drugset / Trial / NCT07495631

Pediatric-Inspired Regimen Combined With Venetoclax and Immunotherapy for Adult Ph-Negative Acute Lymphoblastic Leukemia

NCT07495631

Non-randomizedParallel-groupOpen-labelTreatment

Summary

This is a prospective, open-label, non-randomized cohort study evaluating the efficacy and safety of a pediatric-inspired chemotherapy regimen (IH-2014 based) combined with venetoclax and immunotherapy in adult patients with newly diagnosed Ph-negative Acute Lymphoblastic Leukemia (ALL). Patients aged ≥14years,≤60 years will be enrolled. Treatment includes induction, consolidation, early intensification, delayed intensification, and maintenance phases. The use and number of cycles of immunotherapy will be based on patient preference. The primary endpoint is Event-Free Survival (EFS) and MRD-negative CR rates after induction therapy(by flow cytometry and NGS). Secondary endpoints include Complete Remission (CR) rate, MRD-negative CR rates at 12 weeks (by flow cytometry and NGS), Overall Survival (OS), Relapse-Free Survival (RFS), and cumulative relapse rate.

Timeline

Start
2026-04-08
Primary completion
2028-03-01
Completion
2030-03-01

Drugs

EvaluationDrugModalityDoseRoute
Subject Blinatumomab Monoclonal antibody
Subject Cyclophosphamide Other / unclassified
Subject Daunorubicin Small molecule
Subject Inotuzumab Ozogamicin Monoclonal antibody
Subject Pegaspargase Protein / enzyme biologic
Subject Venetoclax Small molecule Oral
Background Cytarabine Small molecule
Background Dexamethasone Small molecule
Background MERCAPTOPURINE ANHYDROUS Small molecule
Background Methotrexate Small molecule
Background Prednisone Other / unclassified
Background Vincristine Small molecule