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Clinical Trials/EUCTR2014-001700-21-DE
EUCTR2014-001700-21-DE
Active, not recruiting
Phase 1

An Open-Label, Multi-center, Expanded Access Protocol of Blinatumomab for the Treatment of Pediatric and Adolescent Subjects with Relapsed and/or Refractory B-precursor Acute Lymphoblastic Leukemia (ALL) (Rialto Study) - Rialto Study

Amgen Inc.0 sites100 target enrollmentSeptember 22, 2014

Overview

Phase
Phase 1
Intervention
Not specified
Conditions
Not specified
Sponsor
Amgen Inc.
Enrollment
100
Status
Active, not recruiting
Last Updated
6 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
September 22, 2014
End Date
TBD
Last Updated
6 years ago
Study Type
Interventional clinical trial of medicinal product
Sex
All

Investigators

Sponsor
Amgen Inc.

Eligibility Criteria

Inclusion Criteria

  • 1\. Immunophenotypic evidence of CD19 positive B\-precursor ALL (pro B\-, pre B\-, common ALL)
  • 2\. Age \> 28 days and \< 18 years at the time of informed consent/assent
  • 3\. Morphological or molecular evidence of relapsed/refractory disease, defined as one of the following:
  • Second or later bone marrow relapse (defined as M3 marrow or M2 marrow or M1 marrow but with an MRD level \= 10\-3\), or;
  • Any marrow relapse after alloHSCT (defined as M3 marrow or M2 marrow or M1 marrow but with an MRD level \= 10\-3\), or
  • Refractory to other treatments:
  • o For patients in first relapse: failure to achieve a CR following a full standard reinduction chemotherapy regimen
  • o For patients who have not achieved a first remission: failure to achieve remission following a full standard induction regimen
  • Subjects previously treated with blinatumomab may be eligible, if subject ended treatment for reason(s) other than disease progression or intolerability to blinatumomab (Note: This does not include patients who
  • have already received blinatumomab treatment on this study, but refers

Exclusion Criteria

  • 1\. Any active acute Graft\-versus\-Host Disease (GvHD) grade 2 to grade 4 according to the Glucksberg criteria or active chronic GvHD requiring systemic treatment
  • 2\. Immunosuppressive agents to prevent or treat GvHD within 2 weeks prior to blinatumomab treatment (except for topical corticosteroids)
  • 3\. Active (overt) ALL in the CNS (confirmed by cerebrospinal fluid \[CSF] analysis) or in testes
  • 4\. History or presence of clinically relevant CNS pathology such as epilepsy, seizure, paresis, aphasia, stroke, severe brain injuries, dementia, cerebellar disease, organic brain syndrome, psychosis
  • \- With the exception of CNS leukemia that is well controlled with intrathecal therapy
  • 5\. Current autoimmune disease or history of autoimmune disease with potential CNS involvement
  • 6\. Cancer chemotherapy within 2 weeks prior to start of blinatumomab (except for tyrosine kinase inhibitors (TKI) and/or low dose maintenance therapy such as vinca alkaloids, mercaptopurine, methotrexate, glucocorticoids; intrathecal chemotherapy and dexamethasone are allowed until start of blinatumomab).
  • 7\. Chemotherapy related toxicities that haven’t resolved to \= grade 2
  • 8\. Radiotherapy within 4 weeks prior to blinatumomab treatment
  • 9\. Immunotherapy (eg, rituximab) within 6 weeks prior to blinatumomab treatment

Outcomes

Primary Outcomes

Not specified

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