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NCT05054465: ITALLI001

A Phase 1b-2 Trial to Assess Venetoclax and Navitoclax Consolidation and Post-transplant Maintenance in High-risk Patients With T-ALL

Not yet recruiting Phase 1, PHASE2 Last updated 23 September 2021
What this trial tests

Phase 1, PHASE2 trial testing Navitoclax in Acute Lymphoblastic Leukemia in 48 participants. Not yet recruiting.

Timeline
1 October 2021
Primary endpoint
1 August 2025
1 August 2026

Quick facts

Lead sponsorIsraeli Medical Association
PhasePhase 1, PHASE2
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment48
Start date1 October 2021
Primary completion1 August 2025
Estimated completion1 August 2026
Sites6 locations across Israel

Drugs / interventions tested

Conditions studied

Sponsor

Israeli Medical Association

Who can join

18 and older, any sex, with Acute Lymphoblastic Leukemia. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This is a national, multicenter, phase II clinical trial to evaluate the potential benefit of pre-transplant consolidation and post-transplant maintenance with navitoclax and venetoclax in patients with T-ALL, LBL and MPAL T/M in first complete remission designated for allogeneic transplantation. Pre-transplantation consolidation with venetoclax and navitoclax: Patients in CR designated for transplantation will be treated with venetoclax 400 mg QD and navitoclax 50mg QD according to the RP2D presented by Pullarkat et al. (Cancer Discov . 2021 Feb 16;candisc.1465.2020. doi: 10.1158/2159-8290.CD-20-1465.) for two 28 day cycles. Following 2 cycles re-staging marrow including MRD assessment and imaging as need will be followed by alloSCT according to local protocol. Post-transplantation maintenance with venetoclax and navitoclax: Within 90 days from alloSCT patients will be started on venetoclax and navitoclax maintenance. Due to lack of data regarding the toxicity of navitoclax and venetoclax in the ALL post alloSCT maintenance setting a dose escalation scheme based on the BOIN design will be applied as outlined (TBD) with a maximal dose of venetoclax 400 mg QD and navitoclax 50mg QD according to the RP2D presented by Pullarkat et al. (Cancer Discov . 2021 Feb 16;candisc.1465.2020. doi: 10.1158/2159-8290.CD-20-1465).

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The Emerging Role of Venetoclax-Based Treatments in Acute Lymphoblastic Leukemia.
    Aumann S, Shaulov A, Haran A, Gross Even-Zohar N, et al · · 2022 · cited 30× · PMID 36142863 · DOI 10.3390/ijms231810957
  2. Chimeric Antigen Receptor Based Cellular Therapy for Treatment Of T-Cell Malignancies.
    Polgárová K, Otáhal P, Šálek C, Pytlík R. · · 2022 · cited 14× · PMID 35600381 · DOI 10.3389/fonc.2022.876758
  3. Overcoming Steroid Resistance in Pediatric Acute Lymphoblastic Leukemia-The State-of-the-Art Knowledge and Future Prospects.
    Kośmider K, Karska K, Kozakiewicz A, Lejman M, et al · · 2022 · cited 12× · PMID 35409154 · DOI 10.3390/ijms23073795
  4. Targeting Leukemia-Initiating Cells and Leukemic Niches: The Next Therapy Station for T-Cell Acute Lymphoblastic Leukemia?
    Zhang Z, Yang K, Zhang H. · · 2022 · cited 8× · PMID 36428753 · DOI 10.3390/cancers14225655
  5. BCL-2 and BCL-xL in Cancer: Regulation, Function, and Therapeutic Targeting.
    Silva JPN, Pinto B, Silva PMA, Bousbaa H. · · 2026 · cited 1× · PMID 41596764 · DOI 10.3390/ijms27021123
  6. Promising Drugs Targeting Specific Mechanisms of Deregulation in T Cell Lineage Acute Lymphoblastic Leukemia.
    Thomas X. · · 2025 · cited 1× · PMID 40249557 · DOI 10.1007/s40487-025-00339-1

Verify or expand the search:

Other trials of Navitoclax

Trials testing the same drug.

Other recruiting trials for Acute Lymphoblastic Leukemia

Currently open trials in the same condition.

Other Israeli Medical Association 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/NCT05054465.

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