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Amino Acid

Levocarnitine + Vitamin B Complex for Jaundice in Acute Lymphoblastic Leukemia

Phase 2
Waitlist Available
Led By Elias Jabbour
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients with a diagnosis of ALL who are receiving treatment with PEG-asparaginase or inotuzumab ozogamicin with Tbili > 3 x ULN
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 30 days after completion of treatment
Awards & highlights
No Placebo-Only Group

Summary

This trial is testing the effectiveness of levocarnitine and vitamin B complex in treating patients with high liver enzyme levels caused by cancer treatment.

Who is the study for?
This trial is for patients with acute lymphoblastic leukemia who are experiencing high liver enzyme levels due to treatment with PEG-asparaginase or inotuzumab ozogamicin. Participants must have signed an informed consent and have a bilirubin level more than three times the upper limit of normal. Pregnant or nursing women, or those allergic to levocarnitine or vitamin B complex, cannot join.
What is being tested?
The study is testing whether levocarnitine (an amino acid) and vitamin B complex can treat hyperbilirubinemia caused by certain leukemia treatments. The aim is to see if these supplements can normalize liver enzymes better than current practices.
What are the potential side effects?
Potential side effects may include reactions related to levocarnitine such as nausea, vomiting, stomach upset, heartburn, diarrhea, and seizures; and from vitamin B complex like excessive thirst, skin conditions, blurry vision, abdominal cramps, nausea.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have ALL and am being treated with specific drugs, but my liver tests are high.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 30 days after completion of treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 30 days after completion of treatment for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Response rates
Secondary study objectives
Evaluation of chemotherapy dose intensity
Incidence of adverse events
Other study objectives
Time to hyperbilirubinemia normalization

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (levocarnitine, vitamin B complex)Experimental Treatment2 Interventions
Patients receive levocarnitine IV over 2-3 minutes every 6 hours up to 4 times a day (inpatient) or PO TID (outpatient). Patients also receive vitamin B complex PO BID. Treatment continues for up to 30 days after the last dose of either PEG-asparaginase or inotuzumab, or until Tbili of ≤ 1.5 x ULN or at least a 50% reduction in peak Tbili is achieved.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Levocarnitine
1996
Completed Phase 3
~510
Vitamin B Complex
2011
Completed Phase 3
~100

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,907 Previous Clinical Trials
41,012,134 Total Patients Enrolled
M.D. Anderson Cancer CenterLead Sponsor
3,063 Previous Clinical Trials
1,800,771 Total Patients Enrolled
Elias JabbourPrincipal InvestigatorM.D. Anderson Cancer Center
16 Previous Clinical Trials
958 Total Patients Enrolled

Media Library

Levocarnitine (Amino Acid) Clinical Trial Eligibility Overview. Trial Name: NCT03564678 — Phase 2
Acute Lymphoblastic Leukemia Research Study Groups: Treatment (levocarnitine, vitamin B complex)
Acute Lymphoblastic Leukemia Clinical Trial 2023: Levocarnitine Highlights & Side Effects. Trial Name: NCT03564678 — Phase 2
Levocarnitine (Amino Acid) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03564678 — Phase 2
~1 spots leftby Nov 2025