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Monoclonal Antibodies
Blinatumomab + Inotuzumab Ozogamicin + Chemotherapy for Leukemia
Phase 2
Recruiting
Led By Elias Jabbour
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Performance status of 0-3
No active or co-existing malignancy with life expectancy less than 12 months, sources for the determination of clinical significance by the treating physician will be included in the subject's medical record
Must not have
Subjects who weigh less than 45 kg
Current autoimmune disease or history of autoimmune disease with potential CNS involvement; auto-immune disease with possible CNS consequences/manifestations such as such as epilepsy, paresis, aphasia, stroke, dementia, Parkinson's disease, cerebellar disease, or psychosis
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 24 months
Awards & highlights
Approved for 60 Other Conditions
No Placebo-Only Group
Summary
This trial studies different therapies to treat B acute lymphoblastic leukemia, which may work better than chemotherapy alone.
Who is the study for?
This trial is for patients with newly diagnosed B acute lymphoblastic leukemia or those who've achieved remission after one chemotherapy course. Eligible participants must have a performance status of 0-3, creatinine ≤2.0 mg/dL, bilirubin ≤2.0 mg/dL, and adequate cardiac function. Exclusions include HIV-positive individuals, active uncontrolled diseases/infections, CNS pathology like epilepsy or stroke, current autoimmune disease with potential CNS involvement, pregnant/nursing women, Philadelphia chromosome-positive ALL.
What is being tested?
The study tests blinatumomab and inotuzumab ozogamicin combined with chemotherapy drugs (cyclophosphamide to prednisone) as initial treatment for B acute lymphoblastic leukemia. Blinatumomab modifies the immune system to target cancer cells; inotuzumab ozogamicin delivers toxins directly to cancer cells via CD22 binding.
What are the potential side effects?
Potential side effects may include immune system changes leading to inflammation in various organs; reactions at infusion sites; general fatigue; digestive issues such as nausea and vomiting; blood disorders including low counts of different types of blood cells which can increase infection risk.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can care for myself but may not be able to do heavy physical work.
Select...
I don't have another cancer that could shorten my life within a year.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I weigh less than 45 kg.
Select...
I have an autoimmune disease that affects my brain or nervous system.
Select...
My leukemia is Philadelphia chromosome positive.
Select...
I am HIV-positive.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 24 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 24 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Relapse-free survival (RFS)
Secondary study objectives
Incidence of adverse events
Minimal residual disease negativity rate
Overall response rate
+1 moreAwards & Highlights
Approved for 60 Other Conditions
This treatment demonstrated efficacy for 60 other conditions.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (blinatumomab, inotuzumab, combination chemotherapy)Experimental Treatment13 Interventions
See detailed description.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Blinatumomab
FDA approved
Cyclophosphamide
FDA approved
Cytarabine
FDA approved
Dexamethasone
FDA approved
Doxorubicin
FDA approved
Inotuzumab ozogamicin
FDA approved
Mercaptopurine
FDA approved
Methopterin
Not yet FDA approved
Ofatumumab
FDA approved
Prednisone
FDA approved
Rituximab
FDA approved
Sulfate ion
Not yet FDA approved
Find a Location
Who is running the clinical trial?
M.D. Anderson Cancer CenterLead Sponsor
3,071 Previous Clinical Trials
1,803,123 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,955 Previous Clinical Trials
41,111,881 Total Patients Enrolled
Elias JabbourPrincipal InvestigatorM.D. Anderson Cancer Center
16 Previous Clinical Trials
888 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I weigh less than 45 kg.I do not have active liver or bile duct disease, except for Gilbert's syndrome, asymptomatic gallstones, liver metastases, or stable chronic liver disease.I have an autoimmune disease that affects my brain or nervous system.I have B-lineage ALL or lymphoblastic lymphoma, untreated or in complete remission after one chemotherapy course.I can care for myself but may not be able to do heavy physical work.I do not have any uncontrolled infections or diseases.You are pregnant or currently breastfeeding.I have had one chemotherapy course that didn't work and may be taking certain medications for my symptoms.I do not have significant brain-related health issues like epilepsy, stroke, or Parkinson's.My heart is healthy based on recent exams.My leukemia is Philadelphia chromosome positive.I don't have another cancer that could shorten my life within a year.I am HIV-positive.
Research Study Groups:
This trial has the following groups:- Group 1: Treatment (blinatumomab, inotuzumab, combination chemotherapy)
Awards:
This trial has 2 awards, including:- Approved for 60 Other Conditions - This treatment demonstrated efficacy for 60 other conditions.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.