About this trial
The pilot study collects the experience of previously successful treatment of infants, children and young adults, with ALL from a number of well-renowned study groups into a new platform protocol, which is both a comprehensive system for stratification and treatment of ALL in this age-group as well as the basis for several randomised trials included in the study-design.
The pilot study is implemented as a master protocol without study specific interventions, thus as an observational study. The pilot study is for countries/study-groups who intend to join ALLTogether1 (including experimental interventions). For these countries the pilot study is crucial to optimise diagnostics, registration systems, collaborations with vendors, logistics and data-checks before starting the main study.
The study only includes "standard of care" treatment included in the master protocol.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients newly diagnosed with T-lymphoblastic (T-cell) or B-lymphoblastic precursor (BCP) leukaemia (ALL) according to the WHO-classification of Tumours of Haematopoietic and Lymphoid Tissues (Revised 4th edition 2017) and with a diagnosis confirmed by an accredited laboratory at a participating paediatric oncology or adult haematology centre.
Age 0 - < 46 years (one day before 46th birthday) at the time of diagnosis, with the exception of infants with KMT2A-r BCP ALL (see
Disqualifiers
Patients with surface immunoglobulin negative (sIG-) BCP-ALL and an IG::MYC rearrangement, unless they have a concurrent BCL2/6 rearrangement. T-ALL patients with MYC translocations.
Informed consent signed by the patient and/or parents/legal guardians according to country-specific age related guidelines
The ALL diagnosis should be confirmed by an accredited laboratory at a participating paediatric oncology or adult haematology centre.
The patient should be diagnosed and treated at a participating paediatric oncology or adult haematology centre in the participating countries.
Trial population
Participants 0-45 years with newly diagnosed acute lymphoblastic leukaemia. The protocol has no gender-bias. The total estimated recruitment in the pilot study is 500 participants.
Trial design
Cohort
Prospective
Treatments tested in this trial
Observational
Other interventionObservational study - no intervention
Treatment groups
Trial outcomes
Primary outcomes
Event-free survival (EFS) compared to historical controls
Overall survival (OS) compared to historical controls
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Mats Heyman
Lead sponsor
Karolinska University Hospital
Sponsor institution
Nordic Society for Pediatric Hematology and Oncology
Collaborator
The Swedish Childhood Cancer Foundation
Collaborator
NordForsk
Collaborator