Overview

Total Therapy for Infants With Acute Lymphoblastic Leukemia (ALL) I

Status:
Recruiting
Trial end date:
2031-10-01
Target enrollment:
Participant gender:
Summary
The purpose of this study is to test the good and bad effects of the study drugs bortezomib and vorinostat when they are given in combination with chemotherapy commonly used to treat acute lymphoblastic leukemia (ALL) in infants. For example, adding these drugs could decrease the number of leukemia cells, but it could also cause additional side effects. Bortezomib and vorinostat have been approved by the US Food and Drug Administration (FDA) to treat other cancers in adults, but they have not been approved for treating children with leukemia. With this research, we plan to meet the following goals: PRIMARY OBJECTIVE: - Determine the tolerability of incorporating bortezomib and vorinostat into an ALL chemotherapy backbone for newly diagnosed infants with ALL. SECONDARY OBJECTIVES: - Estimate the event-free survival and overall survival of infants with ALL who are treated with bortezomib and vorinostat in combination with an ALL chemotherapy backbone. - Measure minimal residual disease (MRD) positivity using both flow cytometry and PCR. - Compare end of induction, end of consolidation, and end of reinduction MRD levels to Interfant99 (ClinicalTrials.gov registration ID number NCT00015873) participant outcomes.
Phase:
Phase 1/Phase 2
Details
Lead Sponsor:
St. Jude Children's Research Hospital
Collaborators:
Baylor College of Medicine
Gateway for Cancer Research
Texas Children's Hospital
Treatments:
6-Mercaptopurine
Asparaginase
BB 1101
Bortezomib
Cyclophosphamide
Cytarabine
Dexamethasone
Dexamethasone 21-phosphate
Dexamethasone acetate
Etoposide
Etoposide phosphate
Hydrocortisone
Leucovorin
Levoleucovorin
Mercaptopurine
Methotrexate
Mitoxantrone
Pegaspargase
Vincristine
Vorinostat