Comparing Blinatumomab with hyperCVAD for treating Philadelphia-negative B-ALL
Official title: Comparing the Efficacy and Safety of Reduced-dose Chemotherapy Followed by Blinatumomab Versus hyperCVAD as Induction Therapy for Newly Diagnosed Ph-negative B-ALL: a Multicenter, Radomized, Phase 2 Study
Run by The First Affiliated Hospital of Soochow University · NCT06250959 · Data updated 2026-11-12
This study is testing if combining Blinatumomab with lighter chemotherapy can help young adults with a type of leukemia feel better and have fewer side effects compared to a standard treatment.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 15 Years to 65 Years |
| Sex | All |
| Enrollment | 124 (estimated) |
| Sponsor | The First Affiliated Hospital of Soochow University Academic / other |
| Drugs / interventions | Blinatumomab, chemotherapy, Methotrexate |
| Locations | 1 site (Suzhou, Jiangsu) |
| Status | Recruiting |
| Started | February 5, 2024 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | April 4, 2024 |
| Trial ID | NCT06250959 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are newly diagnosed patients aged 15-65 with Philadelphia-negative B-ALL who have not received prior induction therapy.
✕Probably not a fit
Patients with Philadelphia-positive B-ALL, T-cell ALL, or other specified exclusions will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of Blinatumomab combined with reduced-intensity chemotherapy versus the hyperCVAD regimen in newly diagnosed patients with Philadelphia-negative B-cell acute lymphoblastic leukemia (B-ALL). Participants aged 15-65 are randomly assigned to one of the two treatment groups, and outcomes such as clinical remission rates, minimal residual disease (MRD) negativity, and treatment-related adverse effects are evaluated. The study aims to determine if the combination of Blinatumomab with less intensive chemotherapy can improve patient outcomes while reducing toxicity.
Why it matters
Potential benefit: If successful, this approach could lead to improved remission rates and reduced side effects for patients with Philadelphia-negative B-ALL.
How similar studies have gone: Previous studies have shown promising results for Blinatumomab in treating relapsed/refractory B-ALL, suggesting potential success for this novel approach in newly diagnosed patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 15-65 * Ph-(BCR-ABL1 negative)B-ALL was diagnosed according to WHO diagnostic criteria * Newly diagnosed patients without prior induction therapy (except hydroxyurea and glucocorticoids ≦5 days * ECOG score 0-3 * Liver function: total bilirubin ≦ 3 times the upper limit of normal; Alanine ·aminotransferase ≦ 3 times upper limit of normal motion; Aspartate aminotransferase ≦ 3 times upper limit of normal motion; (except considering leukemia infiltration) * Renal function: endogenous creatinine clearance ≧30ml/min * Patients must be able to understand and willing to participate in the study and must sign the informed consent form. Exclusion Criteria: * Ph+ (BCR-ABL1 positive) ALL * T cells ALL * Mature B-cell leukemia/lymphoma, B-cell lymphoma, with extramedullary disease * Acute mixed-cell leukemia * Central nervous system leukemia * HIV infection * HBV-DNA or HCV-RNA positive * Patients with grade 2 or higher heart failure and other patients deemed inappropriate for inclusion by the investigator * Pregnant or breastfeeding patients * The study patient was refused enrollment
Where it's running
-
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China Recruiting
Study contacts
- Principal investigator: Jing Lu, MD — Soochow U
- Study coordinator: Jing Lu
- Email: lujing@suda.edu.cn
- Phone: 1377183627
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Blinatumomab plus low-dose donor cells after transplant for high-risk B-ALL
This small, early-phase study tests whether giving blinatumomab with low-dose donor lymphocytes after allogeneic transplant is safe and helps long-term survival for people with high-risk B-ALL.
-
LP-118 in combination with standard therapy for newly diagnosed Ph+ ALL
This study tests whether adding LP-118 to the standard therapy for adults with Philadelphia chromosome–positive ALL is safe and useful.
-
MK-1045 versus blinatumomab for relapsed or refractory CD19-positive B-cell acute lymphoblastic leukemia
This trial will test whether MK-1045 helps people with relapsed or refractory CD19-positive B-cell acute lymphoblastic leukemia more than the standard immunotherapy blinatumomab.
-
Vaccine protection after blinatumomab in children with B-ALL
This project will see if children and young adults (ages 1–21) with B-cell acute lymphoblastic leukemia who received blinatumomab keep protective immunity from routine childhood vaccines and whether revaccination restores immunity when levels are low.
-
Asciminib in children and young adults with relapsed or refractory Ph+ or ABL-class Ph-like ALL
This study tests asciminib in kids and young adults with relapsed or refractory Philadelphia-positive or ABL-class Ph-like ALL to see if it is safe and helps treat the leukemia.
-
Subcutaneous blinatumomab treatment for adults with CD19-positive mixed phenotype acute leukemia
This trial tests whether giving blinatumomab under the skin can help adults with CD19-positive mixed phenotype acute leukemia, including older or unfit newly diagnosed patients, those with measurable residual disease after remission, and those with relapsed or refractory disease.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.