ClinicalTrials.gg
Not yet recruitingNCT07840976Ph+ ALL-2026Updated Sep 25, 2026

Immunotargeted Therapy Plus Low-Dose Chemotherapy in Newly Diagnosed Adult Ph+ B-ALL

A Phase 2 interventional study of olverembatinib and Venetoclax in Ph+ Acute Lymphoblastic Leukemia (Ph+ALL), sponsored by Institute of Hematology & Blood Diseases Hospital, China. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

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

Updated Sep 25, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies testing olverembatinib in Precursor Cell Lymphoblastic Leukemia-Lymphoma — 10 open to participants now, 10 under way, 2 of them phase 3. olverembatinib · Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Planned enrollment
9th of 11
22 · median 60
Started
2026
the only one that year
Phase 2
5 of 11
4 open now
Registered
11th of 11
by date
Lead sponsor
5 of 11
Institute of Hematology & Blood Diseases Hospital, China

Among the 11 studies testing olverembatinib in Precursor Cell Lymphoblastic Leukemia-Lymphoma, this one is the 9th largest by planned enrollment, is the only one that started in 2026, is one of 5 in phase 2, and was the 11th registered.

By phase

11 studies; the count open now beside each. This study's row is marked.

Phase 2this study5 · 4 open
Phase 12 · 2 open
Phase 32 · 2 open
No phase1 · 1 open
Phase 1/21 · 1 open

By the year they started

First in 2022; this study’s year is marked. 1 started in 2026.

Size and results

Median enrollment 60 across the 11 interventional studies. Of the 1 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 11 studies testing olverembatinib in Precursor Cell Lymphoblastic Leukemia-Lymphoma, or all of them as a file.
02

Study summary

This is a prospective, open-label, single-arm, umbrella phase 2 clinical trial enrolling 22 adult patients with newly diagnosed Philadelphia chromosome-positive (Ph+) B-cell acute lymphoblastic leukemia (ALL).

As an umbrella trial, all patients share the same target disease (newly diagnosed Ph+ B-ALL) and receive a uniform induction backbone consisting of multi-targeted immunotherapy, targeted therapy, and reduced-intensity chemotherapy. After induction, patients are stratified and assigned to two distinct consolidation pathways based on clinical condition, performance status, resource availability, and patient preference:

Pathway A: Consolidation with CD19-directed CAR-T cell therapy to achieve deep molecular remission; Pathway B: Consolidation with sequential immunochemotherapy to maximize minimal residual disease (MRD) clearance.

A backup chemotherapy backbone is provided for patients ineligible for antibody therapy. All patients, regardless of consolidation pathway, proceed to a unified long-term maintenance regimen. The primary endpoint is the complete molecular remission (CMR) rate after one cycle of induction therapy. MRD is monitored longitudinally by flow cytometry, quantitative PCR, and immune repertoire sequencing. Safety is evaluated per NCI CTCAE version 5.0.

03

Conditions studied

  • Ph+ Acute Lymphoblastic Leukemia (Ph+ALL)
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

  • Age ≥ 18 years
  • Newly diagnosed, previously untreated Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia (Ph+ B-ALL) confirmed by cytogenetics and/or molecular testing
  • Leukemic blasts expressing CD22
  • Adequate organ function (renal, hepatic, cardiac)
  • (ECOG) performance status 0-2
  • ≥ 3 months
  • Written obtained prior to any study-related procedures

Exclusion criteria

Exclusion Criteria:

  • Prior systemic anti-leukemic therapy, including chemotherapy, targeted therapy, or immunotherapy
  • History of chronic myeloid leukemia (CML) or other hematologic
  • Central nervous system (CNS) leukemia or extramedullary disease at diagnosis
  • Uncontrolled active infection or severe comorbidities
  • positivity or known /C infection with active viral replication
  • Pregnant or breastfeeding
  • Inability to comply with study procedures or follow-up requirements
Terms in these criteria, in plain language(6)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
22 participants (estimated)

Study arms

  • Experimental
    Immunotargeted Therapy + Low-Dose Chemotherapy Arm

    All patients receive a uniform induction therapy backbone combining targeted therapy, immunotherapy, and reduced-intensity chemotherapy. After induction, patients are stratified into two consolidation pathways based on clinical status: 1) CD19 CAR-T cell therapy; 2) sequential immunochemotherapy. All patients proceed to a unified long-term maintenance regimen.

    Drug: olverembatinib · Drug: Venetoclax · Drug: Inotuzumab Ozogamicin (IO) · Drug: Blinatumomab · Biological: CD19-directed chimeric antigen receptor (CAR-T) T cells

Interventions

  • Third-generation tyrosine kinase inhibitor (TKI) targeting BCR::ABL1, administered orally daily as part of induction, consolidation, and maintenance therapy.

  • BCL-2 inhibitor administered orally daily during induction and consolidation cycles to enhance leukemic cell apoptosis.

  • Anti-CD22 antibody-drug conjugate (ADC) administered intravenously during induction and consolidation therapy.

  • CD19/CD3 bispecific T-cell engager (BiTE) administered as continuous intravenous infusion during consolidation therapy.

  • BiologicalCD19-directed chimeric antigen receptor (CAR-T) T cells

    Autologous CD19 CAR-T cell therapy administered as a single intravenous infusion as optional consolidation therapy for eligible patients.

06

What researchers measure

Primary outcomes

  1. Complete Molecular Remission (CMR) Rate After 1 Cycle of Induction Therapy

    The proportion of patients achieving complete molecular remission (CMR), defined as undetectable BCR::ABL1 transcript by quantitative PCR (BCR::ABL1/ABL1 ratio \< 0.001%), after 1 cycle of induction therapy.

    Time frame: At the end of Cycle 1 (each cycle is 28 days, approximately 4 weeks from enrollment)

Secondary outcomes

  1. 3-Month Complete Remission (CR)

    Time frame: 3 months after study enrollment

  2. 3-Month MRD Negativity Rates

    Time frame: 3 months after study enrollment

  3. 2-Year Overall Survival (OS)

    OS is defined as the time from study enrollment to death from any cause.

    Time frame: 2 years after the last patient enrollment

  4. 2-Year Disease-Free Survival (DFS)

    DFS is defined as the time from study enrollment to disease relapse or death from any cause.

    Time frame: 2 years after the last patient enrollment

  5. 2-Year Event-Free Survival (EFS)

    EFS is defined as the time from study enrollment to first occurrence of predefined adverse events, disease progression or death.

    Time frame: 2 years after the last patient enrollment

  6. Incidence of Treatment-Related Adverse Events (TRAEs)

    Number and severity of adverse events graded according to NCI CTCAE version 5.0.

    Time frame: From study enrollment to 60 days after the last treatment

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for May 2028, 19 months later.

Of 208 non-industry phase 2 interventional studies under Precursor Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 79 months of starting (the median), counting those still running; a quarter within 43 and three quarters within 120. This study's planned 19 months is below that.

Counting every sponsor, half of 226 studies reached it within 74 months; a quarter within 42 and three quarters within 120.

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

Registered
Jun 8, 2026
First posted
Sep 25, 2026
StartEst.
Oct 12, 2026
Primary completionEst.
May 31, 2028
CompletionEst.
May 31, 2030
Last update
Sep 25, 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.
Registered
First appeared on the registry. No changes since
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07840976
Responsible party
Sponsor
First posted
Sep 25, 2026
Start date
Oct 12, 2026 (estimated)
Primary completion
May 31, 2028 (estimated)
Completion
May 31, 2030 (estimated)
Last update
Sep 25, 2026

Study contacts

Ying Wang, MD, PhD
Contact
wangying1@ihcams.ac.cn
+86 22-23608095

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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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.

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Studies of the drug tested here: Olverembatinib

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