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Trial Title: Short-term Blinatumomab as a Bridge Therapy for Allo-HSCT in Low Burden B-ALL

NCT ID: NCT06111625

Condition: Leukemia, Lymphoid

Conditions: Official terms:
Leukemia
Leukemia, Lymphoid
Blinatumomab

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: blinatumomab
Description: Blinatumomab was administered via a peripherally inserted central catheter (PICC) with an initial dosage of 8 μg/day. The dosage gradually escalated to 28 μg/day, with a total dose of 175 μg, infused over 5 to 10 days. To mitigate the risk of cytokine release syndrome (CRS), dexamethasone at a dose of 20 mg was administered 12 hours before the onset of blinatumomab infusion.
Arm group label: blinatumomab

Summary: The goal of this single-arm, prospective study is to test in low-burden B-cell lymphoblastic leukemia (B-ALL) patients undergoing allogeneic hemopoietic stem-cell transplantation (allo-HSCT). The main question it aims to answer is: • The efficacy and safety of short-term blinatumomab as a bridging therapy to allo-HSCT in patients with low-burden B-ALL. Participants will take intravenous blinatumomab prior to allo-HSCT with an initial dosage of 8 μg/day. The dosage gradually escalated to 28 μg/day and continued for 5 to 10 days. Dexamethasone 20mg was administered 1 hour before the onset of blinatumomab infusion.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. patients diagnosed with B-ALL; 2. patients with age ≥ 16 years; 3. Availability of both pre- and post-transplantation disease status records. Exclusion Criteria: 1. administration of blinatumomab therapy for more than 14 days; 2. patients with leukemia burden ≥ 10% before initiation of treatment; 3. patients with severe organ dysfunctions before treatment, including myocardial infarction, chronic heart failure, decompensated liver dysfunction, renal dysfunction, or gastrointestinal dysfunction; 4. patients with central nervous system leukemia.

Gender: All

Minimum age: 16 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: West China Hospital of Sichuan University

Address:
City: Chengdu
Zip: 610044
Country: China

Status: Recruiting

Contact:
Last name: Jie Ji, MD

Phone: 86-28-85422370
Email: jieji@scu.edu.cn

Start date: September 10, 2023

Completion date: August 31, 2026

Lead sponsor:
Agency: Sichuan University
Agency class: Other

Source: Sichuan University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06111625

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