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临床试验/NCT05456698
NCT05456698进行中(未招募)2 期

Efficacy and Safety of Inotuzumab Ozogamicin in Treating Adult Patients With Ph Negative ALL With Minimal Residual Disease Positive After Induction Chemotherapy: A Phase 2, Open-label, Single-arm, Single-center Trial

Institute of Hematology & Blood Diseases Hospital, China1 个研究点 分布在 1 个国家目标入组 31 人开始时间: 2022年10月18日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
31
试验地点
1
主要终点
MRD negativity rate within the first treatment cycle

研究概览

简要总结

A single-center, single-arm, open-label, interventional, phase II clinical trial to evaluate the efficacy and safety of InO in B-ALL achieved CR/CRi after 1L induction chemotherapy with positive minimal residual disease.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • New diagnosed B-ALL in hematologic complete remission (CR) after 1L induction chemotherapy with MRD positive. Molecular disease or MRD is defined by a value of at least of 10-4 (0.01%) by multicolor flow cytometry.
  • Age ≥18 years
  • ECOG PS score: 0 to 2
  • Functions of the main organs are normal, if the following criteria are met:
  • Total bilirubin (BIL) ≤ 1.5 × upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≤ 2.5 × ULN
  • Serum creatinine ≤ 1.5 × ULN
  • Creatinine clearance ≥ 30 ml/min
  • No active or co-existing malignancy with a life expectancy of less than 12 months
  • Patients are voluntarily enrolled into the study and have good compliance, and the Informed Consent Form (ICF) needs to be signed.

排除标准

  • Mixed lineage leukemia
  • Clinically significant liver disease such as history of veno-occlusive disease (VOD)/ sinusoidal obstruction syndrome (SOS)
  • Patients with severe and / or uncontrolled diseases, such as:
  • Unstable angina pectoris, symptomatic congestive heart failure, myocardial infarction within 6 months before randomization, severe uncontrolled arrhythmias; uncontrolled blood pressure (systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg)
  • Liver diseases such as cirrhosis, decompensated liver disease, acute or chronic active hepatitis
  • Known to be human immunodeficiency virus positive (HIV+)
  • Active and uncontrolled disease/infection as judged by the treating physician
  • Active central nervous system (CNS) or extramedullary disease
  • Patients who have other malignant tumors at the same time; patients who are evaluated by the investigator to have concomitant diseases that seriously endanger the safety of the patients or affect the patients to complete the study
  • Pregnant or nursing women
  • Unable or unwilling to sign the consent form
  • Monoclonal antibodies therapy within 2 weeks before study entry
  • Radiotherapy or cancer chemotherapy (except for induction chemo) or any investigational drug within 2 weeks before study entry
  • Patients who have severe allergies (≥ grade 3) to active ingredients and any excipients of InO
  • Patients in other situations who are evaluated by the investigator to be ineligible

研究组 & 干预措施

Inotuzumab Ozogamicin

Experimental

Each subject will be treated with Inotuzumab Ozogamicin

干预措施: Inotuzumab ozogamicin (Drug)

结局指标

主要结局

MRD negativity rate within the first treatment cycle

时间窗: At the end of Cycle 1 (each cycle is 28 days)

MRD negativity is defined as no presence of small numbers of leukemic cells detected by the flow cytometry after remission

次要结局

  • Complete MRD response rates(At the end of Cycle 1 and Cycle 2, respectively (each cycle is 28 days))
  • Overall Survival (OS)(Up to 5 years from enrollment)
  • Duration of MRD negativity rate(From enrollment to the end of Cycle 1 or Cycle 2, which achieves MRD negative first (each cycle is 28 days))
  • MRD level variation from baseline to post cycle 1, cycle 2 in patients with detectable MRD, respectively(From enrollment to the end of Cycle 1 and Cycle 2, respectively (each cycle is 28 days))
  • Relapse-free Survival (RFS)(Up to 5 years from enrollment)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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