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MRC ALL 97 - UK national lymphoblastic leukaemia (ALL) trial
ISRCTN ISRCTN26727615
DOI 10.1186/ISRCTN26727615
ClinicalTrials.gov identifier NCT00003437
EudraCT number
Public title MRC ALL 97 - UK national lymphoblastic leukaemia (ALL) trial
Scientific title
Acronym MRC ALL 97
Serial number at source G8223452
Study hypothesis To compare, in a randomised fashion the effect on remission rate, event-free survival and overall survival of i) receiving, both during induction and continuing treatment, either oral prednisolone or dexamethasone, ii) receiving, where appropriate and throughout treatment (apart from intensive blocks) either oral 6-mercaptopurine or 6-thioguanine. To assess the effect on event-free survival for all patients of a schedule concentrating on tight control of maintenance therapy. To collect data on i) thiopurine metabolites on serial blood samples to assess the adequacy of therapy and to compare the pharmacokinetics of 6-MP and 6-TG, and ii) the presence or absence of minimal residual disease in serial bone marrow samples to assess its clinical importance. Also, two randomisations will be carried forward from the previous trial (UKALL XI) until sufficient numbers have accrued to answer the questions to which they relate, so subsidiary objectives are i) to continue to study, in a prospective randomised manner, the effect of either two or three blocks of intensive therapy, and ii) to continue to study the effect of high-dose methotrexate or cranial irradiation for patients with presenting white counts in excess of 50 x 10^9/l.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Leukaemia
Participants - inclusion criteria Open to all children with ALL except those in 'Exclusions'
Participants - exclusion criteria 1. Patients under 1 year or over 18 years,
2. B-ALL, Ph positivity, near haploidy in blasts or rearrangements involving the MLL gene on 11q23 and
3. High risk by Oxford Hazard Score (based on a function of age, gender and diagnostic leucocyte count)
Anticipated start date 01/01/1997
Anticipated end date 30/06/2002
Status of trial Completed
Patient information material
Target number of participants 1800
Interventions Oral prednisolone/dexamethasone/Oral 6-mercaptopurine/6-thioguanine
Primary outcome measure(s) 1. Disease-free survival
2. CNS disease eradication
3. Relapse rates
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications 2005 results in http://www.ncbi.nlm.nih.gov/pubmed/15801953
Contact name Dr  C  Mitchell
  Address Consultant Paediatric Oncologist
John Radcliffe Hospital
Headington
  City/town Oxford
  Zip/Postcode OX3 9DV
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 25/10/2000
Last edited 13/08/2009
Date ISRCTN assigned 25/10/2000
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