RecruitingPhase 1Phase 2NCT05848687

TINI 2: Total Therapy for Infants With Acute Lymphoblastic Leukemia II


Sponsor

Tanja Andrea Gruber

Enrollment

90 participants

Start Date

Nov 3, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to improve upon the TINI study treatment. The study will test the ability of a type of immunotherapy called blinatumomab to clear persistent leukemia. Blinatumomab targets CD19 which is located on the leukemia cells outer membrane.


Eligibility

Max Age: 1 Year

Plain Language Summary

Simplified for easier understanding

This study is testing a comprehensive treatment approach for babies diagnosed with a type of leukemia (blood cancer) called acute lymphoblastic leukemia (ALL). Because infant leukemia is rare and aggressive, this study combines intensive chemotherapy with newer targeted therapies to improve survival. **You may be eligible if...** - Your baby is 12 months old or younger at the time of diagnosis - Your baby has been newly diagnosed with CD19-positive acute lymphoblastic leukemia or a related form - Your baby has not yet received treatment for this leukemia **You may NOT be eligible if...** - Your baby has received prior chemotherapy or radiation for this leukemia - Your baby has another serious active infection or medical condition - Your baby has a different type of leukemia that does not express CD19 - Your baby is unable to receive standard intensive chemotherapy due to organ problems 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

DRUGDexamethasone

Given orally (PO) or naso-gastrically (NG) or intravenously (IV).

DRUGMitoxantrone

Given IV

DRUGPEG asparaginase

Given IV

DRUGBortezomib

Given IV

DRUGVorinostat

Taken PO or NG

DRUGMercaptopurine

Given PO or NG.

DRUGMethotrexate

Given IV, IM or PO

DRUGBlinatumomab

Will be administered at 15 mcg/m2/day for 28 days following induction and reinduction

DRUGZiftomenib

3+3 dose escalation will be done. Dose level 1 will start at 75% of the adult recommended phase two dosing which has been established in phase I studies. Based on tolerability, we will either de-escalate to 50% RP2D (dose level -1) or escalate to 100% RP2D


Locations(24)

Phoenix Children's Hospital

Phoenix, Arizona, United States

Arkansas Children's Hospital

Little Rock, Arkansas, United States

Children's Hospital Los Angeles

Los Angeles, California, United States

Valley Children's Hospital

Madera, California, United States

Children's Hospital of Orange County

Orange, California, United States

Stanford University

Palo Alto, California, United States

Rady Children's Hospital San Diego

San Diego, California, United States

Arnold Palmer Hospital for Children

Orlando, Florida, United States

Children's Hospital of Minnesota

Minneapolis, Minnesota, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Novant Health - Hemby Children's Hospital

Charlotte, North Carolina, United States

Doernbecher Children's Hospital

Portland, Oregon, United States

Penn State Milton S Hershey Medical Center

Hershey, Pennsylvania, United States

MD Anderson

Houston, Texas, United States

University of Texas Health Science Center San Antonio

San Antonio, Texas, United States

University of Utah Huntsman Cancer Institute

Salt Lake City, Utah, United States

Children's Hospital of The King's Daughters

Norfolk, Virginia, United States

Alberta Children's Hospital

Calgary, Alberta, Canada

Stollery Children's Hospital

Edmonton, Alberta, Canada

BC Children's Hospital

Vancouver, British Columbia, Canada

McMaster Children's Hospital

Hamilton, Ontario, Canada

CHU Sainte-Justine

Montreal, Quebec, Canada

Montreal Children's Hospital

Montreal, Quebec, Canada

Chu De Quebec

Québec, Quebec, Canada

View Full Details on ClinicalTrials.gov

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NCT05848687


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