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OncoMatch/Clinical Trials/NCT06533748

Therapy for Newly Diagnosed Patients With B-Cell Precursor Acute Lymphoblastic Leukemia and Lymphoma

Is NCT06533748 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for acute lymphoblastic leukemia.

Phase 2RecruitingSt. Jude Children's Research HospitalNCT06533748Data as of May 2026

Treatment: Dexamethasone · Vincristine · Inotuzumab · Blinatumomab · Dasatinib · Cyclophosphamide · Cytarabine · Methotrexate · 6-Mercaptopurine · Calaspargase · Daunorubicin · ThioguanineThis is a Phase II clinical trial testing the use of two antigen-directed therapies, inotuzumab and blinatumomab, as part of induction therapy for children and young adults with newly diagnosed B-cell precursor acute lymphoblastic leukemia and lymphoma. Primary Objective * To assess if the flow-cytometry assessed MRD-negative remission rate following an immunotherapy-based Induction in NCI-high risk patients without favorable genetic features is higher than the results of similar patients treated on AALL1131. Secondary Objectives * To compare flow-cytometry assessed MRD-negative rates at the end of Induction for patients treated with this therapy compared to similar patients treated on TOT17. * To compare the rate of significant toxicities in patients treated with this therapy to those treated with standard-risk therapy on TOT17. * To assess the event free and overall survival of patients treated with this therapy.

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Non-Hodgkin Lymphoma

Biomarker criteria

Excluded: ETV6 etv6::runx1 fusion

Disease stage

Required: Stage STAGE 3, STAGE 4

For lymphoblastic lymphoma, Stage 3-4 disease OR Stage 1-2 disease in patient ages ≥10 years OR HR clinical feature as defined above.

Prior therapy

No prior treatment (treatment-naive required)

Cannot have received: chemotherapy

Exception: therapy given on or allowed by INITIALL

No prior chemotherapy excluding therapy given on or allowed by INITIALL.

Lab requirements

Kidney function

Calculated GFR ≥ 50 mL/min/1.73m^2 using Bedside Schwartz equation OR creatinine below or equal to age/sex-specific maximum.

Liver function

Total bilirubin ≤ 1.5x ULN for age and ALT ≤ 5x ULN for age. Patients with elevated total bilirubin due to hemolysis eligible if direct bilirubin <1.5x ULN.

Cardiac function

Unstable cardiac disease including QTc >500msec [excluded]

Adequate liver function defined as: Total bilirubin ≤ 1.5x ULN for age and ALT ≤ 5x ULN for age. Patients with an elevated total bilirubin due to hemolysis are eligible if they have a direct bilirubin <1.5x ULN. Adequate renal function defined as: Calculated GFR ≥ 50 mL/min/1.73m^2 using the Bedside Schwartz equation OR creatinine below or equal to the maximum defined below. Unstable cardiac disease including QTc >500msec [excluded].

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

US trial sites

  • Saint Francis Children's Hospital · Tulsa, Oklahoma
  • St. Jude Children's Research Hospital · Memphis, Tennessee

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