CClinicalTrials.gg
Active, not recruitingNCT05456698Updated Apr 16, 2026

Efficacy and Safety of Inotuzumab Ozogamicin in Treating Adult Patients With Ph Negative ALL With Minimal Residual Disease Positive After Induction Chemotherapy

A Phase 2 interventional study of Inotuzumab ozogamicin in Acute Lymphocytic Leukemia, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Active, not recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
31
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A single-center, single-arm, open-label, interventional, phase II clinical trial to evaluate the efficacy and safety of InO in B-ALL achieved CR/CRi after 1L induction chemotherapy with positive minimal residual disease.

02

Conditions studied

  • Acute Lymphocytic Leukemia
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,061 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 489 are open to participants now.

This study's enrollment of 31 is below the median of 40 across 1,653 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

Institute of Hematology & Blood Diseases Hospital, China is the lead sponsor of 398 studies on the registry; 293 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

Inclusion criteria

  1. New diagnosed B-ALL in hematologic complete remission (CR) after 1L induction chemotherapy with MRD positive. Molecular disease or MRD is defined by a value of at least of 10-4 (0.01%) by multicolor flow cytometry.
  2. Age ≥18 years
  3. ECOG PS score: 0 to 2
  4. Functions of the main organs are normal, if the following criteria are met:

    1. Total bilirubin (BIL) ≤ 1.5 × upper limit of normal (ULN)
    2. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≤ 2.5 × ULN
    3. Serum creatinine ≤ 1.5 × ULN
    4. Creatinine clearance ≥ 30 ml/min
  5. No active or co-existing malignancy with a life expectancy of less than 12 months
  6. Patients are voluntarily enrolled into the study and have good compliance, and the Informed Consent Form (ICF) needs to be signed.

Exclusion criteria

Exclusion Criteria:

  1. Mixed lineage leukemia
  2. Clinically significant liver disease such as history of veno-occlusive disease (VOD)/ sinusoidal obstruction syndrome (SOS)
  3. Patients with severe and / or uncontrolled diseases, such as:

    1. Unstable angina pectoris, symptomatic congestive heart failure, myocardial infarction within 6 months before randomization, severe uncontrolled arrhythmias; uncontrolled blood pressure (systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg)
    2. Liver diseases such as cirrhosis, decompensated liver disease, acute or chronic active hepatitis
    3. Known to be human immunodeficiency virus positive (HIV+)
    4. Active and uncontrolled disease/infection as judged by the treating physician
    5. Active central nervous system (CNS) or extramedullary disease
    6. Patients who have other malignant tumors at the same time; patients who are evaluated by the investigator to have concomitant diseases that seriously endanger the safety of the patients or affect the patients to complete the study
  4. Pregnant or nursing women
  5. Unable or unwilling to sign the consent form
  6. Monoclonal antibodies therapy within 2 weeks before study entry
  7. Radiotherapy or cancer chemotherapy (except for induction chemo) or any investigational drug within 2 weeks before study entry
  8. Patients who have severe allergies (≥ grade 3) to active ingredients and any excipients of InO
  9. Patients in other situations who are evaluated by the investigator to be ineligible
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Inotuzumab Ozogamicin

    Each subject will be treated with Inotuzumab Ozogamicin

    Drug: Inotuzumab ozogamicin

Interventions

  • DrugInotuzumab ozogamicin

    Patients who achieved CR/CRi had their InO dose at 1.5mg/m2 per cycle (28days/cycle), with 0.5mg/m2 administered on days 1, 8, and 15. Patients received treatment for up to two cycles in the absence of disease progression or unacceptable toxicity.

    Also known as: CMC-544

06

What researchers measure

Primary outcomes

  1. MRD negativity rate within the first treatment cycle

    MRD negativity is defined as no presence of small numbers of leukemic cells detected by the flow cytometry after remission

    Time frame: At the end of Cycle 1 (each cycle is 28 days)

Secondary outcomes

  1. Complete MRD response rates

    Complete MRD response is defined as no presence of small numbers of leukemic cells detected by the flow cytometry after remission

    Time frame: At the end of Cycle 1 and Cycle 2, respectively (each cycle is 28 days)

  2. Duration of MRD negativity rate

    The duration of MRD response was analyzed as the time from onset of MRD negativity until MRD or hematological relapse or date of last confirmation of negative MRD status.

    Time frame: From enrollment to the end of Cycle 1 or Cycle 2, which achieves MRD negative first (each cycle is 28 days)

  3. MRD level variation from baseline to post cycle 1, cycle 2 in patients with detectable MRD, respectively

    The variation of MRD level from baseline to post cycle 1, cycle 2, respectively

    Time frame: From enrollment to the end of Cycle 1 and Cycle 2, respectively (each cycle is 28 days)

  4. Relapse-free Survival (RFS)

    RFS is defined as the time from the date of CR until the date of relapse or death

    Time frame: Up to 5 years from enrollment

  5. Overall Survival (OS)

    OS is defined as the time from enrollment to date of death due to any cause.

    Time frame: Up to 5 years from enrollment

07

Study locations

1 site
  • Institute of Hematology & Blood Diseases Hospital
    Tianjin, Tianjin Municipality, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05456698
Lead sponsor
Institute of Hematology & Blood Diseases Hospital, China
Responsible party
Sponsor
First posted
Jul 13, 2022
Start date
Oct 18, 2022
Primary completion
Nov 5, 2025
Completion
Nov 5, 2030 (estimated)
Last update
Apr 16, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 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.

Start the discussion