ClinicalTrials.gg
TerminatedNCT04920968OVERALLUpdated Oct 15, 2026

Obinutuzumab Versus Rituximab for Acute Lymphoblastic Leukemia/PALG ALL7 "OVERALL"

A Phase 2 interventional study of Obinutuzumab and Rituximab in CD20-positive Acute Lymphoblastic Leukemia, sponsored by Maria Sklodowska-Curie National Research Institute of Oncology. Terminated at 19 sites in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Maria Sklodowska-Curie National Research Institute of Oncology · Phase 2, Interventional, and Treatment

Why this study was terminated
Following the recommendation of the Data Monitoring Committee (DMC), based on the results of the interim analysis, the Sponsor has decided to terminate the study prematurely
Updated Oct 15, 2026Now TerminatedPrimary completion moved+4 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A multicenter, prospective, randomized and controlled study to compare the efficacy and safety of obinutuzumab and rituximab in adult ALL patients with CD20 expression.Study population is 124 patients (62 in each study group).

02

Conditions studied

  • CD20-positive Acute Lymphoblastic Leukemia
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

This study's enrollment of 49 is above the median of 40 across 1,952 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

Maria Sklodowska-Curie National Research Institute of Oncology is the lead sponsor of 64 studies on the registry; 13 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥18 years.
  2. Newly diagnosed Acute lymphoblastic leukemia with CD20 expression on at least 20% of blasts.
  3. Signed written .
  4. Adequate in case of women with

Exclusion criteria

Exclusion Criteria:

  1. Lymphoblastic lymphoma with bone marrow blasts\<20%.
  2. Patients with a history of chronic myeloid leukemia or other myeloproliferative disease.
  3. Major surgery within 4 weeks before enrollment.
  4. Impaired cardiac function: \<40% on echocardiography, > 450 ms on baseline . Myocardial infarction within 6 months prior to starting study; other heart disease (e.g. unstable angina, congestive heart failure or uncontrolled hypertension, uncontrolled arrhythmias).
  5. Active infection e.g. virus, virus,
  6. Other concurrent severe and/or uncontrolled medical conditions: patients with another primary malignant disease, except those that do not currently require treatment; acute or chronic liver, pancreatic or severe renal disease; another severe and/or life-threatening medical disease.
  7. Serum creatinine > 2 times the upper normal limit of the laboratory, total > 2.5 upper normal limit unless related to Acute lymphoblastic leukemia, or alanine aminotransferase > 5 upper normal limit, unless related to Acute lymphoblastic leukemia
  8. Intolerance to treatment with monoclonal antibody.
  9. Positive pregnancy test (beta human chorionic gonadotropin) for women of childbearing age.
  10. Inability to obtain written .
  11. Inability to comply with regular monitoring.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    Obinutuzumab

    Patients in reference arm (Arm A) will receive rituximab. Patients in experimental arm (Arm B) will receive obinutuzumab instead of rituximab in the same time-points.

    Drug: Obinutuzumab

  • Active comparator
    Rituximab

    Patients in reference arm (Arm A) will receive rituximab. Patients in experimental arm (Arm B) will receive obinutuzumab instead of rituximab in the same time-points.

    Drug: Rituximab

Interventions

  • Chemotherapy will be conducted according to PALG ALL7 protocol, which is considered a standard of care in Poland. Patients in experimental arm will receive obinutuzumab .Obinutuzumab: 1000 mg i.v. (first infusion divided into 100 mg on d. 1 and 900 mg on d. 2).

  • Chemotherapy will be conducted according to PALG ALL7 protocol, which is considered a standard of care in Poland.The protocol includes the use of rituximab in combination chemotherapy. Rituximab: 375 mg/m2 intravenously (i.v.)

    Also known as: Activ comparator

06

What researchers measure

Primary outcomes

  1. Proportion of patients achieving complete remission with Minimal Residual Disease level <0.1% of bone marrow cells after one course of induction treatment.

    Time frame: assessed between days 33-34 since start of Induction I

Secondary outcomes

  1. The proportion of patients achieving complete remission with Minimal Residual Disease level <0.01% of bone marrow cells after consolidation.

    Time frame: assessed between days 20-28 since start of last course of consolidation

  2. complete remission rate after Induction I

    Time frame: assessed between days 33-34 since start of Induction I

  3. Overall complete remission

    Time frame: in 24month follow up

  4. Probability of overall survival

    Time frame: in 24 month follow up

  5. Probability of relapse-free survival

    Time frame: in 24 month follow up

  6. Probability of event-free survival

    Time frame: in 24 month follow up

  7. Cumulative incidence of relapse

    Time frame: in 24 month follow up

  8. Rate of adverse events

    Time frame: in 24 month follow up

07

Study locations

19 sites
  • Klinika Hematologii z Pododziałem Chorób Naczyń Uniwersyteckiego
    Bialystok, Poland
  • Oddział Hematologii Onkologicznej Podkarpacki Ośrodek Onkologiczny
    Brzozów, Poland
  • Klinika Transplantacji Szpiku i Onkohematologii Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy, Oddział w Gliwicach
    Gliwice, Poland
  • Klinika Hematologii i Transplantacji Szpiku, Samodzielny Publiczny Szpital Kliniczny
    Katowice, Poland
  • Klinika Hematologii i Transplantacji Szpiku, Świętokrzyskie Centrum Onkologii
    Kielce, Poland
  • Oddział Hematologii i Chorób Wewnętrznych z Pododdziałem Dziennym Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o.
    Krakow, Poland
  • Oddział Hematologiczny Wojewódzkiego Szpitala Specjalistycznego w Legnicy
    Legnica, Poland
  • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Łodzi
    Lodz, Poland
  • Klinika Hematoonkologii I Transplantacji Szpiku, Uniwersytet Medyczny w Lublinie
    Lublin, Poland
  • Oddział Hematologii i Transplantacji Szpiku Centrum Onkologii Ziemi Lubelskiej im. Św. Jana z Dukli w Lublinie
    Lublin, Poland
  • Oddział Kliniczny Hematologii Samodzielnego Publicznego Zakładu Opieki Zdrowotnej MSWiA z Warmińsko-Mazurskim Centrum Onkologii w Olsztynie
    Olsztyn, Poland
  • Klinika Hematologii i Chorób Rozrostowych Układu Krwiotwórczego Uniwersytetu Medycznego w Poznaniu
    Poznan, Poland
  • Klinika Hematologii Pomorskiego Uniwersytetu Medycznego
    Szczecin, Poland
  • Oddział Hematologii, Specjalistyczny Szpital Miejski
    Torun, Poland
  • Klinika Chorób Wewnętrznych i Hematologii Wojskowy Instytut Medyczny
    Warsaw, Poland
  • Klinika Hematologii, Instytut Hematologii i Transfuzjologii
    Warsaw, Poland
  • Klinika Hematologii, Onkologii i Chorób Wewnętrznych Warszawskiego Uniwersytetu Medycznego
    Warsaw, Poland
  • Katedra i Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku
    Wroclaw, Poland
  • Oddział Hematologiczny Z Oddziałem Nowotworów Krwi Dolnośląskie Centrum Transplantacji Komórkowych Z Krajowym Bankiem Dawców Szpiku
    Wroclaw, Poland
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Oct 2021 to primary completion in Apr 2026, 54 months.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 15, 2026: primary completion Dec 2025 → Apr 2026 and completion Dec 2025 → Apr 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Apr 25, 2021
First posted
Jun 10, 2021
StartActual
Oct 5, 2021
Primary completionActual
Apr 21, 2026was Dec 2025
CompletionActual
Apr 21, 2026was Dec 2025
Last update
Oct 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Terminated Following the recommendation of the Data Monitoring Committee (DMC), based on the results of the interim analysis, the Sponsor has decided to terminate the study prematurely
changed Oct 15, 2026
Sites
10 sites added, 10 sites removed
Show 10 added (10 Poland)
  • Klinika Hematologii z Pododziałem Chorób Naczyń Uniwersyteckiego · Bialystok, Poland
  • Oddział Hematologii i Chorób Wewnętrznych z Pododdziałem Dziennym Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o. · Krakow, Poland
  • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Łodzi · Lodz, Poland
  • Klinika Hematologii i Chorób Rozrostowych Układu Krwiotwórczego Uniwersytetu Medycznego w Poznaniu · Poznan, Poland
  • Oddział Hematologii, Specjalistyczny Szpital Miejski · Torun, Poland
  • Klinika Chorób Wewnętrznych i Hematologii Wojskowy Instytut Medyczny · Warsaw, Poland
  • Klinika Hematologii, Instytut Hematologii i Transfuzjologii · Warsaw, Poland
  • Klinika Hematologii, Onkologii i Chorób Wewnętrznych Warszawskiego Uniwersytetu Medycznego · Warsaw, Poland
  • Katedra i Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku · Wroclaw, Poland
  • Oddział Hematologiczny Z Oddziałem Nowotworów Krwi Dolnośląskie Centrum Transplantacji Komórkowych Z Krajowym Bankiem Dawców Szpiku · Wroclaw, Poland
Show 10 removed
  • Klinika Hematologii z Pododziałem Chorób Naczyń Uniwersyteckiego · Białystok, Poland
  • Oddział Hematologii i Chorób Wewnętrznych z Pododdziałem Dziennym Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o. · Kraków, Poland
  • Klinika Hematologii i Chorób Rozrostowych Układu Krwiotwórczego Uniwersytetu Medycznego w Poznaniu · Poznań, Poland
  • Oddział Hematologii, Specjalistyczny Szpital Miejski · Toruń, Poland
  • Klinika Chorób Wewnętrznych i Hematologii Wojskowy Instytut Medyczny · Warszawa, Poland
  • Klinika Hematologii, Instytut Hematologii i Transfuzjologii · Warszawa, Poland
  • Klinika Hematologii, Onkologii i Chorób Wewnętrznych Warszawskiego Uniwersytetu Medycznego · Warszawa, Poland
  • Katedra i Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku · Wrocław, Poland
  • Oddział Hematologiczny Z Oddziałem Nowotworów Krwi Dolnośląskie Centrum Transplantacji Komórkowych Z Krajowym Bankiem Dawców Szpiku · Wrocław, Poland
  • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Łodzi · Łódź, Poland
Oct 15, 2026
Primary completion
Dec 31, 2025→Apr 21, 2026 (actual)
Oct 15, 2026
Study completion
Dec 31, 2025→Apr 21, 2026 (actual)
Oct 15, 2026
Enrollment
124 (estimated)→49 (actual)
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    Recruiting→Terminated
    Why stopped Following the recommendation of the Data Monitoring Committee (DMC), based on the results of the interim analysis, the Sponsor has decided to terminate the study prematurely
    10 sites added, 10 sites removed
    Show 10 added (10 Poland)
    • Klinika Hematologii z Pododziałem Chorób Naczyń Uniwersyteckiego · Bialystok, Poland
    • Oddział Hematologii i Chorób Wewnętrznych z Pododdziałem Dziennym Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o. · Krakow, Poland
    • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Łodzi · Lodz, Poland
    • Klinika Hematologii i Chorób Rozrostowych Układu Krwiotwórczego Uniwersytetu Medycznego w Poznaniu · Poznan, Poland
    • Oddział Hematologii, Specjalistyczny Szpital Miejski · Torun, Poland
    • Klinika Chorób Wewnętrznych i Hematologii Wojskowy Instytut Medyczny · Warsaw, Poland
    • Klinika Hematologii, Instytut Hematologii i Transfuzjologii · Warsaw, Poland
    • Klinika Hematologii, Onkologii i Chorób Wewnętrznych Warszawskiego Uniwersytetu Medycznego · Warsaw, Poland
    • Katedra i Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku · Wroclaw, Poland
    • Oddział Hematologiczny Z Oddziałem Nowotworów Krwi Dolnośląskie Centrum Transplantacji Komórkowych Z Krajowym Bankiem Dawców Szpiku · Wroclaw, Poland
    Show 10 removed
    • Klinika Hematologii z Pododziałem Chorób Naczyń Uniwersyteckiego · Białystok, Poland
    • Oddział Hematologii i Chorób Wewnętrznych z Pododdziałem Dziennym Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o. · Kraków, Poland
    • Klinika Hematologii i Chorób Rozrostowych Układu Krwiotwórczego Uniwersytetu Medycznego w Poznaniu · Poznań, Poland
    • Oddział Hematologii, Specjalistyczny Szpital Miejski · Toruń, Poland
    • Klinika Chorób Wewnętrznych i Hematologii Wojskowy Instytut Medyczny · Warszawa, Poland
    • Klinika Hematologii, Instytut Hematologii i Transfuzjologii · Warszawa, Poland
    • Klinika Hematologii, Onkologii i Chorób Wewnętrznych Warszawskiego Uniwersytetu Medycznego · Warszawa, Poland
    • Katedra i Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku · Wrocław, Poland
    • Oddział Hematologiczny Z Oddziałem Nowotworów Krwi Dolnośląskie Centrum Transplantacji Komórkowych Z Krajowym Bankiem Dawców Szpiku · Wrocław, Poland
    • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Łodzi · Łódź, Poland
    Primary completion Dec 31, 2025→Apr 21, 2026 (now actual)
    Study completion Dec 31, 2025→Apr 21, 2026 (now actual)
    Enrollment 124 (estimated)→49 (actual)
    + 4 other changes: verification date, oversight details, contact details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT04920968
Lead sponsor
Maria Sklodowska-Curie National Research Institute of Oncology
Collaborators
KCRI
Responsible party
Sponsor
First posted
Jun 10, 2021
Start date
Oct 5, 2021
Primary completion
Apr 21, 2026
Completion
Apr 21, 2026
Last update
Oct 15, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Obinutuzumab

Start the discussion