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OncoMatch/Clinical Trials/NCT05827549

Evaluation of Treatment Efficacy According to Risk Group in Relapsed Childhood Acute Lymphoblastic Leukemia

Is NCT05827549 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for acute lymphoid leukemia.

Phase 2RecruitingHo Joon ImNCT05827549Data as of May 2026

Treatment: Reinduction(4weeks) · Cosolodation 1st(3weeks) · Consolidation 2nd(3weeks) · Blinatumomab 1st(High Risk Group)_4 Weeks · Blinatumomab 2nd (High Risk Group)_4 Weeks · Blinatumomab-Salvage 1st (Very High Risk Group)_4 Weeks · Blinatumomab-Salvage 2nd (Very High Risk Group)_4 Weeks · Intensification course · Maintenance(12 Weeks/Cycle)This study is open-label, multi-center, prospective study, which targets childhood patients with relapsed acute lymphostatic leukemia including bone marrow recurrence. Aim of this study is to investigate the outcome of NGS MRD based risk stratified treatment for relapsed acute lymphoblastic leukemia in children and adolescents.

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Biomarker criteria

Excluded: BCR Philadelphia chromosome positive

Patients with Philadelphia chromosome positive (Ph+) ALL

Excluded: CD19 non-expression

Patients with CD19-negative recurrent progenitor B-cell acute lymphoblastic leukemia (non-expression of CD19 in peripheral blood or bone marrow by flow cytometry) are not eligible for administration of Blinatumomab

Prior therapy

Min 1 prior line

Must have received: — relapsed

1st recurred acute lymphoblastic leukemia patients

Cannot have received: allogeneic stem cell transplant

Patients who have never received allogeneic stem cell transplant

Cannot have received: (blinatumomab)

Patients who have never received blinatumomab before

Cannot have received:

In case of relapsed within 1 month after the end of induction with the same 4-drug therapy used in this study

Lab requirements

Kidney function

A serum creatinine based on age/gender as follows: 1 to < 2 years - Male (0.6) Female (0.6) 2 to < 6 years - Male (0.8) Female (0.8) 6 to < 10 years - Male (1) Female (1) 10 to < 13 years - Male (1.2) Female (1.2) 13 to < 16 years - Male (1.5) Female (1.4) ≥ 16 years - Male (1.7) Female (1.4)

Liver function

Adequate Liver Function defined as a direct bilirubin <3.0 mg/dL

Cardiac function

Shortening fraction of ≥ 27% by echocardiogram, or Ejection fraction of ≥ 50% by echocardiogram

Adequate Renal Function -A serum creatinine based on age/gender as follows: ... * Adequate Liver Function defined as a direct bilirubin <3.0 mg/dL * Adequate Cardiac Function defined as: Shortening fraction of ≥ 27% by echocardiogram, or Ejection fraction of ≥ 50% by echocardiogram

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

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