RecruitingPhase 2NCT04747912

Study of Chemotherapy-Free Induction Regimen for Ph+ Acute Lymphoblastic Leukemia With Inotuzumab Ozogamicin (InO)

A Phase II Study of a Chemotherapy-Free Induction Regimen for Ph+ Acute Lymphoblastic Leukemia (ALL) Incorporating Inotuzumab Ozogamicin (InO)


Sponsor

University of Chicago

Enrollment

25 participants

Start Date

Mar 2, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

This research study will add an anti-cancer drug (called inotuzumab ozogamicin also known as "InO") to treatment for participants with newly diagnosed Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL). Doctors leading this study hope to learn if adding InO to standard induction treatment for Ph+ ALL will lead to quicker, complete molecular remission (where the disease is not detectable even with very sensitive testing techniques). The purpose of this research is to gather information regarding the effectiveness of InO in newly-diagnosed Ph+ ALL patients that have not yet received treatment.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests a chemotherapy-free treatment approach for newly diagnosed Philadelphia chromosome-positive (Ph+) B-cell acute lymphoblastic leukemia (ALL) — a type of leukemia driven by a specific genetic mutation — using inotuzumab ozogamicin (InO) plus targeted therapy. **You may be eligible if...** - You are 18 or older with a newly diagnosed Ph+ B-cell ALL (a specific type of blood cancer) - Your leukemia cells express the CD22 protein (on at least 20% of cancer cells) - Your bone marrow has at least 20% leukemia blast cells, or you have high numbers of leukemia cells in the blood - You have not yet received treatment for this leukemia **You may NOT be eligible if...** - You have received prior treatment for this leukemia - You have significant liver disease or prior liver toxicity from chemotherapy - You have active uncontrolled infection - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGInotuzumab ozogamicin

Inotuzumab ozogamicin, sold under the brand name Besponsa, is an anti-cancer drug used to treat relapsed or refractory B-cell precursor acute lymphoblastic leukemia.

DRUGDasatinib

Dasatinib is a prescription treatment for adults with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML).

DRUGDexamethasone

Dexamethasone is a steroid that prevents the release of substances in the body that cause inflammation.

DRUGMethotrexate

Methotrexate is a chemotherapy drug that is used to treat certain types of cancer and leukemia.

DRUGVincristine

Vincristine, also known as leurocristine and marketed under the brand name Oncovin among others, is a chemotherapy medication used to treat various types of cancer such as acute lymphocytic leukemia, acute myeloid leukemia, Hodgkin's disease, neuroblastoma, and small cell lung cancer among others.

DRUGPonatinib

A drug used to treat chronic myelogenous leukemia (CML) and Philadelphia chromosome-positive acute lymphoblastic leukemia. It is used in patients whose cancer has the T315I mutation or whose cancer cannot be treated with other tyrosine kinase inhibitors. It is also being studied in the treatment of other types of cancer. Ponatinib blocks BCR-ABL, which may help keep cancer cells from growing and may kill them.

DRUGMethotrexate for Injection

Methotrexate is a chemotherapy drug that is used to treat certain types of cancer and leukemia. When given intrathecally, it prevents leukemia cells entering the cerebrospinal fluid (CSF) around the spine and brain. Intrathecal chemotherapy is administered during a procedure called a lumbar puncture or through an ommaya reservoir (shunt).

PROCEDUREAllogenic Stem Cell Transplantation

A procedure in which a patient receives healthy blood-forming cells (stem cells) from a donor to replace their own stem cells that have been destroyed by treatment with radiation or high doses of chemotherapy. In an allogeneic stem cell transplant, the healthy stem cells may come from the blood or bone marrow of a related donor who is not an identical twin of the patient or from an unrelated donor who is genetically similar to the patient. An allogeneic stem cell transplant is most often used to treat blood cancers, such as leukemia and lymphoma, and certain types of blood or immune system disorders.


Locations(1)

University of Chicago Medical Center

Chicago, Illinois, United States

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NCT04747912


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