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An International Collaborative Trial for Relapsed and Refractory Acute Lymphoblastic Leukaemia
ISRCTN ISRCTN45724312
ClinicalTrials.gov identifier NCT00967057
Public title An International Collaborative Trial for Relapsed and Refractory Acute Lymphoblastic Leukaemia
Scientific title
Acronym ALLR3
Serial number at source N/A
Study hypothesis To examine the biology of relapsed Acute Lymphoblastic Leukaemia (ALL) and improve its outcome using a combination of chemotherapy and nationally standardised approach to Haematopoietic Stem Cell Transplantation (HSCT).

Please note that as of 13/05/10 this record has been extensively updated. Ireland, Australia, New Zealand and the Netherlands have been added to the countries of recuitment. The end date of this trial has also been extended from 01/01/2010 to 31/12/2011. All other updates can be found in the relevant field with the above update date.

Please note that the primary contact has moved insitution, therefore as of 13/05/10 the contact and sponsor details have been updated. The previous sponsor and contact details are as follows.
Previous sponsor:
Barts and the London NHS Trust (UK)
Research and Development Department
3rd Floor Rutland House
42-46 New Road
Whitechapel
London
E1 2AX
United Kingdom
http://www.bartsandthelondon.org.uk

Previous contact address:
Dept of Paediatric Oncology and Haematology
1st Floor Eva Luckes House
Royal London Hospital
London
E1 1BB
United Kingdom
Lay summary http://www.cancerhelp.org.uk/trials/a-trial-looking-at-treatment-for-children-and-young-people-with-acute-lymphoblastic-leukaemia
Ethics approval Ethics approval received from the Multicentre Research Ethics Committee for Wales(ref: 02/9/21)
Study design Randomised controlled trial
Countries of recruitment Australia, Ireland, Netherlands, New Zealand, United Kingdom
Disease/condition/study domain Relapsed and Refractory Acute Lymphoblastic Leukaemia (ALL)
Participants - inclusion criteria 1. All children aged 1 - 18 years who have been previously diagnosed to have acute lymphoblastic leukaemia and have either relapsed after treatment or have primary refractory disease
2. For children who have relapsed, only those in whom this is the first relapse are eligible
3. Provide signed, written informed consent from parent and/or guardian
4. Protocol to have received national local ethical committee approval
Participants - exclusion criteria 1. Children less than 1 year old and young adults of 18 years of age and older
2. Children in whom this is not the first relapse of their disease
3. Children with first relapse who have already received chemotherapy or radiotherapy prior to starting R3
4. Children with mature B cell ALL
Anticipated start date 06/01/2003
Anticipated end date 31/12/2011
Status of trial Completed
Patient information material
Target number of participants 480
Interventions No additional procedures are required in the trial. The trial drugs have already been used in previous paediatric oncology trials for many years.

Randomisation closed December 2007
Primary outcome measure(s) Added 13/05/10:
1. Evaluate Progression Free Survival (PFS) by risk group
2. Evaluate whether a minimal residual disease level (MRD) level of 10-4 is a suitable criteria at the end of induction on which to decide whether chemotherapy or stem cell transplantation (SCT) will be most beneficial to patients in the intermediate risk group.
Secondary outcome measure(s) Added 13/05/10:
1. MRD as a surrogate marker for PFS
2. Randomised comparison between Mitoxantrone and Idarubicin
Sources of funding Cancer Research UK (UK) (ref: ONPG1A1R) - Funding for trial manager
Trial website
Publications 1. 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/21131038
Contact name Prof  Vaskar  Saha
  Address Academic Unit of Paediatric & Adolescent Oncology
University of Manchester
Wilmslow Road
  City/town Manchester
  Zip/Postcode M20 4BX
  Country United Kingdom
  Tel +44 (0)161 446 3023
  Fax +44 (0)161 446 3092
  Email vaskar.saha@manchester.ac.uk
Sponsor Central Manchester University Hospitals NHS Foundation Trust (UK)
  Address Trust HQ
Corbett House
Manchester Royal Infirmary
Oxford Road
  City/town Manchester
  Zip/Postcode M13 9WL
  Country United Kingdom
  Sponsor website: http://www.cmft.nhs.uk
Date applied 01/10/2003
Last edited 02/08/2011
Date ISRCTN assigned 01/10/2003
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