Hypertension Intervention to Reduce Osteonecrosis in Children With Acute Lymphoblastic Leukemia/Lymphoma
第2相
完了
NCT04401267
| 対象疾患 | Hypertension, Osteonecrosis, Osteonecrosis Due to Drug |
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| 相 | 第2相 |
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| スポンサー | St. Jude Children's Research Hospital |
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| ステータス | 完了 |
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| 参加者数 | 51 名 |
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| 介入(薬剤) | Intensive Antihypertensive Therapy, Conventional Antihypertensive Therapy, Symptom Survey, Semi-structured interview |
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| 開始日 | 2020年10月15日 |
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| 完了日 | 2023年9月25日 |
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| 結果公開日 | 2024年7月11日 |
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概要
This is a randomized unblinded Phase II clinical trial evaluating the impact of intensive antihypertensive control (targeted to the 50-75th percentile for age, sex, and height) compared to conventional antihypertensive control (targeted to the 90-95th percentile for age, sex, and height) on the incidence of radiographically extensive osteonecrosis in children and young adults receiving treatment for newly diagnosed acute lymphoblastic leukemia/lymphoma (ALL). Primary Objective * Compare the frequency of radiographically extensive osteonecrosis in patients receiving intensive compared to conventional antihypertensive therapy. Secondary Objectives * Evaluate the efficacy of intensive antihypertensive control compared to conventional antihypertensive control in the prevention of clinically significant (CTCAE Grade 2 or higher) and radiologically extensive osteonecrosis, overall and stratified by joints. * Compare the frequency of clinically significant and radiographically extensive osteonecrosis in patients receiving antihypertensive therapy and historical controls. * Compare blood pressures achieved in intensive and conventional arms using both pressures obtained as part of routine
Extensive Radiographic Osteonecrosis
during reinduction II therapy, approximately 9 months into therapy. · Participants
| Conventional (Standard) Antihypertensive Therapy | 20 Participants |
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| Intensive Antihypertensive Therapy | 21 Participants |
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| Conventional (Standard) Antihypertensive Therapy | 1 Participants |
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| Intensive Antihypertensive Therapy | 2 Participants |
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