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Recruiting Phase 1, Phase 2 NCT05751044

NCT05751044 HEM-iSMART-B: Dasatinib + Venetoclax + Dexamethasone + Cyclophosphamide and Cytarabine in Pediatric Patients With Relapsed or Refractory Hematological Malignancies

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Clinical Trial Summary
NCT ID NCT05751044
Status Recruiting
Phase Phase 1, Phase 2
Sponsor Princess Maxima Center for Pediatric Oncology
Condition Acute Lymphoblastic Leukemia
Study Type INTERVENTIONAL
Enrollment 26 participants
Start Date 2025-10-01
Primary Completion 2032-02-01

Trial Parameters

Condition Acute Lymphoblastic Leukemia
Sponsor Princess Maxima Center for Pediatric Oncology
Study Type INTERVENTIONAL
Phase Phase 1, Phase 2
Enrollment 26
Sex ALL
Min Age 1 Year
Max Age 21 Years
Start Date 2025-10-01
Completion 2032-02-01
Interventions
DasatinibVenetoclaxDexamethasone

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Brief Summary

HEM-iSMART is a master protocol which investigates multiple investigational medicinal products in children, adolescents and young adults (AYA) with relapsed/refractory (R/R) ALL and LBL. Sub-protocol B is a phase I/II trial evaluating the safety and efficacy of dasatinib + venetocolax in combination with dexamethasone + Cyclophosphamide and cytarabine in children and AYA with R/R ped ALL/LBL whose tumor present with alterations in the MAPK/SRC pathway.

Eligibility Criteria

Inclusion Criteria: 1. Children between 1 year (≥ 12 months) and 18 years of age at the time of first diagnosis and less than 21 years at the time of inclusion 2. Performance status: Karnofsky performance status (for patients \>12 years of age) or Lansky Play score (for patients ≤12 years of age) ≥ 50% (Appendix I). 3. Written informed consent from parents/legal representative, patient, and age-appropriate assent before any study specific screening procedures are conducted, according to local, regional or national guidelines. 4. For all oral medications patients must be able to comfortably swallow capsules (except for those for which an oral solution is available or dissolving of tablets is allowed based on investigator brochure (IB); nasogastric or gastrostomy feeding tube administration is allowed only if indicated). 5. Patients must have had advanced molecular profiling and flow-cytometric analysis of their recurrent or refractory disease at a time-point before the first inclusion i

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