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OncoMatch/Clinical Trials/NCT04521231

A Study of Subcutaneous Blinatumomab Administration in Participants With R/R and MRD+ B-ALL

Is NCT04521231 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies Blinatumomab for b cell precursor acute lymphoblastic leukemia.

Phase 1/2RecruitingAmgenNCT04521231Data as of May 2026

Treatment: BlinatumomabThe Phase I part of the study aims to evaluate the safety, efficacy, and tolerability of subcutaneous (SC) blinatumomab for treatment of Relapsed or Refractory B cell Precursor Acute Lymphoblastic Leukemia (R/R B-ALL), to determine the maximum tolerated dose (MTD), and recommended phase 2 dose(s) (RP2D) of SC administered blinatumomab. The Phase II part of the study will evaluate the safety, efficacy, and tolerability of SC blinatumomab for treatment of R/R B-ALL and Minimum Residual Disease Positive (MRD+) B-ALL in participants 12 years old and greater. It will also conduct a clinical pharmacokinetic (PK) evaluation of SC1 and SC2 blinatumomab formulations.

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Biomarker criteria

Allowed: BCR fusion

Any Ph+ participant intolerant or refractory to prior tyrosine kinase inhibitors (TKIs) are eligible.

Allowed: CD19 positive expression

Prior failed cluster of differentiation (CD19) directed therapy such as prior blinatumomab or CD19 CAR T cells will be allowed (with demonstrated continued CD19+ expression)

Prior therapy

Cannot have received: allogeneic hematopoietic stem cell transplant

Allogeneic HSCT within 12 weeks before the start of protocol-specified therapy

Cannot have received: cancer chemotherapy

Exception: with certain exceptions

Cancer chemotherapy within 2 weeks before the start of protocol-specified therapy (with certain exceptions)

Cannot have received: immunotherapy

Immunotherapy within 4 weeks before start of protocol-specified therapy

Cannot have received: investigational therapy

Currently receiving treatment in or less than 30 days or 5 half-lives since ending treatment on another investigational study(ies)

Lab requirements

Blood counts

Ph-IIM: ANC ≥ 500/μL; Platelet count ≥ 50,000/μL (transfusion permitted); Hemoglobin level ≥ 9 g/dL (transfusion permitted)

Ph-IIM: BM function as follows: ANC ≥ 500/μL; Platelet count ≥ 50,000/μL (transfusion permitted); Hemoglobin level ≥ 9 g/dL (transfusion permitted)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope National Medical Center · Duarte, California
  • University of Illinois Chicago · Chicago, Illinois
  • Johns Hopkins University · Baltimore, Maryland
  • C.S. Mott Children's Hospital - University of Michigan · Ann Arbor, Michigan
  • New York University Grossman School of Medicine and New York University Langone Hospitals · New York, New York

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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