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Monoclonal Antibodies

Chemotherapy + Ponatinib + Blinatumomab for Acute Lymphoblastic Leukemia

Phase 2
Waitlist Available
Led By Elias Jabbour
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients >= 18 years of age with previously untreated Ph-positive ALL (either t(9;22) and/or BCR-ABL positive) including patients initiated on first cycle of hyper-CVAD before cytogenetics known
Patients >= 18 years of age with relapsed/refractory Ph-positive ALL or lymphoid accelerated or blast phase chronic myelogenous leukemia (CML)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 6 years
Awards & highlights

Study Summary

This trial is testing low-intensity chemotherapy with ponatinib and blinatumomab for patients with Philadelphia chromosome-positive and/or BCR-ABL positive acute lymphoblastic leukemia that may have come back or is not responding to treatment.

Who is the study for?
Adults with Philadelphia chromosome-positive and/or BCR-ABL positive acute lymphoblastic leukemia, either untreated or resistant to treatment. Participants must be in good physical condition (ECOG <=2), have normal liver and kidney function, agree to use effective contraception, and not have a history of significant heart disease or other serious medical conditions.Check my eligibility
What is being tested?
The trial is testing the effectiveness of low-intensity chemotherapy combined with Ponatinib and Blinatumomab. It aims to see if this combination can stop cancer cells from growing by using different mechanisms including immune system modification.See study design
What are the potential side effects?
Possible side effects include reactions related to the immune system, fatigue, digestive issues like nausea or diarrhea, blood cell count changes increasing infection risk, liver enzyme alterations, potential for allergic reactions, and infusion-related symptoms.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 18 or older with a specific type of leukemia (Ph-positive ALL) that hasn't been treated yet.
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I am 18 or older with a specific type of leukemia that has not responded to treatment.
Select...
I can do most of my daily activities on my own.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 6 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 6 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Complete molecular response (CMR) in newly diagnosed Philadelphia chromosome (Ph)-positive and/or BCR-ABL-positive participants
Overall response (OR) in participants with relapsed/refractory acute lymphoblastic leukemia
Secondary outcome measures
CMR for relapsed/refractory population
Complete cytogenetic response
Event-free survival (EFS)
+2 more

Side effects data

From 2017 Phase 2 trial • 171 Patients • NCT01935336
67%
Grade 2 hypertension
67%
Grade 3 AE
100%
80%
60%
40%
20%
0%
Study treatment Arm
Ponatinib SISH-/ISH+
Ponatinib SISH-/ISH-
Ponatinib SISH+/ISH+
Ponatinib SISH+/ISH-

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (chemotherapy, ponatinib, blinatumomab)Experimental Treatment9 Interventions
See Detailed Description.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Rituximab
1999
Completed Phase 4
~1880
Cytarabine
2016
Completed Phase 3
~3310
Pegfilgrastim
2013
Completed Phase 3
~4410
Blinatumomab
2014
Completed Phase 3
~1210
Cyclophosphamide
1995
Completed Phase 3
~3770
Filgrastim
2000
Completed Phase 3
~3670
Ponatinib
2015
Completed Phase 2
~820
Methotrexate
2013
Completed Phase 4
~3800
Vincristine
2003
Completed Phase 4
~2910

Find a Location

Who is running the clinical trial?

M.D. Anderson Cancer CenterLead Sponsor
2,967 Previous Clinical Trials
1,804,780 Total Patients Enrolled
Elias JabbourPrincipal InvestigatorM.D. Anderson Cancer Center
16 Previous Clinical Trials
1,006 Total Patients Enrolled

Media Library

Blinatumomab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT03147612 — Phase 2
Acute Lymphoblastic Leukemia Research Study Groups: Treatment (chemotherapy, ponatinib, blinatumomab)
Acute Lymphoblastic Leukemia Clinical Trial 2023: Blinatumomab Highlights & Side Effects. Trial Name: NCT03147612 — Phase 2
Blinatumomab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03147612 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What research has been accomplished using Ponatinib to date?

"At the moment, Ponatinib is being tested in 1466 trials. Of these studies, 304 are currently in Phase 3 and 45749 are located across a variety of sites with the majority found near Bethesda, Maryland."

Answered by AI

Has Ponatinib been granted a seal of approval by the FDA?

"Due to the fact that Ponatinib is currently undergoing Phase 2 trials, demonstrating safety but not yet efficacy, it has been assigned a score of two."

Answered by AI

What condition is Ponatinib most typically prescribed to treat?

"Ponatinib is regularly used to treat transplanted livers, but it has also been proven successful in providing relief from lung cancers, small cell lung cancer (SCLC), and multiple sclerosis."

Answered by AI

To what extent is the current research being conducted on a sample population?

"Affirmative. Clinicaltrials.gov has data which verifies that this medical investigation is actively seeking volunteers, with its initial posting date of February 8th 2018 and the last update on October 31st 2022. 60 participants are required to be enrolled at a single location."

Answered by AI

What aims does this clinical trial seek to accomplish?

"The primary goal of this 84 day trial is to measure the overall response rate in participants with relapsed/refractory acute lymphoblastic leukemia. Secondary assessments include complete cytogenetic response, incidence of adverse events (graded according to NCI CTCAE v4.0), and event-free survival probabilities as estimated by Kaplan-Meier methodology."

Answered by AI

Are there any opportunities for enrollment in this experiment at present?

"clinicialtrials.gov has confirmed that this scientific investigation is still open to participants, with the study first posted on February 8th 2018 and last edited October 31st 2022."

Answered by AI
~3 spots leftby Feb 2025