drugset / Trial / NCT07294677

CApivasertib, Venetoclax And Low-intensity chemotheRapY for Adults With ALL/LBL

NCT07294677

Phase 1/2 Recruiting 104 enrolled University of Chicago
Non-randomizedSequentialOpen-labelTreatment

Summary

This is a 3-part study to assess the safety of adding capivasertib to a standard of care treatment regimen consisting of venetoclax and low-intensity chemotherapy. This chemotherapy regimen called mini-hyperCVD consists of the chemotherapy drugs, cyclophosphamide, vincristine, dexamethasone; (part A) alternating with high-dose methotrexate and cytarabine (part B) administered approximately every 28 days. In the first part of the study (Cohort 1), the study seeks to determine the recommended dose of capivasertib that can be safely given with venetoclax and chemotherapy. Several doses of capivasertib may be tested in small groups of subjects in this part of the study. The dose tested will be increased or lowered depending on types and frequency of side effects seen until the best, safe dose is found. Once the recommended, safe dose of capivasertib is found, the study will move on to the second part (Cohort 2) and will treat additional participants to learn more about the safety of giving these drugs together. If the combination is determined to be safe overall, the study will move on to the third part (Cohort 3). In this part of the study, participants will be randomized to receive the mini-hyperCVD and venetoclax alone or with capivasertib.

Timeline

Start
2026-03-17
Primary completion
2032-03
Completion
2032-03

Drugs

EvaluationDrugModalityDoseRoute
Subject Capivasertib Small molecule 200 mg Oral
Subject Capivasertib Small molecule 320 mg Oral
Subject Capivasertib Small molecule 400 mg Oral
Background Blinatumomab Monoclonal antibody Intravenous
Background Cyclophosphamide Other / unclassified
Background Cytarabine Small molecule
Background Dexamethasone Small molecule
Background Methotrexate Small molecule
Background Nelarabine Small molecule
Background Rituximab Monoclonal antibody Intravenous
Background Venetoclax Small molecule Oral
Background Vincristine Small molecule

Indications