Real World Asparaginase Therapy Toxicity Study

This study aims to understand the short-term and long-term side effects of asparaginase drugs, which are commonly used to treat acute lymphoblastic leukemia (ALL) or lymphoblastic lymphoma (LLy). Researchers want to see how often patients develop serious side effects (called CTCAE grade 3+ or 4+ toxicities) while receiving standard care therapy or SJALL23T therapy. You may be able to join if you have been diagnosed with ALL, LLy, or mixed phenotype acute leukemia, and are enrolled in the INITIALL study or have recently started post-INITIALL therapy. The study will look at how many people experience these side effects over approximately 2½ to 3 years.

Study design
This is an observational study with a planned enrollment of 200 participants. It is not specified if it is randomized or blinded.
What's involved
This study involves collecting data about your ALL/LLy, treatment, side effects, and how your leukemia/lymphoma responds to treatment. Blood samples and liver fibroscans (liver ultrasounds) will be taken at different times during your ALL/LLy treatment.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoints for this study are measured at approximately 2½ to 3 years, indicating a follow-up period of that length.

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NCT07008027

Real World Asparaginase Therapy Toxicity

Not Yet Recruiting
Not specifiedAll AgesObservational
St. Jude Children's Research Hospital
~200 participants
Updated 2026-08-13 on ClinicalTrials.gov

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Probability of developing CTCAE grade 3+ (3, 4, 5) or 4+ (4, 5) toxicities during standard of care (SOC) therapy
Measured over Approximately 2½ to 3 years
+5 more outcomes measured
Drug Toxicity
1 sites across 1 states
Tennessee1
  • Seth E. Karol, MD, MSCI · PRINCIPAL_INVESTIGATOR · St. Jude Children's Research Hospital

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Eligibility criteria

Inclusion

Diagnosis of acute lymphoblastic leukemia, lymphoblastic lymphoma, or mixed phenotype acute leukemia
Enrolled on INITIALL and no more than 10 days after initiation of post-INITIALL therapy
Post-INITIALL therapy is:
Standard of Care (SOC)/Non Protocol Treatment Plan (NPTP) as per Total therapy or
SJALL23T and not scheduled to receive venetoclax

Exclusion

Inability or unwillingness of research participant or legal guardian/representative to give written informed consent.
  • Probability of developing CTCAE grade 3+ (3, 4, 5) or 4+ (4, 5) toxicities during standard of care (SOC) therapyApproximately 2½ to 3 years

    The overall probability of on-therapy grade 3+ or 4+ toxicity will be estimated by the sample proportion along with the Normal approximation (Z-statistic) based 95% confidence interval.

  • Probability of developing CTCAE grade 3+ (3, 4, 5) or 4+ (4, 5) toxicities SJALL23T therapyApproximately 2½ to 3 years

    The overall probability of on-therapy grade 3+ or 4+ toxicity will be estimated by the sample proportion along with the Normal approximation (Z-statistic) based 95% confidence interval.

  • Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout SOC therapyApproximately 2½ to 3 years

    Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout therapy will be estimated using the Kalbafleisch-Prentice method.

  • Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout SJALL23T therapyApproximately 2½ to 3 years

    Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout therapy will be estimated using the Kalbafleisch-Prentice method.

  • Probabilities of grade 3+ or 4+ toxicities each phase of SOC treatmentApproximately 2½ to 3 years

    Probabilities of grade 3+ or 4+ toxicities will be estimated for each treatment phase by sample proportions accompanied by the Z-statistic 95% confidence intervals.

  • Probabilities of grade 3+ or 4+ toxicities each phase of SJALL23TtreatmentApproximately 2½ to 3 years

    Probabilities of grade 3+ or 4+ toxicities will be estimated for each treatment phase by sample proportions accompanied by the Z-statistic 95% confidence intervals.