RecruitingPhase 2Phase 3NCT06764238

Newly-diagnosed Intermediate/High Risk Pediatric B-cell ALL Protocol

Chinese Children's Cancer Group-2025 Protocol for Newly Diagnosed for Intermediate/High Risk Childhood B-cell ALL


Sponsor

Institute of Hematology & Blood Diseases Hospital, China

Enrollment

1,800 participants

Start Date

Jan 3, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Building upon the results from the CCCG-ALL-2015, CCCG-ALL-2020 multicenter study cohort, concurrent research findings, and the latest clinical trials, the CCCG-ALL-2025 I/HR-B-ALL is thus developed to further improve the event-free survival (EFS), and overall survival (OS), and quality of life (QoL) of children with intermediate- and high- risk B-cell childhood acute lymphoblastic leukaemia (I/HR-B-ALL), while decreasing adverse reactions and transplantation rates. This trial primarily aims to explore: 1. The efficacy of two randomized Blinatumomab application scheme on I/HR-ALL as determined by MRD negatvitiy rate. 2. The efficacy of modified mini-hyperCVD + Venetoclax in I/HR-ALL cannot afford blinatumomab, in contrast to historical control as determined by MRD negatvitiy rate.


Eligibility

Min Age: 1 MonthMax Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial tests a treatment protocol for children newly diagnosed with intermediate- or high-risk B-cell acute lymphoblastic leukemia (B-ALL), a type of blood cancer. **You may be eligible if...** - You are older than 1 month and younger than 18 years - You have been diagnosed with acute lymphoblastic leukemia by bone marrow testing - Your leukemia is the B-cell type (B-ALL) **You may NOT be eligible if...** - Your ALL is classified as low-risk - You have certain rare subtypes of ALL (sIgM+, ambiguous lineage, or ALL from CML) - You have Down syndrome or a major congenital condition with organ dysfunction - You have a secondary leukemia or known immune deficiency - You have congenital heart disease with heart failure - You recently received steroids (14+ days), chemotherapy (3 months), or kinase inhibitors 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

DRUGBlinatumomab (Group A)

For Group A I/HR-ALL patients after induction remission phase, continuous 28 days' blinatumomab followed by 3 cycles of high-dose methotrexate (HDMTX) will be applied, subsequently followed by interim continuation, late intensification, and maintenance therapy

DRUGVenetoclax (nonRand Group)

For I/HR patients non eligible for blinatumomab randomization, venetoclax+ mini-hyperCVD will be applied after PVDL induction, subsequently followed by CAT as intensification, interim continuation, late intensification, and maintenance therapy

DRUGBlinatumomab (Group B)

For Group B I/HR-ALL patients after induction remission phase: a two 14-day cycles of blinatumomab, alternating with three cycles of HDMTX will be applied, subsequently followed interim continuation, late intensification, and maintenance therapy


Locations(26)

Anhui Medical University Second Affiliated Hospital

Hefei, Anhui, China

Anhui Provincial Children's Hospital

Hefei, Anhui, China

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Guangzhou Women and Children's Medical Center

Guangzhou, Guangdong, China

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Wuhan Children's Hospital

Wuhan, Hubei, China

Hunan Children's Hospital

Changsha, Hunan, China

Xiangya Hospital Central South University

Changsha, Hunan, China

Nanjing Children's Hospital Affiliated to Nanjing Medical University

Nanjing, Jiangsu, China

Children's Hospital of Soochow University

Suzhou, Jiangsu, China

Jiangxi Provincial Children's Hospital

Nanchang, Jiangxi, China

Qilu Hospital of Shandong University

Jinan, Shandong, China

Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Xi'an Northwest Women and Children Hospital

Xi’an, Shanxi, China

West China Second University Hospital, Sichuan University

Chengdu, Sichuan, China

Institute of Hematology and Blood Diseases Hospital, CAMS & PUMC

Tianjin, Tianjin Municipality, China

Chongqing Medical University Affiliated Children's Hospital

Chongqing, China

Children's Hospital of Fudan University

Shanghai, China

Shanghai Children's Hospital

Shanghai, China

Shanghai Children's Medical Cener, Shanghai Jiao Tong University School of Medicine

Shanghai, China

Shenzhen Children's Hospital

Shenzhen, China

Hong Kong Children's Hospital

Hong Kong, Hong Kong

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NCT06764238


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