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OncoMatch/Clinical Trials/NCT05748171

A Study to Learn More About the Study Medicine Called Inotuzumab Ozogamicin (InO) in Children (1 to <18 Years) With First Relapse ALL

Is NCT05748171 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies multiple treatments including Inotuzumab ozogamicin and ALLR3 for acute lymphoblastic leukemia.

Phase 2RecruitingPfizerNCT05748171Data as of Sep 2026Location: International · 18 countries

Treatment: Inotuzumab ozogamicin · ALLR3This prospective, randomized, multicenter, open-label Phase 2 study is designed to evaluate the superiority of InO monotherapy vs ALLR3 after 1 cycle of induction treatment in paediatric participants (between 1 and \<18 years) with High Risk (HR) or very high risk (VHR) first bone marrow relapse CD22-positive BCP ALL, and to evaluate the safety and tolerability, PK and long-term efficacy. Treatment with study intervention will end after induction therapy; follow-up will continue for up to 5 years from randomization.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Inotuzumab ozogamicin

Other

ALLR3

Cancer type

Acute Lymphoblastic Leukemia

Biomarker criteria

Required: CD22 expression

Required: HYPODIPLOIDY hypodiploidy (<40 chromosomes) or masked low hypodiploidy

Required: KMT2A (MLL) kmt2a::aff1 fusion

Required: TCF3 tcf3-hlf fusion

Required: TCF3 tcf3-pbx1 fusion

Required: TP53 alteration

Excluded: ABL1 bcr-abl1 fusion

Disease stage

Required: Stage FIRST RELAPSE

Demographics

Ages 1–17

Prior therapy

Cannot have received: allogeneic stem cell transplant

Cannot have received: car-t cell therapy

Cannot have received: calicheamicin-conjugated antibody (inotuzumab ozogamicin, gemtuzumab ozogamicin)

Lab requirements

Kidney function

egfr (1 to <2 years) or ecrcl (2 to <18 years) ≥30 ml/min

Liver function

ast and alt ≤5 × institutional uln; total bilirubin ≤1.5 × institutional uln unless gilbert's syndrome

Cardiac function

shortening fraction ≥ 30% by echocardiogram or ejection fraction >50% by muga

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

Frequently asked questions

Is NCT05748171 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior allogeneic stem cell transplant, car-t cell therapy, calicheamicin-conjugated antibody disqualifies patients from enrollment.

Does this trial require CD22?

Yes, CD22 expression is a required biomarker for enrollment.

Does this trial require HYPODIPLOIDY?

Yes, HYPODIPLOIDY hypodiploidy (<40 chromosomes) or masked low hypodiploidy is a required biomarker for enrollment.

Does this trial require KMT2A?

Yes, KMT2A kmt2a::aff1 fusion is a required biomarker for enrollment.

Are patients with ABL1 alterations eligible?

No. ABL1 bcr-abl1 fusion is an exclusion criterion.

What disease stage is eligible?

Stage FIRST RELAPSE is required.

Is there an age limit?

Yes. Patients must be 17 years or younger and at least 1 years old.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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