Leukemia drug spectrila tested in adults: phase 2 trial looks at drug levels and safety
NCT ID NCT03156790
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested the drug Spectrila (a form of L-asparaginase) in 40 adults aged 18-55 with newly diagnosed B-cell acute lymphoblastic leukemia. The goal was to see if the drug reached effective levels in the blood and to check its safety and immune response. The trial was terminated early, but Spectrila is already approved in Europe for first-line treatment of all ages.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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40 people
The number who actually took part.
- Started
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Apr 2019
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subjects with newly diagnosed pathologically confirmed acute B-cell lymphoblastic leukaemia 2. Female or male subjects between 18 and 55 years of age (inclusive) 3. Subjects eligible for treatment and treated according to the underlying treatment protocol BRALL 2014 4. Written informed consent given freely after the nature of the trial and disclosure of data has been explained to the subject 5. The subject shows no evidence of a current infection with SARS-CoV-2 (as diagnosed by thorax tomography or PCR test or test for anti-SARS-CoV-2 antibodies). 6. The subject expresses his/her understanding of the trial procedures and willingness to abide by them during the course of the trial 7. Female subjects of child-bearing potential must use a highly effective method of contraception (pearl index less than 1%) such as complete sexual abstinence, combined oral contraceptive, vaginal hormone ring, transdermal contraceptive patch, contraceptive implant or depot contraceptive injection in combination with a second method of contraception like a condom or a cervical cap/diaphragm with spermicide during the trial and for at least 7 months after Spectrila discontinuation. 8. Men should use effective contraceptive measures and be advised to not father a child while receiving ASNase. As a precautionary measure it is recommended to wait at least for 4 months after completion of treatment. Exclusion Criteria: 1. Pre-treatment with any ASNase preparation 2. Hypersensitivity to the active substance, Escherichia coli- ASNase preparation or to any of the excipients 3. Pancreatitis at the time of treatment initiation or history of pancreatitis 4. Pre-existing known coagulopathy 5. Severe liver function impairment (bilirubin \> three times the upper limit of normal \[ULN\]; transaminases \> ten times ULN) 6. History of serious haemorrhage or serious thrombosis 7. Other current malignancies 8. Uncontrolled active infection 9. Evidence of infection with severe acute respiratory syndrome coronavirus typ 2 (SARS-CoV-2), the human immunodeficiency virus, hepatitis B or C, human T-lymphotropic virus type I and II, syphilis or Chagas disease (American trypanosomiasis) 10. Pregnancy as verified by a positive pregnancy test or nursing woman 11. Active psychiatric or mental illness making informed consent or careful clinical follow-up unlikely 12. Evidence or suspicion that the subject might not comply with the requirements of the trial protocol. 13. Evidence or suspicion that the subject is unwilling or unable to understand the information given to him/her within the informed consent procedure 14. Any other factor which in the investigator's opinion is likely to compromise the subject's ability to participate in the trial 15. The subject is an employee or direct relative of an employee of the contract research organisation (CRO) involved in the trial, the trial site or medac. 16. The subject is imprisoned or is lawfully kept in an institution. 17. The subject has participated within 3 months before screening or plans to participate in a clinical trial (except the underlying treatment protocol BRALL 2014). 18. Previous participation in this clinical trial -
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hospital Estadual Mario Covas
Santo André, 09190 615, Brazil
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Hospital Rio Grande Natal
Natal, 59020-100, Brazil
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Hospital das Clínicas São Paulo USP
Ribeirão Preto, 14048-900, Brazil
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Hospital das Clínicas da UFG
Goiânia, 74605-020, Brazil
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Hospital das Clínicas da Universidade Federal de Minas Gerais
Belo Horizonte, 30130-100, Brazil
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Hospital de Clínicas Porto Alegre
Pôrto Alegre, 90035-903, Brazil
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INCA Instituto Nacional do Cancer
Rio de Janeiro, 20231-048, Brazil
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Universidade Estadual de Campinas
Campinas, 13083-878, Brazil
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