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OncoMatch/Clinical Trials/NCT06985485

Full-Course Immunotherapy Consolidation for Unfit or Fit B-ALL Who Decline Chemotherapy

Is NCT06985485 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Blinatumomab and Inotuzumab Ozogamicin for acute lymphoblastic leukemia.

Phase 2RecruitingThe First Affiliated Hospital of Soochow UniversityNCT06985485Data as of May 2026

Treatment: Blinatumomab and Inotuzumab OzogamicinThis trial is a non-blinded, single-center, open-label, single-arm clinical study to evaluate a full-course immunotherapy regimen in patients with B-cell acute lymphoblastic leukemia (B-ALL). The study population includes newly diagnosed patients who are unfit for or decline intensive chemotherapy, as well as patients with relapsed/refractory disease or with measurable residual disease (MRD) positivity following prior chemotherapy. The trial aims to explore the efficacy and safety of sequential therapy with a CD19-directed CD3 T-cell engager and inotuzumab ozogamicin. The primary endpoint is overall survival (OS), while secondary endpoints include complete remission rate (CRR)、Objective Response Rate (ORR)、Event-free survival (EFS)、Relapse-free survival (RFS)、Cumulative incidence of relapse (CIR)、Non-relapse mortality (NRM) and safety.

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Disease stage

Required: Stage NEWLY DIAGNOSED, RELAPSED, REFRACTORY, MRD POSITIVE

Prior therapy

Must have received: chemotherapy — relapsed/refractory or MRD positivity after prior chemotherapy

Patients aged ≥15 years with relapsed/refractory B-ALL or MRD positivity after prior chemotherapy

Cannot have received: CD19-targeted therapy (CD19-directed CD3 T-cell engager, inotuzumab ozogamicin, CD19 CAR-T)

Prior exposure to CD19- or CD22-targeted therapies (including but not limited to CD19-directed CD3 T-cell engager, inotuzumab ozogamicin, CD19 or/and CD22 CAR-T)

Cannot have received: CD22-targeted therapy (inotuzumab ozogamicin, CD22 CAR-T)

Prior exposure to CD19- or CD22-targeted therapies (including but not limited to CD19-directed CD3 T-cell engager, inotuzumab ozogamicin, CD19 or/and CD22 CAR-T)

Lab requirements

Kidney function

Creatinine clearance ≥30 mL/min (by any formula)

Liver function

ALT and AST ≤3×ULN, total bilirubin ≤2×ULN (unless attributed to leukemia)

Cardiac function

Left ventricular ejection fraction (LVEF) ≥40% by echocardiogram

Left ventricular ejection fraction (LVEF) ≥40% by echocardiogram; Creatinine clearance ≥30 mL/min (by any formula); ALT and AST ≤3×ULN, total bilirubin ≤2×ULN (unless attributed to leukemia); ≤Grade 1 dyspnea and oxygen saturation >91% without supplemental oxygen

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

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