At a glance
ClinicalIndex Comparison RecordStandardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A TACL Phase 1/2 Study of PO Ixazomib in Combination With Chemotherapy for Childhood Relapsed or Refractory Acute Lymphoblastic Leukemia and Lymphoblastic Lymphoma IND# 140730
In Brief
A Phase 2 clinical trial evaluating Ixazomib, Vincristine, and 6 other interventions for ALL, Childhood and 2 related conditions. Active but no longer recruiting, targeting 24 participants across 18 sites in 2 countries.
Detailed Summary
This is a phase 1/2 study of a drug called Ixazomib in combination with cytotoxic chemotherapy consisting of Vincristine, Dexamethasone, Asparaginase, and Doxorubicin (VXLD).
Study Details
Timeline
Interventions
Days 1, 4, 8, and 11. Note: at least 72 hours must have elapsed between doses Dose Phase 1 - Assigned upon study entry. Phase 2 - PO formulation at RP2D
IV push over 1 minute or infusion via minibag as per institutional policy Days 1, 8, 15 and 22 Dose: ≥ 1 year: 1.5mg/m2/dose (maximum dose 2mg) ≥ 6 months and \< 1 year: 1.2mg/m2/dose \< 6 months: 1mg/m2/dose
Days 1-14 Dose: ≥ 1 year: 10mg/m2/day, divided BID (i.e., 5mg/m2/dose, BID) ≥ 6 months and \< 1 year: 8mg/m2/day, divided BID (i.e., 4 mg/m2/dose, BID) \< 6 months: 7mg/m2/day, divided BID (i.e., 3.5 mg/m2/dose, BID)
Days 2, 15 Dose ≥ 1 year: 2,500 International units (IU)/m2/dose ≥ 6 months and \< 1 year: 2,000 IU/m2/dose \< 6 months: 1,750 IU/m2/dose Patient with allergic reaction to Pegaspargase can be given Erwinase IM/IV on Mon/Wed/Fri (or every other day per institutional standard) x 6 doses for each dose of Pegaspargase. Dosing guideline for Erwinase: * 1 year: 25,000 IU/m2/dose * 6 months and \< 1 year: 20,000 IU/m2/dose \< 6 months: 17,500 IU/m2/dose
Day 1 Dose ≥ 1 year: 60mg/m2/dose ≥ 6 months and \< 1 year: 48 mg/m2/dose \< 6 months: 42mg/m2/dose
For patients with CNS 1 or CNS 2, on Days 1, 15, and 29
For patients with CNS 3, on Days 1, 8, 15, 22, and 29
For patients with Down syndrome only, on Days 2, 9, 16, 23, and 30 (based on dates when IT Methotrexate or Triple IT is given)