BENITIONSClinical Trial Intelligence

Phase 3 Trial of Blinatumomab vs Standard Chemotherapy in Pediatric Subjects With HIgh-Risk (HR) First Relapse B-precursor Acute Lymphoblastic Leukemia (ALL)

3상 완료 NCT02393859

대상 질환Leukemia, Acute Lymphoblastic
임상 단계3상
스폰서Amgen
상태완료
참여자 수111 명
중재(약물)Blinatumomab, Dexamethasone, Vincrisitne, Daunorubicin, Methotrexate
시작일2015년 11월 10일
완료일2019년 7월 17일
결과 공개일2020년 7월 13일

요약

B-precursor ALL is an aggressive malignant disease. Therapy is usually stratified according to risk characteristics to ensure that appropriate treatment is administered to patients with high-risk of relapse. In general, pediatric treatment regimens are more intense than those employed in adults and include courses of combination chemotherapy. Standard of care chemotherapy is associated with considerable toxicity. There is a lack of novel treatment options for subjects who relapse or are refractory to treatment. Therefore, innovative therapeutic approaches are urgently needed. Blinatumomab is a bispecific single-chain antibody construct designed to link B cells and T cells resulting in T cell activation and a cytotoxic T cell response against CD19 expressing cells. This study will evaluate the event-free survival (EFS) after treatment with blinatumomab when compared to standard of care (SOC) chemotherapy. The effect of blinatumomab on overall survival and reduction of minimal residual disease compared to SOC chemotherapy will also be investigated.

Kaplan Meier Estimate: Event-Free Survival (EFS; Primary Analysis)

As of the primary analysis data cutoff date (17 July 2019), overall median follow-up time for EFS was 22.4 months. · months

HC3 Chemotherapy7.4 months
BlinatumomabNA months
p-value< 0.001
Normal score-11.54

Kaplan Meier Estimate: EFS (Final Analysis)

At final analysis, overall median follow-up time for EFS was 51.9 months. · months

HC3 Chemotherapy7.8 months
BlinatumomabNA months
p-value< 0.001
Normal score-13.90

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