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Association details:
Biomarker:No biomarker
Cancer:T Acute Lymphoblastic Leukemia
Drug:nelarabine (DNA synthesis inhibitor)
Direction:Sensitive
Evidence:
Evidence Level:
Sensitive: A1 - Approval
Title:

Shorla Oncology Announces U.S. FDA Approval of Nelarabine Injection for the Treatment of T-cell Leukemia

Published date:
03/07/2023
Excerpt:
Shorla Oncology (‘Shorla’), a US-Ireland pharmaceutical company, today announced that the U.S. Food and Drug Administration (FDA) approved the company’s oncology drug, Nelarabine Injection, for the treatment of T-cell Acute Lymphoblastic Leukemia (T-ALL) and T-cell Lymphoblastic Lymphoma (T-LBL).
Evidence Level:
Sensitive: A1 - Approval
New
Excerpt:
Nelarabine is indicated for the treatment of patients with T-cell acute lymphoblastic leukaemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL) whose disease has not responded to or has relapsed following treatment with at least two chemotherapy regimens.
Evidence Level:
Sensitive: A2 - Guideline
New
Source:
Excerpt:
Acute Lymphoblastic Leukemia: Other Recommended regimens…Nelarabine alone or in combination (eg, nelarabine, etoposide, cyclophosphamide) for T-ALL
Secondary therapy:
cyclophosphamide + etoposide oral
Evidence Level:
Sensitive: B - Late Trials
Title:

Children’s Oncology Group AALL0434: A Phase III Randomized Clinical Trial Testing Nelarabine in Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia

Published date:
08/19/2020
Excerpt:
The 5-year event-free and overall survival rates were 83.7% ± 1.1% and 89.5% ± 0.9%, respectively. The 5-year disease-free survival (DFS) rates for patients with T-ALL randomly assigned to nelarabine (n = 323) and no nelarabine (n = 336) were 88.2% ± 2.4% and 82.1% ± 2.7%, respectively (P = .029)....The addition of nelarabine to ABFM therapy improved DFS for children and young adults with newly diagnosed T-ALL without increased toxicity.
DOI:
10.1200/JCO.20.00256
Trial ID: