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CTRI Number  CTRI/2009/091/000283 [Registered on: 06/11/2009]
Last Modified On: 20/11/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug
Preventive 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
Study to evaluate the safety and efficacy of TULY (rasburicase) in prevention and treatment of malignancy-associated hyperuricemia 
Scientific Title of Study
Modification(s)  
Efficacy and safety of TULY (rasburicase) in prevention and treatment of malignancy-associated hyperuricemia - An open-label, multicentre study in India. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NCT00921375  ClinicalTrials.gov 
VB037  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Raghunadharao  
Designation  Prinicipal Investigator 
Affiliation  Nizams Institute Of Medical Sciences  
Address  Professor & Head of Dept. of Medical Oncology
Nizams Institute Of Medical Sciences (NIMS)
Hyderabad
ANDHRA PRADESH
500 082
India 
Phone  91-40-23371747  
Fax    
Email  draghu_hyd@dataone.in  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Hemanth Nandigala 
Designation  Executive Director (Comm) 
Affiliation  Virchow Biotech Pvt Ltd 
Address  Virchow Biotech Pvt Ltd
Virchow Biotech(P) Ltd # 319 & 320,3rd floor, Swamy Ayyapa Co-op,Housing society Ltd. Madhapur
Hyderabad
ANDHRA PRADESH
500 081
India 
Phone  91-40-23119481  
Fax  91-40-23119486  
Email  hemanth@virchows.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Hemanth Nandigala 
Designation  Executive Director (Comm) 
Affiliation  Virchow Biotech Pvt Ltd 
Address  Virchow Biotech Pvt Ltd
Virchow Biotech(P) Ltd # 319 & 320,3rd floor, Swamy Ayyapa Co-op,Housing society Ltd. Madhapur
Hyderabad
ANDHRA PRADESH
500 081
India 
Phone  91-40-23119481  
Fax  91-40-23119486  
Email  hemanth@virchows.com  
 
Source of Monetary or Material Support
Modification(s)  
Virchow Biotech Pvt Ltd Virchow Biotech Private Limited F.No: 319 & 320, 3rd Floor, Swamy Ayyappa Housing Society Madhapur, Hyderabad – 500 081 Ph: 040-23119481/64581006  
 
Primary Sponsor
Modification(s)  
Name  Virchow Biotech Pvt Ltd 
Address  Virchow Biotech(P) Ltd # 319 & 320,3rd floor, Swamy Ayyapa Co-op,Housing society Ltd. Madhapur,Hyderabad -500081. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sudha Sinha MD  MNJ Institute of Oncology and Regional Cancer Center  Red Hills, Lakadikapul, Hyderabad 500004 AP - INDIA
Rangareddi
ANDHRA PRADESH 
040-23318422

sudhasinha@hotmail.com 
Dr Shekar Patil MD DM  1. Bangalore Institute of Oncology  No 44-45/2, 2nd Cross, Raja Rammohan Roy Extension (Off. Lalbagh Double Road) Bangalore – 560027
Bangalore
KARNATAKA 
91-80-40206400

shashidharahp@rediffmail.com 
Dr Nirini MD IntMed DM HematoOnco  4. Indo-American Cancer Institute and Research Center  Road No 14, Banjara Hills, Hyderabad, 500034
Hyderabad
ANDHRA PRADESH 
91-40-23551235

nirni2002@rediffmail.com 
DrPRavi Mohan MDDM  5. King George Hospital, Andhra Medical College  Jagadamba Area, KGH Down Rd, Maharani Peta, Visakhapatnam, 530002
Visakhapatnam
ANDHRA PRADESH 
0891-2712755

amconcology@hotmail.com 
Dr Raghunadha rao MD DM  NIMS Hospital  Punjagutta, Hyderabad 500034
Hyderabad
ANDHRA PRADESH 
91-40-23489000

draghu_hyd@dataone.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
1. NIZAM’S Institute of Medical Sciences  Approved 
HCG - Centeral Ethics Committee  Approved 
IEC - Indo American Cancer Institute and Reserach Center  Approved 
IEC-KGH  Approved 
MNJ Institute of Oncology and Regional Cancer Center  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  TULY (rasburicase)  TULY (rasburicase)0.20 mg/kg body weight intravenously for daily once for 4 days 
 
Inclusion Criteria
Modification(s)  
Age From  1.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.Patients of both genders aged between 1 to 75 years;
2.Patients with stage III or IV non-Hodgkin lymphoma (NHL) or acute lymphoblastic leukemia (ALL) with a peripheral WBC count of >25,000/µL or any leukemia or lymphoma with plasma uric acid level of at least 8 mg/dL;
3.Eastern Cooperative Oncology Group (ECOG) performance scale of ≤3;
4.Patients scheduled to receive chemotherapy;
 
 
ExclusionCriteria 
Details  1.Patients with allergy or asthma, or hypersensitivity to urate oxidase, or hemolytic reactions; 2.Pregnant and lactating; 3.Patients with glucose-6-phosphate dehydrogenase deficiency; 4.Exposure to rasburicase or allopurinol within 7 days; 5.History of psychiatric or co-morbid unstable medical conditions  
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Not Applicable 
Blinding/Masking
Modification(s)  
Not Applicable 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Percentage of reduction in plasma uric acid at 4 hrs after uric acid-lowering therapy;

2. Plasma uric acid AUC 0-96 hr;

3. Incidence of adverse events.
 
At the end of 4 hrs after initiation of uric acid lowering therapy;
During 96 hrs of uric acid lowering therapy;
 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Nil   
Plasma uric acid AUC0-96 hr  from 0 to 4 days 
 
Target Sample Size
Modification(s)  
Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
22/02/2010 
Date of Study Completion (India) 02/01/2012 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Digumarti R, Sinha S, Nirni SS, Patil SG, Pedapenki RM.Efficacy of rasburicase (recombinant urate oxidase) in the prevention and treatment of malignancy-associated hyperuricemia: An Indian experience. Indian J Cancer. 2014 Apr-Jun;51(2):180-3. doi: 10.4103/0019-509X.138299. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This study is a prospective, open-label, multicentre study. Hundred eligible patients with stage III or IV non-Hodgkin lymphoma (NHL) or acute lymphoblastic leukemia (ALL) with a peripheral WBC count of >25,000/µL or any leukemia or lymphoma with plasma uric acid level of at least 8 mg/dL will be treated with rasburicase 0.20 mg/kg body weight intravenously for 4 days. The primary endpoints viz., the percentage of reduction in plasma uric acid at 4 hrs after uric acid-lowering therapy, plasma uric acid AUC 0-96 hr and incidence of adverse events will be assessed during 11 days study period. 
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