinskiego W Warszawie
Oddział Kliniczny Pediatrii, Hematologii i Onkologii, Ul. Ulica Zwirki I Wigury 63 A, 02-091, Warsaw
Uniwersytecki Szpital Dzieciecy W Krakowie
Klinika Onkologii i Hematologii Dziecięcej, Ul. Wielicka 265, 30-663, Cracow
Szpital Uniwersytecki Nr 1 Im. Dr. A. Jurasza W Bydgoszczy
Katedra Pediatrii, Hematologii i Onkologii, Ul. Marii Curie Sklodowskiej 9, 85-094, Bydgoszcz

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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