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NCT02879695

Blinatumomab and Nivolumab With or Without Ipilimumab in Treating Patients With Poor-Risk Relapsed or Refractory CD19+ Precursor B-Lymphoblastic Leukemia

Active, enrolled Phase 1 Results posted Last 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.

Timeline
25 October 2017
Primary endpoint
22 May 2023
18 July 2026

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 1
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment28
Start date25 October 2017
Primary completion22 May 2023
Estimated completion18 July 2026
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

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 Events Primary · 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.

GroupValue95% CI
Dose Level A10
Dose Level B11
Dose Level B-11
Dose Expansion (Dose Level A1)0
Dose Level A17
Dose Level B12
Dose Level B-17
Dose Expansion (Dose Level A1)3
Dose Level A11
Dose Level B10
Dose Level B-12
Dose Expansion (Dose Level A1)2
Dose Level A10
Dose Level B10
Dose Level B-11
Dose Expansion (Dose Level A1)1
Number of Participants With Dose Limiting Toxicities Primary · 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.

GroupValue95% CI
Dose Level A11
Dose Level B12
Dose Level B-11
Dose Expansion (Dose Level A1)0
Dose Level A15
Dose Level B11
Dose Level B-17
Dose Expansion (Dose Level A1)6
Count of Participants Responders With Minimal Residual Disease Secondary · 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.

GroupValue95% CI
Dose Level A14
Dose Level B13
Dose Level B-14
Dose Expansion (Dose Level A1)4
Dose Level A11
Dose Level B10
Dose Level B-11
Dose Expansion (Dose Level A1)0
Number of Participants Achieving Remission Secondary · Up to 5.5 years

Remission includes participants achieving complete remission or complete remission with incomplete blood count recovery by standard leukemia outcome measures.

GroupValue95% CI
Dose Level A15
Dose Level B13
Dose Level B-15
Dose Expansion (Dose Level A1)4
Dose Level A13
Dose Level B10
Dose Level B-16
Dose Expansion (Dose Level A1)2
Duration of Response Secondary · 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

GroupValue95% CI
Dose Level A1205116 – 844
Dose Level B15144 – 828
Dose Level B-169554 – 849
Dose Expansion (Dose Level A1)490155 – 996
Overall Survival Secondary · 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.

GroupValue95% CI
Dose Level A146292 – 876
Dose Level B118286 – 864
Dose Level B-155222 – 910
Dose Expansion (Dose Level A1)38185 – 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)

ReactionSystemDose Level A1Dose Level B1Dose Level B-1Dose Expansion (Dose Level…
Alanine Aminotransferase IncreasedInvestigations
Aspartate Aminotransferase IncreasedInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
Disseminated Intravascular CoagulationBlood and lymphatic system disorders
Febrile NeutropeniaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
Mucositis OralGastrointestinal disorders
Disease ProgressionGeneral disorders
Infusion Related ReactionGeneral disorders
Non Cardiac Chest PainGeneral disorders
PainGeneral disorders
GVHDImmune system disorders
Upper Respiratory InfectionInfections and infestations
Blood Bilirubin IncreasedInvestigations
Platelet Count DecreasedInvestigations
Generalized Muscle WeaknessMusculoskeletal and connective tissue disorders
AtaxiaNervous system disorders
Cerebellar SyndromeNervous system disorders
DysphasiaNervous system disorders
SeizureNervous system disorders
SyncopeNervous system disorders
Transient Ischemic AttacksNervous system disorders
ConfusionPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Other adverse events (192 terms — click to expand)

ReactionSystemDose Level A1Dose Level B1Dose Level B-1Dose Expansion (Dose Level…
Lymphocyte Count DecreasedInvestigations
Platelet Count DecreasedInvestigations
White Blood Cell DecreasedInvestigations
Febrile NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Alanine Aminotransferase IncreasedInvestigations
Aspartate Aminotransferase IncreasedInvestigations
Blood Bilirubin IncreasedInvestigations
INR IncreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
AnemiaBlood and lymphatic system disorders
Sinus TachycardiaCardiac disorders
FatigueGeneral disorders
FeverGeneral disorders
Neutrophil Count DecreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
HypertensionVascular disorders
PainGeneral disorders
Cytokine Release SyndromeImmune system disorders
Alkaline Phosphatase IncreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
TremorNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Rash Maculo-papularSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Mucositis OralGastrointestinal disorders
ChillsGeneral disorders
Edema LimbsGeneral disorders
Non-cardiac Chest PainGeneral disorders
Activated Partial Thromboplastin Time ProlongedInvestigations
Lipase IncreasedInvestigations
HyponatremiaMetabolism and nutrition disorders
HypotensionVascular disorders
Disseminated Intravascular CoagulationBlood and lymphatic system disorders

Most-reported serious reactions: Alanine Aminotransferase Increased, Aspartate Aminotransferase Increased, Dyspnea, Disseminated Intravascular Coagulation, Febrile Neutropenia, Diarrhea, Mucositis Oral, Disease Progression.

Data from ClinicalTrials.gov NCT02879695 adverse events section.

Sponsor's own description

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):

  1. The landscape of bispecific T cell engager in cancer treatment.
    Zhou S, Liu M, Ren F, Meng X, et al · · 2021 · cited 172× · PMID 34039409 · DOI 10.1186/s40364-021-00294-9
  2. Redirecting T cells to hematological malignancies with bispecific antibodies.
    Velasquez MP, Bonifant CL, Gottschalk S. · · 2018 · cited 134× · PMID 29118005 · DOI 10.1182/blood-2017-06-741058
  3. Evolving therapy of adult acute lymphoblastic leukemia: state-of-the-art treatment and future directions.
    Samra B, Jabbour E, Ravandi F, Kantarjian H, et al · · 2020 · cited 110× · PMID 32503572 · DOI 10.1186/s13045-020-00905-2
  4. Recent developments in immunotherapy of acute myeloid leukemia.
    Lichtenegger FS, Krupka C, Haubner S, Köhnke T, et al · · 2017 · cited 103× · PMID 28743264 · DOI 10.1186/s13045-017-0505-0
  5. Rationale for Combining Bispecific T Cell Activating Antibodies With Checkpoint Blockade for Cancer Therapy.
    Kobold S, Pantelyushin S, Rataj F, Vom Berg J. · · 2018 · cited 83× · PMID 30090763 · DOI 10.3389/fonc.2018.00285
  6. Overcoming the challenges associated with CD3+ T-cell redirection in cancer.
    Singh A, Dees S, Grewal IS. · · 2021 · cited 82× · PMID 33469153 · DOI 10.1038/s41416-020-01225-5
  7. Limitations and opportunities for immune checkpoint inhibitors in pediatric malignancies.
    Park JA, Cheung NV. · · 2017 · cited 81× · PMID 28622628 · DOI 10.1016/j.ctrv.2017.05.006
  8. Bispecific, T-Cell-Recruiting Antibodies in B-Cell Malignancies.
    Lejeune M, Köse MC, Duray E, Einsele H, et al · · 2020 · cited 70× · PMID 32457743 · DOI 10.3389/fimmu.2020.00762

Verify or expand the search:

Other trials of Biospecimen Collection

Trials testing the same drug.

Other recruiting trials for Recurrent B Acute Lymphoblastic Leukemia

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing