ClinicalTrials.gg
Not yet recruitingNCT07008027Updated Oct 22, 2026

Real World Asparaginase Therapy Toxicity

An observational study in Drug Toxicity, sponsored by St. Jude Children's Research Hospital. Not yet recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by St. Jude Children's Research Hospital · Observational

Updated Oct 22, 2026Start date movedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Sex
All
01

Study summary

This research study is being done to learn more about the short term and long term side effects of treatment with asparaginase drugs, which are commonly used in acute lymphoblastic leukemia (ALL) or acute lymphoblastic lymphoma (LLy) therapy.

Read the detailed description

Primary Objective

  • To estimate the rate of high-grade toxicities which occur during therapy for acute lymphoblastic leukemia/ lymphoma in patients receiving asparaginase-containing standard of care therapy.

This study will involve the collection of data about the participants ALL/LLy, treatment, side effects of treatment and leukemia/ lymphoma's response to treatment. Data collected on other research studies participants are enrolled on will also be used for this research study.

Blood samples will be collected and liver fibroscans (liver ultrasounds) will be done at different time points while the participant is receiving treatment for ALL/LLy. The time points will depend on what treatment they receive and will correspond to days on their treatment roadmap.

02

Conditions studied

  • Drug Toxicity

Keywords

  • Asparaginase drugs
  • Toxicity
  • Acute lymphoblastic leukemia
  • Acute lymphoblastic lymphoma
  • Mixed phenotype acute leukemia
03

In context

Drug-Related Side Effects and Adverse Reactions

449 studies on the registry are indexed under Drug-Related Side Effects and Adverse Reactions; 77 are open to participants now.

This study's planned enrollment of 200 is below the median of 414 across 162 observational studies indexed under Drug-Related Side Effects and Adverse Reactions.

Browse Drug-Related Side Effects and Adverse Reactions studies →

Lead sponsor

St. Jude Children's Research Hospital is the lead sponsor of 440 studies on the registry; 102 are open to participants now.

Of its 61 completed or terminated interventional studies of FDA-regulated products, 37 (61%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants meeting the Eligibility Criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of acute lymphoblastic leukemia, lymphoblastic lymphoma, or mixed phenotype acute leukemia
  • Enrolled on INITIALL and no more than 10 days after initiation of post-INITIALL therapy
  • Post-INITIALL therapy is:

    • Standard of Care (SOC)/Non Protocol Treatment Plan (NPTP) as per Total therapy or
    • SJALL23T and not scheduled to receive venetoclax

Exclusion criteria

Exclusion Criteria:

  • Inability or unwillingness of research participant or legal guardian/representative to give written .
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Non-protocol therapy /standard of care therapy

    Participants receiving non -protocol standard if care (SOC) treatment.

  • SJALL23T (NCT06390319) protocol therapy

    Participants receiving protocol therapy on SJALL23T and not receiving investigational drug.

06

What researchers measure

Primary outcomes

  1. Probability of developing CTCAE grade 3+ (3, 4, 5) or 4+ (4, 5) toxicities during standard of care (SOC) therapy

    The overall probability of on-therapy grade 3+ or 4+ toxicity will be estimated by the sample proportion along with the Normal approximation (Z-statistic) based 95% confidence interval.

    Time frame: Approximately 2½ to 3 years

  2. Probability of developing CTCAE grade 3+ (3, 4, 5) or 4+ (4, 5) toxicities SJALL23T therapy

    The overall probability of on-therapy grade 3+ or 4+ toxicity will be estimated by the sample proportion along with the Normal approximation (Z-statistic) based 95% confidence interval.

    Time frame: Approximately 2½ to 3 years

  3. Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout SOC therapy

    Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout therapy will be estimated using the Kalbafleisch-Prentice method.

    Time frame: Approximately 2½ to 3 years

  4. Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout SJALL23T therapy

    Cumulative incidence (CIN) of the grade 3+ or 4+ toxicities throughout therapy will be estimated using the Kalbafleisch-Prentice method.

    Time frame: Approximately 2½ to 3 years

  5. Probabilities of grade 3+ or 4+ toxicities each phase of SOC treatment

    Probabilities of grade 3+ or 4+ toxicities will be estimated for each treatment phase by sample proportions accompanied by the Z-statistic 95% confidence intervals.

    Time frame: Approximately 2½ to 3 years

  6. Probabilities of grade 3+ or 4+ toxicities each phase of SJALL23Ttreatment

    Probabilities of grade 3+ or 4+ toxicities will be estimated for each treatment phase by sample proportions accompanied by the Z-statistic 95% confidence intervals.

    Time frame: Approximately 2½ to 3 years

07

Study locations

1 site
08

References and documents

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Jul 2030, 44 months later.

Of 65 non-industry observational studies under Drug-Related Side Effects and Adverse Reactions, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 24. This study's planned 44 months is below that.

Counting every sponsor, half of 69 studies reached it within 45 months; a quarter within 24 and three quarters within 97.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Nov 2026, on Oct 22, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
May 28, 2025
First posted
Jun 6, 2025
StartEst.
Nov 2026was Oct 2026
Primary completionEst.
Jul 2030
CompletionEst.
Jul 2031
Last update
Oct 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Start date
Oct 2026→Nov 2026
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    Start date Oct 2026→Nov 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07008027
Responsible party
Sponsor
First posted
Jun 6, 2025
Start date
Nov 2026 (estimated)
Primary completion
Jul 2030 (estimated)
Completion
Jul 2031 (estimated)
Last update
Oct 22, 2026

Study contacts

Seth E. Karol, MD, MSCI
Contact
referralinfo@stjude.org
888-226-4343
Seth E. Karol, MD, MSCI
principal investigator · St. Jude Children's Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion