A study looking at treatment for older adults with acute lymphoblastic leukaemia (UKALL60+)

Cancer type:

Acute leukaemia
Acute lymphoblastic leukaemia (ALL)
Blood cancers
Leukaemia

Status:

Open

Phase:

Phase 2

This is a study to find the best way to treat acute lymphoblastic leukaemia in people over the age of 60.

Cancer Research UK supports this study.

More about this trial

Doctors usually treat acute lymphoblastic leukaemia (ALL) with a combination of different chemotherapy drugs. But there is no standard treatment Open a glossary item for older people who are diagnosed with ALL.

The aim of this study is to find a standard treatment for ALL in adults over the age of 60. Researchers can then use this in the future as a comparison when looking at any new treatments in clinical trials.

Who can enter

You may be able to enter this study if you

  • Have been diagnosed with acute lymphoblastic leukaemia and have not had any treatment yet
  • Are over 60 years old (or over 55 if you cannot take part in another trial called UKALL14 or HOVON 100)

Male patients must be willing to use reliable contraception during the trial and for a year afterwards if there is any chance their partner could become pregnant.

You cannot enter this study if you

Trial design

This phase 2 study will recruit about 148 people. Everybody joining the trial takes steroid tablets for up to a week. During this time, your doctor will decide the best chemotherapy treatment for you to have. There are 4 different treatment plans you can have as part of this trial and each plan is made up of different phases. The possible phases are

  • Induction – this aims to get rid of the leukaemia cells
  • Intensification – this aims to stop leukaemia cells getting into the fluid around your brain and spinal cord
  • Consolidation – this aims to stop the leukaemia coming back
  • Maintenance treatment – this aims to stop leukaemia coming back in the long term

The details of each treatment plan are too complicated to go into detail about here. The outlines of the different plans are below. The study team will tell you more about the drugs you will have and how you have them.

People who have ALL with a change to a specific gene which doctors describe as being Philadelphia positive Open a glossary item have a treatment plan that is made up of 8 weeks induction treatment, 4 weeks consolidation treatment and then maintenance treatment for 2 years.

If your ALL is not Philadelphia positive, you have 1 of the other 3 treatment plans. Two of the plans are very similar and are called intensive treatments.

In one of them you have induction treatment for 8 weeks, intensification for 4 weeks, consolidation for 12 weeks and then maintenance treatment for 2 years.

In the other one, you have induction treatment for 8 weeks, no intensification treatment, consolidation for just 8 weeks and then maintenance treatment for 2 years.

The 4th treatment plan is less intensive and may be suitable for you if your doctors don’t think you are well enough to have either of the treatments above. With this plan, you have induction treatment for 8 weeks, consolidation for 4 weeks and then 2 years of maintenance treatment.

Some people joining the study will not have any of the treatment plans above. They will have the treatment that people usually have for ALL at the hospital where they are being treated. By joining the study, they allow the researchers to collect information about the treatment they have and how they get on.

Questionnaires 

The study team will ask you to fill out 4 questionnaires before you start treatment, at different times during treatment and after you finish treatment. The questionnaires will ask about side effects and how you’ve been feeling.  The questionnaires are called quality of life studies.

Cheek swab 

The study team will also ask if you would be willing to have a swab taken from the inside of your cheek (a buccal swab).  This provides them with a sample of cells so they can look at your DNA Open a glossary item. Looking at the DNA can help the researchers learn more about why some people develop ALL. You do not have to have the buccal swab done if you don't want to, you can still take part in the study.

Patient diary

You have a diary and the trial team will ask you to keep a record of when you take each drug. You return the diary to the trial team when you finish the trial.  

Hospital visits

You see the study doctors and have some tests before you start treatment. The tests include

You may also need to have a lumbar puncture.

You will be in hospital for some of your treatment. The trial team can tell you more about this.

You will have regular physical examinations and blood tests throughout your treatment. You will also have 3 more bone marrow tests.

After you finish treatment, you will see the trial team once a year for 5 years.

Side effects

The most common side effects of the chemotherapy drugs in this trial include

We have more information about the side effects of chemotherapy in our acute lymphoblastic leukaemia section.

If you have Philadelphia positive ALL, your treatment will include a drug called imatinib. The side effects of imatinib include

  • Feeling or being sick
  • Swelling in your face or legs
  • Muscle cramps
  • Rash
  • Diarrhoea

If you have intensive treatment one of the drugs that can be used is pegylated asparaginase. Side effects of this drug can include

  • Blood clots (thrombosis)
  • High temperature (fever)
  • Pain
  • Changes to the way your liver, kidneys, pancreas and thyroid work
  • Confusion, hallucinations, loss of consciousness and more rarely fits (seizures)

 

Location

Airdrie
Blackpool
Bristol
East Kilbride
Leeds
London
Manchester
Plymouth
Prescot
Salisbury
Sutton
Taunton
Wishaw

Recruitment start:

Recruitment end:

How to join a clinical trial

Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.

Please note - unless we state otherwise in the summary, you need to talk to your doctor about joining a trial.

Chief Investigator

Professor Adele Fielding

Supported by

Cancer Research UK
Experimental Cancer Medicine Centre (ECMC)
NIHR Clinical Research Network: Cancer
University College London (UCL)

Other information

This is Cancer Research UK trial number CRUK/11/028.

We have more information on the work of Professor Adele Fielding.

Questions about cancer? Contact our information nurses

Freephone 0808 800 4040

Last review date

CRUK internal database number:

Oracle 8782

Please note - unless we state otherwise in the summary, you need to talk to your doctor about joining a trial.

Cara took part in a clinical trial

A picture of Cara

"I am glad that taking part in a trial might help others on their own cancer journey.”

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