Therapeutic Advances in Childhood Leukemia Consortium
Who can join
Adults 1 Month to 21, any sex, with Lymphoblastic Leukemia, Acute, Childhood or Myelogenous Leukemia, Acute, Childhood. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
The Dose of AC220 That is Safe and Biologically Active When Given in Sequential Combination With Ara-C/EtoposidePrimary· 4 weeks from therapy start
The incidence of dose limiting toxicity (DLT) will be measured. The maximum tolerated dose will be the highest study dose at which 1 or fewer of six patients experience DLT during cycle 1 of therapy. Plasma inhibitor activity (PIA) will be measured Pre-treatment and on Days 7, 14, 21 and 28 of Course 1. For the MTD to be considered biologically active, we will require that 7 of 9 patients achieve PIA of \> 90% at 3 of 4 trough time points.
Group
Value
95% CI
ALL AC220 @ 25mg/m^2/Day (Dose Level 1)
0
AML AC220 @ 25mg/m^2/Day (Dose Level 1)
3
ALL AC220 @ 40mg/m^2/Day (Dose Level 2)
1
AML AC220 @ 40mg/m^2/Day (Dose Level 2)
4
ALL AC220 @ 60mg/m^2/Day (Dose Level 3)
0
AML AC220 @ 60mg/m^2/Day (Dose Level 3)
8
ALL AC220 @ 25mg/m^2/Day (Dose Level 1)
0
AML AC220 @ 25mg/m^2/Day (Dose Level 1)
0
ALL AC220 @ 40mg/m^2/Day (Dose Level 2)
1
AML AC220 @ 40mg/m^2/Day (Dose Level 2)
0
ALL AC220 @ 60mg/m^2/Day (Dose Level 3)
0
AML AC220 @ 60mg/m^2/Day (Dose Level 3)
1
ALL AC220 @ 25mg/m^2/Day (Dose Level 1)
0
AML AC220 @ 25mg/m^2/Day (Dose Level 1)
0
ALL AC220 @ 40mg/m^2/Day (Dose Level 2)
0
AML AC220 @ 40mg/m^2/Day (Dose Level 2)
1
ALL AC220 @ 60mg/m^2/Day (Dose Level 3)
2
AML AC220 @ 60mg/m^2/Day (Dose Level 3)
3
Disease ResponseSecondary· 10 weeks
Possible outcomes are: Complete Remission (CR), Complete Remission without Platelet Recovery (CRp), complete response with incomplete hematologic recovery (CRi), Stable Disease, Progressive Disease, Induction Death, or Relapse
Group
Value
95% CI
Patients With ALL
0
Patients With AML Having FLT3-WT
1
Patients With AML Having FLT3-ITD
1
Patients With ALL
0
Patients With AML Having FLT3-WT
0
Patients With AML Having FLT3-ITD
1
Patients With ALL
0
Patients With AML Having FLT3-WT
0
Patients With AML Having FLT3-ITD
1
Patients With ALL
1
Patients With AML Having FLT3-WT
5
Patients With AML Having FLT3-ITD
4
Count of Participants According to Inhibition of FLT3 PhosphorylationSecondary· 4 weeks from therapy start
PIA samples will be collected pre-treatment and on Days 7, 14, 21 and 28 of Course 1.
Group
Value
95% CI
Patients Receiving Protocol Therapy
9
Patients Receiving Protocol Therapy
9
Patients Receiving Protocol Therapy
1
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse events and suspected adverse reactions will be collected and reported on the electronic CRFs beginning with the first dose of study therapy until 30 days following the last dose of study therapy (a period of approximately 90 days)..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
ALL Dose Level 1
Serious: 0
Deaths: 0
AML Dose Level 1
Serious: 2/3 (67%)
Deaths: 2/3
ALL Dose Level 2
Serious: 1/2 (50%)
Deaths: 2/2
AML Dose Level 2
Serious: 3/5 (60%)
Deaths: 3/5
ALL Dose Level 3
Serious: 0/2 (0%)
Deaths: 1/2
AML Dose Level 3
Serious: 4/10 (40%)
Deaths: 3/10
Serious adverse events (21 terms)
Reaction
System
ALL Dose Level 1
AML Dose Level 1
ALL Dose Level 2
AML Dose Level 2
ALL Dose Level 3
AML Dose Level 3
Infections and infestations - Other, Not Specified
Infections and infestations
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Skin infection
Skin and subcutaneous tissue disorders
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Anaphylaxis
Immune system disorders
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Blood bilirubin increased
Investigations
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Febrile neutropenia
Blood and lymphatic system disorders
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Fever
General disorders
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Hypokalemia
Metabolism and nutrition disorders
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Hypotension
Vascular disorders
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Lipase increased
Investigations
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Lung infection
Infections and infestations
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Pancreatitis
Gastrointestinal disorders
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Pleural effusion
Respiratory, thoracic and mediastinal disorders
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Pulmonary edema
Respiratory, thoracic and mediastinal disorders
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Respiratory failure
Respiratory, thoracic and mediastinal disorders
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Sepsis
Infections and infestations
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Infection and Infestations - Rhinovirus
Blood and lymphatic system disorders
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Infections and Infestations - Staphylococcus epidermidis
Blood and lymphatic system disorders
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Infections and Infestations - streptococcal pharyngitis
Blood and lymphatic system disorders
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Infections and Infestations - Pseudomonas
Blood and lymphatic system disorders
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Chest wall pain
General disorders
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Skin & subcutaneous tissue disorder-Other
Skin and subcutaneous tissue disorders
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Other adverse events (57 terms — click to expand)
Reaction
System
ALL Dose Level 1
AML Dose Level 1
ALL Dose Level 2
AML Dose Level 2
ALL Dose Level 3
AML Dose Level 3
Hypokalemia
Metabolism and nutrition disorders
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Hypomagnesemia
Metabolism and nutrition disorders
—
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Platelet count decreased
Blood and lymphatic system disorders
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Anemia
Blood and lymphatic system disorders
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Febrile neutropenia
Blood and lymphatic system disorders
—
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Neutrophil count decreased
Blood and lymphatic system disorders
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White blood cell decreased
Investigations
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Lymphocyte count decreased
Blood and lymphatic system disorders
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Hypoxia
Respiratory, thoracic and mediastinal disorders
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Fever
General disorders
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Hyperglycemia
Metabolism and nutrition disorders
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Alanine aminotransferase increased
Investigations
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Anorexia
Metabolism and nutrition disorders
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Aspartate aminotransferase increased
Investigations
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Constipation
Gastrointestinal disorders
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Hypotension
Vascular disorders
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Mucositis oral
Gastrointestinal disorders
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Pain
General disorders
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Rash maculo-papular
Skin and subcutaneous tissue disorders
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Rectal pain
Gastrointestinal disorders
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Blood Culture infection
Infections and infestations
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Headache
General disorders
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Activated partial thromboplastin time prolonged
Investigations
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Alkaline phosphatase increased
Investigations
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Arthralgia
Musculoskeletal and connective tissue disorders
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Blood bilirubin increased
Investigations
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Catheter related infection
Infections and infestations
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Creatinine increased
Investigations
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Diarrhea
Gastrointestinal disorders
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Dyspnea
Respiratory, thoracic and mediastinal disorders
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Hypermagnesemia
Metabolism and nutrition disorders
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Hypertension
Vascular disorders
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Hypoalbuminemia
Metabolism and nutrition disorders
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Hypocalcemia
Metabolism and nutrition disorders
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Hyponatremia
Metabolism and nutrition disorders
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Hypophosphatemia
Metabolism and nutrition disorders
—
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Infections and infestations - Other - Not otherwise Specified
This is a phase I study of the investigational drug AC220 combined with cytarabine and etoposide in pediatric patients with relapsed acute lymphoblastic leukemia (ALL) and acute myelogenous leukemia (AML).
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT05038696 — ALaCART-B: Acute Leukemia and Chimeric Antigen Receptor-T Cell Therapy for B-lymphoblastic Leukemia.
· Phase 1
· recruiting
NCT03817320 — PO Ixazomib in Combination With Chemotherapy for Childhood Relapsed or Refractory Acute Lymphoblastic Leukemia and Lymph
· Phase 1, PHASE2
· active not recruiting
Other Therapeutic Advances in Childhood Leukemia Consortium trials
Trials by the same sponsor.
NCT05476770 — Tagraxofusp in Pediatric Patients With Relapsed or Refractory CD123 Expressing Hematologic Malignancies
· Phase 1
· recruiting
NCT03825367 — Nivolumab in Combination With 5-azacytidine in Childhood Relapsed/Refractory AML
· Phase 1, PHASE2
· unknown
NCT03817320 — PO Ixazomib in Combination With Chemotherapy for Childhood Relapsed or Refractory Acute Lymphoblastic Leukemia and Lymph
· Phase 1, PHASE2
· active not recruiting
NCT03263936 — Epigenetic Reprogramming in Relapse/Refractory AML
· Phase 1
· completed
NCT02879643 — Vincristine Sulfate Liposome Injection (Marqibo®) in Combination With UK ALL R3 Induction Chemotherapy
· Phase 1
· completed
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Therapeutic Advances in Childhood Leukemia Consortium
Last refreshed: 4 April 2022
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01411267.