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临床试验/NCT05519579
NCT05519579招募中2 期

Intrathecal Chemoprophylaxis to Prevent Neurotoxicity Associated With Blinatumomab Therapy for Acute Lymphoblastic Leukemia

Northside Hospital, Inc.2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2023年6月30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
招募中
入组人数
20
试验地点
2
主要终点
Number of participants that experienced neurotoxicity during the first cycle of blinatumomab therapy

研究概览

简要总结

Changing the schedule of intrathecal chemotherapy to be given before and during blinatumomab will maintain the anti-leukemic effects of this drug while at the same time adding the benefit of limiting the neurotoxicity associated with cytokine release.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Prevention
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

  • Adults receiving first cycle of blinatumomab for relapse/refractory or MRD-positive B-cell Acute Lymphoblastic Leukemia
  • Adequate renal and hepatic function
  • Negative for HIV
  • Negative serum pregnancy test, if applicable

排除标准

  • Active CNS involvement by ALL
  • Relative CNS disorders (seizure, paresis, aphasia, Cerebrovascular ischemia/hemorrhage, severe brain injury, dementia, Parkinson's, cerebellar disease, psychosis, coordination or movement disorder)
  • Contraindication to receive intrathecal methotrexate
  • Prior treatment with blinatumomab
  • Active malignancy other than ALL
  • Active infection or any other concurrent disease or medical condition that was deemed to interfere with the conduct of the study as judged by the investigator

研究组 & 干预措施

Intrathecal chemotherapy before blinatumomab

Experimental

干预措施: Blinatumomab (Drug)

Intrathecal chemotherapy before blinatumomab

Experimental

干预措施: Methotrexate (Drug)

结局指标

主要结局

Number of participants that experienced neurotoxicity during the first cycle of blinatumomab therapy

时间窗: 28 days after first infusion

Record occurrence and severity of neurotoxicity based on CTCAE criteria

次要结局

  • Number of participants that experienced cytokine release syndrome during the first cycle of blinatumomab therapy(28 days after first infusion)
  • Number of participants with a response of complete remission and MRD negativity at the end of cycle 1(28 days after first infusion)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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