Blinatumomab and Nivolumab With or Without Ipilimumab in Treating Patients With Poor-Risk Relapsed or Refractory CD19+ Precursor B-Lymphoblastic Leukemia
Active, enrolledPhase 1Results postedLast updated 15 August 2025
What this trial tests
Phase 1 trial testing Biospecimen Collection in Recurrent B Acute Lymphoblastic Leukemia in 28 participants. Participants enrolled and being followed up; not accepting new ones.
16 and older, any sex, with Recurrent B Acute Lymphoblastic Leukemia or Recurrent Mixed Phenotype Acute Leukemia. 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.
Number of Participants Experiencing Grade 3, 4, or 5 Adverse EventsPrimary· Up to 5.5 years
Defined by Common Terminology Criteria for Adverse Events, version 5.0. The highest grade experienced by the participant will be reported.
Group
Value
95% CI
Dose Level A1
0
Dose Level B1
1
Dose Level B-1
1
Dose Expansion (Dose Level A1)
0
Dose Level A1
7
Dose Level B1
2
Dose Level B-1
7
Dose Expansion (Dose Level A1)
3
Dose Level A1
1
Dose Level B1
0
Dose Level B-1
2
Dose Expansion (Dose Level A1)
2
Dose Level A1
0
Dose Level B1
0
Dose Level B-1
1
Dose Expansion (Dose Level A1)
1
Number of Participants With Dose Limiting ToxicitiesPrimary· Up to 5.5 years
Maximum tolerated dose was determined by the absence of dose limiting toxicity in each patient assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. Dose Limiting Toxicities were evaluated during treatment; therefore, the time frame is from the first participant starting treatment to the last participant completing treatment.
Group
Value
95% CI
Dose Level A1
1
Dose Level B1
2
Dose Level B-1
1
Dose Expansion (Dose Level A1)
0
Dose Level A1
5
Dose Level B1
1
Dose Level B-1
7
Dose Expansion (Dose Level A1)
6
Count of Participants Responders With Minimal Residual DiseaseSecondary· Up to 5.5 years
Will be assessed by flow cytometry. Participants who have a clinical response (responders) were evaluated for minimal residual disease negative versus minimal residual disease positive. These are the participants with remission as provided in the Secondary Outcome #4.
Group
Value
95% CI
Dose Level A1
4
Dose Level B1
3
Dose Level B-1
4
Dose Expansion (Dose Level A1)
4
Dose Level A1
1
Dose Level B1
0
Dose Level B-1
1
Dose Expansion (Dose Level A1)
0
Number of Participants Achieving RemissionSecondary· Up to 5.5 years
Remission includes participants achieving complete remission or complete remission with incomplete blood count recovery by standard leukemia outcome measures.
Group
Value
95% CI
Dose Level A1
5
Dose Level B1
3
Dose Level B-1
5
Dose Expansion (Dose Level A1)
4
Dose Level A1
3
Dose Level B1
0
Dose Level B-1
6
Dose Expansion (Dose Level A1)
2
Duration of ResponseSecondary· Up to 5.5 years
Will be analyzed using the Kaplan Meier method. A sensitivity analysis may be performed to evaluate duration of response while excluding patients who go on to have an allogeneic-hematopoietic stem cell transplantation. Time from measured response to progressive disease, death, or study end, assessed up to 2 years after treatment
Group
Value
95% CI
Dose Level A1
205
116 – 844
Dose Level B1
51
44 – 828
Dose Level B-1
695
54 – 849
Dose Expansion (Dose Level A1)
490
155 – 996
Overall SurvivalSecondary· Up to 5.5 years
Determined from the first day of treatment on the study until death or last known follow up, assessed up to 2 years after completing treatment.
Group
Value
95% CI
Dose Level A1
462
92 – 876
Dose Level B1
182
86 – 864
Dose Level B-1
552
22 – 910
Dose Expansion (Dose Level A1)
381
85 – 857
Adverse events — posted to ClinicalTrials.gov
Time frame: Approximately 6.5 years..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Dose Level A1
Serious: 5/8 (63%)
Deaths: 5/8
Dose Level B1
Serious: 2/3 (67%)
Deaths: 2/3
Dose Level B-1
Serious: 7/11 (64%)
Deaths: 5/11
Dose Expansion (Dose Level A1)
Serious: 2/6 (33%)
Deaths: 2/6
Serious adverse events (34 terms)
Reaction
System
Dose Level A1
Dose Level B1
Dose Level B-1
Dose Expansion (Dose Level…
Alanine Aminotransferase Increased
Investigations
—
—
—
—
Aspartate Aminotransferase Increased
Investigations
—
—
—
—
Dyspnea
Respiratory, thoracic and mediastinal disorders
—
—
—
—
Disseminated Intravascular Coagulation
Blood and lymphatic system disorders
—
—
—
—
Febrile Neutropenia
Blood and lymphatic system disorders
—
—
—
—
Diarrhea
Gastrointestinal disorders
—
—
—
—
Mucositis Oral
Gastrointestinal disorders
—
—
—
—
Disease Progression
General disorders
—
—
—
—
Infusion Related Reaction
General disorders
—
—
—
—
Non Cardiac Chest Pain
General disorders
—
—
—
—
Pain
General disorders
—
—
—
—
GVHD
Immune system disorders
—
—
—
—
Upper Respiratory Infection
Infections and infestations
—
—
—
—
Blood Bilirubin Increased
Investigations
—
—
—
—
Platelet Count Decreased
Investigations
—
—
—
—
Generalized Muscle Weakness
Musculoskeletal and connective tissue disorders
—
—
—
—
Ataxia
Nervous system disorders
—
—
—
—
Cerebellar Syndrome
Nervous system disorders
—
—
—
—
Dysphasia
Nervous system disorders
—
—
—
—
Seizure
Nervous system disorders
—
—
—
—
Syncope
Nervous system disorders
—
—
—
—
Transient Ischemic Attacks
Nervous system disorders
—
—
—
—
Confusion
Psychiatric disorders
—
—
—
—
Cough
Respiratory, thoracic and mediastinal disorders
—
—
—
—
Hypoxia
Respiratory, thoracic and mediastinal disorders
—
—
—
—
Other adverse events (192 terms — click to expand)
This phase I trial studies the side effects and best dose of blinatumomab when given with nivolumab alone or nivolumab and ipilimumab in treating patients with poor-risk CD19+ precursor B-lymphoblastic leukemia that has come back after a period of improvement (relapsed) or has not responded to treatment (refractory). Immunotherapy with monoclonal antibodies, such as blinatumomab, nivolumab, and ipilimumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT07229339 — Zipalertinib With Carboplatin and Pemetrexed for the Treatment of Resectable, Stage II-IIIB, Non-Small Cell Lung Cancer
· Phase 2
· not yet recruiting
NCT07441681 — Comparing Radiation Plus Cetuximab to Radiation Plus Chemotherapy in People With Head and Neck Cancer Who Cannot Receive
· Phase 3
· not yet recruiting
NCT07365306 — Epcoritamab, Rituximab, Gemcitabine and Oxaliplatin (R-GemOx) as Salvage Therapy Before Autologous Stem Cell Transplant
· Phase 2
· not yet recruiting
NCT07147231 — Testing the Effectiveness of the Anti-cancer Drug Pidnarulex (CX-5461), in Combination With Another Anti-cancer Drug Cem
· Phase 1, PHASE2
· recruiting
NCT07572123 — Evaluating the Addition of Maintenance Immunotherapy Compared to the Usual Treatment of Chemotherapy and Autologous Stem
· Phase 2, PHASE3
· not yet recruiting
Other recruiting trials for Recurrent B Acute Lymphoblastic Leukemia
Currently open trials in the same condition.
NCT07133997 — Recombinant Erwinia Asparaginase and Venetoclax in Combination With Blinatumomab for the Treatment of Relapsed or Refrac
· Phase 1
· recruiting
NCT04872790 — Venetoclax, Dasatinib, Prednisone, Rituximab and Blinatumomab for the Treatment of Newly Diagnosed or Relapsed Philadelp
· Phase 1
· recruiting
NCT05418088 — Genetically Engineered Cells (Anti-CD19/CD20/CD22 CAR T-cells) for the Treatment of Relapsed or Refractory Lymphoid Mali
· Phase 1
· recruiting
NCT04546399 — A Study to Compare Blinatumomab Alone to Blinatumomab With Nivolumab in Patients Diagnosed With First Relapse B-Cell Acu
· Phase 2
· recruiting
NCT03739814 — Inotuzumab Ozogamicin and Blinatumomab With or Without Ponatinib in Treating Patients With Newly Diagnosed, Recurrent, o
· Phase 2
· recruiting
Other National Cancer Institute (NCI) trials
Trials by the same sponsor.
NCT07147231 — Testing the Effectiveness of the Anti-cancer Drug Pidnarulex (CX-5461), in Combination With Another Anti-cancer Drug Cem
· Phase 1, PHASE2
· recruiting
NCT07572123 — Evaluating the Addition of Maintenance Immunotherapy Compared to the Usual Treatment of Chemotherapy and Autologous Stem
· Phase 2, PHASE3
· not yet recruiting
NCT07281417 — Testing the Addition of Cemiplimab (REGN2810) to Chemotherapy Treatment Given Prior to Surgery in Patients With Sinonasa
· Phase 2
· recruiting
NCT07012044 — A Study to Find the Highest Dose of Cedazuridine and Decitabine Combination With Filgrastim as a Treatment Option After
· Phase 1
· not yet recruiting
NCT07437950 — Comparing Different Treatment Lengths for Venetoclax in Older People With Newly Diagnosed Acute Myeloid Leukemia (A Myel
· Phase 2
· not yet recruiting
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 National Cancer Institute (NCI)
Last refreshed: 15 August 2025
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/NCT02879695.