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Antihypertensive Therapy for Leukemia

Phase 2
Waitlist Available
Led By Seth E. Karol, MD
Research Sponsored by St. Jude Children's Research Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patient is 10 years of age or older at the time of enrollment on TOT17.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up any time during leukemia therapy, approximately 2.5 years
Awards & highlights

Study Summary

This trial is comparing the frequency of radiographically extensive osteonecrosis in patients receiving intensive compared to conventional antihypertensive therapy.

Who is the study for?
This trial is for children and young adults over 10 years old with newly diagnosed acute lymphoblastic leukemia/lymphoma, who are not hypertensive. They must be able to undergo MRI scans, not have severe kidney issues or growth-altering syndromes, and agree to use contraception if applicable.Check my eligibility
What is being tested?
The study compares intensive antihypertensive therapy (aiming for lower blood pressure targets) versus conventional therapy (higher targets) in reducing osteonecrosis risk during leukemia/lymphoma treatment. It includes surveys, interviews, and monitoring of blood pressure and vascular health.See study design
What are the potential side effects?
Potential side effects may include dizziness or lightheadedness due to lowered blood pressure from the antihypertensive treatments. Other risks could relate to the individual's response to medication adjustments.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 10 years old or older.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~any time during leukemia therapy, approximately 2.5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and any time during leukemia therapy, approximately 2.5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Extensive radiographic osteonecrosis
Secondary outcome measures
Biomarker of vascular dysfunction - Arterial elasticity (ml/mmHg)
Biomarker of vascular dysfunction - D-dimer (µg/mL)
Biomarker of vascular dysfunction - E-selectin (ng/mL)
+10 more

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Intensive Antihypertensive TherapyExperimental Treatment3 Interventions
Patients will begin Intensive antihypertensive therapy to achieve the targeted blood pressure (targeted to the 50-75th percentile for age, sex, and height) on day 4 of Remission Induction on TOT17 and continue during steroid containing phases until the completion of reinduction II.
Group II: Conventional Antihypertensive TherapyActive Control3 Interventions
Patients will begin Conventional antihypertensive therapy to achieve the targeted blood pressure (targeted to the 90-95th percentile for age, sex, and height) on day 4 of Remission Induction on TOT17 and continue during steroid containing phases until the completion of reinduction II.

Find a Location

Who is running the clinical trial?

St. Jude Children's Research HospitalLead Sponsor
428 Previous Clinical Trials
5,306,562 Total Patients Enrolled
1 Trials studying Osteonecrosis
17 Patients Enrolled for Osteonecrosis
National Cancer Institute (NCI)NIH
13,660 Previous Clinical Trials
40,924,221 Total Patients Enrolled
2 Trials studying Osteonecrosis
3,571 Patients Enrolled for Osteonecrosis
Seth E. Karol, MDPrincipal InvestigatorSt. Jude Children's Research Hospital
3 Previous Clinical Trials
990 Total Patients Enrolled

Media Library

Intensive Antihypertensive Therapy (Other) Clinical Trial Eligibility Overview. Trial Name: NCT04401267 — Phase 2
Osteonecrosis Research Study Groups: Intensive Antihypertensive Therapy, Conventional Antihypertensive Therapy
Osteonecrosis Clinical Trial 2023: Intensive Antihypertensive Therapy Highlights & Side Effects. Trial Name: NCT04401267 — Phase 2
Intensive Antihypertensive Therapy (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04401267 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any vacancies available in this research program?

"Affirmative. Per the clinicaltrials.gov website, this medical experiment has been recruiting since October 15th 2020 and is still actively looking for participants. Altogether 180 people need to be enrolled from 3 separate study locations."

Answered by AI

How many volunteers are engaged in this research effort?

"Correct. The records on clinicaltrials.gov reveal that this examination, which was first shared on October 15th 2020 is presently enrolling individuals. Around 180 candidates must be recruited from 3 distinct medical centres."

Answered by AI

To what extent can the Semi-structured interview be detrimental to a person's health?

"We rate the safety of semi-structured interview at a 2 as this is an experimental stage trial. While there has been some data attesting to its safety, efficacy remains unvalidated."

Answered by AI
~11 spots leftby Apr 2025