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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05660473
Other study ID # IIT2022052-EC-1
Secondary ID
Status Recruiting
Phase Phase 2
First received
Last updated
Start date October 31, 2022
Est. completion date December 30, 2027

Study information

Verified date December 2022
Source Institute of Hematology & Blood Diseases Hospital
Contact Jianxiang Wang, Dr
Phone 86-22-23909120
Email wangjx@ihcams.ac.cn
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The pediatric-inspired regimen has greatly improved the prognosis of adult patients with with Philadelphia chromosome-negative acute lymphoblastic leukemia (Ph- ALL), but relapse remains a great challenge. Venetoclax (Ven) is an oral, selective inhibitor of B-cell lymphoma 2 (Bcl-2). Although this drug is currently used primarily for acute myeloid leukemia, in vitro as well as small cohort studies suggest a effect in acute lymphoblastic leukemia. This study proposes to combine pediatric-inspired regimen with venetoclax for the treatment of adult patients with Ph- ALL, aiming to improve the MRD-negative complete remission rate measured by flow cytometry after induction and to reduce relapse, thus further improving patients overall survival.


Recruitment information / eligibility

Status Recruiting
Enrollment 100
Est. completion date December 30, 2027
Est. primary completion date December 15, 2024
Accepts healthy volunteers No
Gender All
Age group 14 Years to 60 Years
Eligibility Inclusion Criteria: - De novo and primary Ph/BCR-ABL1 negative acute lymphoblastic leukemia diagnosed by the bone marrow cytomorphology, immunophenotyping, cytogenetics and molecular biology according to WHO classification - Age: 14 -60 years - Male or female - ECOG Performance Status 0-2 - Adequate end organ function as defined by: Total bilirubin = 1.5 x upper limit of normal(ULN); serum alanine aminotransferase (ALT) and serum aspartate aminotransferase (AST) = 2.5 x ULN or =5 x ULN if leukemic involvement of the liver is present; Creatinine = 1.5 x ULN; Serum amylase and lipase = 1.5 x ULN; Alkaline phosphatase = 2.5 x ULN unless considered tumor related; normal electrolytes: Potassium = LLN; Magnesium = LLN; Phosphorus = LLN; Cardiac color Doppler ultrasound ejection fraction = 45%; - Subject has provided written informed consent prior to any screening procedure Exclusion Criteria: - Burkitt lymphoma/leukemia - Acute Leukemia of Ambiguous Lineage - Female patients who are pregnant or breast feeding - Uncontrolled active serious infections that could, in the investigator's opinion, potentially interfere with the completion of treatment - History of pancreatitis - Poorly controlled diabetes, defined as glycosylated hemoglobin (HbA1c) values of >7.5%. Patients with preexisting, well-controlled diabetes are not excluded - History of active gastrointestinal bleeding within the last 6 months - History of arterial/venous thrombosis within the last 6 months - Known HIV seropositivity - Any serious psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Vincristine
Anti-tumor alkaloids
Daunorubicin
Anthracycline
Cyclophosphamide
Alkylating agent
Pegaspargase
Polyethylene glycol (PEG) conjugated to L-asparaginase
Prednisone
Glucocorticoids
Cytarabine
Pyrimidine antimetabolites
6-mercaptopurine
Cell cycle-specific antitumor drug
Dexamethasone
Glucocorticoids
Methotrexate
Antifolate antineoplastic drug
Venetoclax
Selective inhibitor of B-cell lymphoma 2 (Bcl-2)

Locations

Country Name City State
China Institute of Hematology & Blood Diseases Hospital Tianjin

Sponsors (1)

Lead Sponsor Collaborator
Institute of Hematology & Blood Diseases Hospital

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary MRD-negative complete remission rate measured by flow cytometry After induction (4 week)
Secondary Complete remission (CR) rate After 2 cycles of chemotherapy, an expected average of 3 months
Secondary Overall survival (OS) From the date of registration to the date of death resulting from any cause Up to 5 years post-registration
Secondary Relapse free survival (RFS) From the date of complete remission(CR) until the date of documented relapse or death due to any cause or the last follow-up day Up to 5 years post-registration
Secondary Disease-free Survival (DFS) From CR1 to relapse, death from any cause or last follow-up Up to 5 years post-registration
Secondary The rate of adverse events An expected average of 24 months
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