BENITIONSClinical Trial Intelligence

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
第2相
スポンサーSt. Jude Children's Research Hospital
ステータス完了
参加者数51 名
介入(薬剤)Intensive Antihypertensive Therapy, Conventional Antihypertensive Therapy, Symptom Survey, Semi-structured interview
開始日2020年10月15日
完了日2023年9月25日
結果公開日2024年7月11日

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 Therapy20 Participants
Intensive Antihypertensive Therapy21 Participants
Conventional (Standard) Antihypertensive Therapy1 Participants
Intensive Antihypertensive Therapy2 Participants
p-value0.7139

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