A French Protocol for the Treatment of Acute Lymphoblastic Leukemia (ALL) in Children and Adolescents (CAALL-F01)

  • End date
    Apr 22, 2026
  • participants needed
  • sponsor
    Assistance Publique - Hôpitaux de Paris
Updated on 26 January 2022
lymphoid leukemia
induction therapy


A still major question in the field of acute lymphoblastic leukemia (ALL) in children - an extremely heterogeneous disease though curable in 80-90% of children and 70-80% of the adolescents - is the optimal use of L-asparaginase (ASNase). It is known that administering ASNase results in the depletion of asparagine circulating in the blood, which starves the leukemic cells and results in their death. But indeed the use of ASNase varies between protocols considering the different brands, the dose and the administration modalities. Oncaspar (PEGylated E. coli asparaginase, pegaspargase) was thus developed with the goal of reducing the immunogenicity of the native ASNase.

This is a French prospective multicentric cohort study of children and adolescents with ALL, stratified on (i) the type of ALL ( B vs T) and (ii) the anticipated risk (stratified in 3 groups for childhood B-cell precursor (BCP)-ALL and 2 groups for T-cell ALL).

It aims to answer to two different issues:

  1. Randomized question: what is the best way to administer pegaspargase? A cohort of children and adolescents with standard or medium risk ALL will be randomized to receive during induction either one infusion of ONCASPAR 2500 IU/m2 at D12 or two infusions of ONCASPAR at 1250 IU/m2 each at D12 and D26. Patients will then receive 2500 IU/m2 or 1250 IU/m2 per dose during consolidation and delayed intensification according to the initial arm of randomization.
  2. Non randomized question: In the High/Very High Risk groups, a non randomized intensification of the scheme of asparaginase administration is proposed during induction therapy: 2 infusions of 2500 IU/m2/day (D12 and D26) will be administered. All patients will receive 2500 IU/m2 per dose during consolidation and delayed intensifications.

Condition Acute Lymphoblastic Leukemia
Treatment pegaspargase 1250 IU/m2 x 2, pegaspargase 2500 IU/m2 x 1
Clinical Study IdentifierNCT02716233
SponsorAssistance Publique - Hôpitaux de Paris
Last Modified on26 January 2022


Yes No Not Sure

Inclusion Criteria

ALL L1 or L2
B-lineage or T- lineage ALL

Exclusion Criteria

L3 (Burkitt's leukemia)
Mixed Phenotype Acute Leukemia (WHO criteria)
Infant ALL (age 365 days)
Philadelphia (Ph)+/Breakpoint Cluster region (BCR)-Abelson (ABL) ALL
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