TINI 2: Total Therapy for Infants With Acute Lymphoblastic Leukemia II
Part of paid clinical trials in Phoenix, Arizona.
- Sponsor
- Tanja Andrea Gruber
- Study ID
- NCT05848687
- Phase
- PHASE1/PHASE2
- Status
- Recruiting
Conditions
- Lymphoblastic Leukemia
Eligibility Criteria
- Sex
- ALL
- Age
- N/A - 1 Year
- Healthy Volunteers
- Not accepted
Interventions
- Dexamethasone — DRUGGiven orally (PO) or naso-gastrically (NG) or intravenously (IV).
- Mitoxantrone — DRUGGiven IV
- PEG asparaginase — DRUGGiven IV
- Bortezomib — DRUGGiven IV
- Vorinostat — DRUGTaken PO or NG
- Mercaptopurine — DRUGGiven PO or NG.
- Methotrexate — DRUGGiven IV, IM or PO
- Blinatumomab — DRUGWill be administered at 15 mcg/m2/day for 28 days following induction and reinduction
- Ziftomenib — DRUG3+3 dose escalation will be done. Dose level 1 will start at 75% of the adult recommended phase two dosing which has been established in phase I studies. Based on tolerability, we will either de-escalate to 50% RP2D (dose level -1) or escalate to 100% RP2D
Study Details
The purpose of this study is to improve upon the TINI study treatment. The study will test the ability of a type of immunotherapy called blinatumomab to clear persistent leukemia. Blinatumomab targets CD19 which is located on the leukemia cells outer membrane.
Key Dates
- Start date
- Nov 3, 2023
- Status verified
- May 2026
- Primary completion
- Dec 31, 2028
- Completion
- Dec 31, 2033
Study Design
- Enrollment
- 90 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: TreatmentParticipants who meet eligibility criteria will receive remission induction, induction intensification, consolidation I, reinduction block I, reinduction block II, consolidation II, and Maintenance. Interventions: Dexamethasone, Mitoxantrone, PEG-asparaginase, Bortezomib, Vorinostat, Mercaptopurine, Methotrexate and Vincristine, Blinatumomab, Ziftomenib
Primary Outcome Measure
Minimal Residual Disease [ Time Frame: 5 years and 2 months ]
Central Contacts
- Tanja A Gruber, MD, PhD650 723 5535
Locations (17)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Phoenix Children's Hospital | Phoenix | Arizona | 85016 | Dana Salzberg, MD (PRINCIPAL_INVESTIGATOR) |
| Arkansas Children's Hospital | Little Rock | Arkansas | 72202 | Kevin Bielamowicz, MD (PRINCIPAL_INVESTIGATOR) |
| Children's Hospital Los Angeles | Los Angeles | California | 90027 | Deepa Bhojwani, MD (PRINCIPAL_INVESTIGATOR) |
| Valley Children's Hospital | Madera | California | 93636 | Faisal Razzaqi, MD (PRINCIPAL_INVESTIGATOR) |
| Children's Hospital of Orange County | Orange | California | 92868 | Jamie N Frediani, MD (PRINCIPAL_INVESTIGATOR) |
| Stanford University | Palo Alto | California | 94304 | |
| Rady Children's Hospital San Diego | San Diego | California | 92123 | Deborah Schiff, MD (PRINCIPAL_INVESTIGATOR) |
| Arnold Palmer Hospital for Children | Orlando | Florida | 32806 | Claudia P Zapata, MD (PRINCIPAL_INVESTIGATOR) |
| Children's Hospital of Minnesota | Minneapolis | Minnesota | 55404 | Michael K Richards, MD, PhD (PRINCIPAL_INVESTIGATOR) |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | Tanya Trippett, MD (PRINCIPAL_INVESTIGATOR) |
| Novant Health - Hemby Children's Hospital | Charlotte | North Carolina | 28204 | Christine Bolen, MD (PRINCIPAL_INVESTIGATOR) |
| Doernbecher Children's Hospital | Portland | Oregon | 97239 | Bill Hoon Chang, MD, PhD (PRINCIPAL_INVESTIGATOR) |
| Penn State Milton S Hershey Medical Center | Hershey | Pennsylvania | 17033-0850 | Valerie Brown, Md, PhD (PRINCIPAL_INVESTIGATOR) |
| MD Anderson | Houston | Texas | 77030 | |
| University of Texas Health Science Center San Antonio | San Antonio | Texas | 78229 | Anne-Marie Langevin, MD (PRINCIPAL_INVESTIGATOR) |
| University of Utah Huntsman Cancer Institute | Salt Lake City | Utah | 84108 | David Mangum, MD (PRINCIPAL_INVESTIGATOR) |
| Children's Hospital of The King's Daughters | Norfolk | Virginia | 23507 | Eric Lowe, MD (PRINCIPAL_INVESTIGATOR) |
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