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Brief Title: Treosulfan-based Conditioning in Paediatric Patients With Haematological Malignancies
Official Title: Clinical Phase II Trial to Describe the Safety and Efficacy of Treosulfan-based Conditioning Therapy Prior to Allogeneic Haematopoietic Stem Cell Transplantation in Paediatric Patients With Haematological Malignancies
Study ID: NCT02333058
Brief Summary: The primary goal of this study is to evaluate an alternative myeloablative, but reduced toxicity conditioning regimen in children, to describe the safety and efficacy of intravenous (i.v.) Treosulfan administered as part of a standardised Fludarabine-containing conditioning and to contribute to the current pharmacokinetic model to be able to finally give age (or body surface area) dependent dose recommendations. The treatment regimens given in the protocol MC-FludT.17/M are based on sufficient clinical safety and efficacy data. Considering the vital indication for allogeneic haematopoietic stem cell transplantation of the selected patient population, the risk-benefit assessment is therefore reasonably in favour of the study conduct.
Detailed Description: The protocol MC-FludT.17/M is a clinical phase II trial to describe the safety and efficacy of Treosulfan-based conditioning therapy prior to allogeneic haematopoietic stem cell transplantation (allo-HSCT) in at least 70 paediatric patients with haematological malignancies (male and female children with haematological malignant diseases as acute lymphoblastic leukaemias (ALL), acute myeloid leukaemias (AML), myelodysplastic syndromes (MDS) and juvenile myelomonocytic leukaemias (JMML), requiring myeloablative conditioning treatment with following allo-HSCT). Treosulfan dose per day is to be calculated by using body surface area (BSA). Two background conditioning regimens with Treosulfan are allowed: One regimen consists of a standardised Fludarabine-containing regimen and the other consists of an intensified regimen with Fludarabine and ThioTEPA. Freedom from transplant (treatment)-related mortality (TRM), defined as death from any transplant-related cause from the day of first administration of study medication until day +100 after HSCT is the primary objective of the trial. Moreover, the current pharmacokinetic (PK) model should be contributed to be able to finally give age (or BSA) dependent dose recommendations.
Minimum Age: 28 Days
Eligible Ages: CHILD
Sex: ALL
Healthy Volunteers: No
St. Anna Children Hospital, Vienna, , Austria
University Hospital Motol, Charles University, Prague, Prague, , Czechia
University Clinic Düsseldorf, Düsseldorf, , Germany
University Clinic Erlangen-Nürnberg, Erlangen, , Germany
Universitätsklinikum Essen, Essen, , Germany
University Hospital Johann Wolfgang Goethe, Frankfurt, , Germany
University Clinic Hamburg-Eppendorf, Hamburg, , Germany
Medical University Hannover, Hannover, , Germany
University Clinic Heidelberg, Heidelberg, , Germany
University Clinic Jena, Jena, , Germany
University Clinic München, München, , Germany
University Clinic Münster, Münster, , Germany
University Clinic Regensburg, Regensburg, , Germany
University Clinic Ulm, Ulm, , Germany
University Clinic Würzburg, Würzburg, , Germany
Ospedale Bambino Gesu Roma, Rome, , Italy
Ospedale Infantile Regina Margherita Torino, Turin, , Italy
Bydgoszcz Medical University, Bydgoszcz, , Poland
Kraków Medical University, Kraków, , Poland
Lublin Medical University, Lublin, , Poland
Wroclaw Medical University, Wroclaw, , Poland
Birmingham Children's Hospital, Birmingham, , United Kingdom
Central Manchester University Hospital, Manchester, , United Kingdom
Sheffield Children's Hospital, Sheffield, , United Kingdom
Name: Ajay Vora, MD, Prof.
Affiliation: Great Ormond Street Hospital NHS Trust
Role: PRINCIPAL_INVESTIGATOR