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A Phase 2/3, Randomized, Open-Label, Comparison Study of MK-1045 Versus Blinatumomab in Participants With Relapsed or Refractory CD19+ B-Cell Acute Lymphoblastic Leukemia (B-ALL)

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 2/Phase 3
SUMMARY

Researchers are looking for new ways to treat people with relapsed or refractory B-cell acute lymphoblastic leukemia (R/R B-ALL) that is CD19 positive using a medicine called MK-1045. MK-1045 is an immunotherapy, which is a treatment that helps the immune system fight cancer. This trial will compare MK-1045 to a standard immunotherapy called blinatumomab. The goals of this trial are to learn if more people who receive MK-1045 have no cancer cells in their bone marrow compared to people who receive blinatumomab and if people who receive MK-1045 live longer compared to people who receive blinatumomab.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 12
Healthy Volunteers: f
View:

• Has a confirmed diagnosis of relapsed/refractory (R/R) B-precursor acute lymphoblastic leukemia (ALL) with 5% or more lymphoblasts in the bone marrow

• Has CD19+ disease, confirmed by local flow cytometry and/or immunohistochemistry testing at the time of enrollment

• Has Philadelphia-negative disease, confirmed by testing, at the time of enrollment

• Participants who have AEs due to previous anticancer therapies must have recovered to Grade ≤1 or baseline

• Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)

Locations
Other Locations
Israel
Rambam Health Care Campus ( Site 0903)
RECRUITING
Haifa
Haddasah Medical Center ( Site 0900)
RECRUITING
Jerusalem
Sheba Medical Center ( Site 0902)
RECRUITING
Ramat Gan
Contact Information
Primary
Toll Free Number
Trialsites@msd.com
1-888-577-8839
Time Frame
Start Date: 2026-05-18
Estimated Completion Date: 2033-10-18
Participants
Target number of participants: 340
Treatments
Experimental: MK-1045 Dose Regimen A
Participants will receive a lower MK-1045 dose once weekly for up to 13 cycles (two 28-day and eleven 42-day cycles). Participants will have the option to change treatment at the end of Part 1.
Experimental: MK-1045 Dose Regimen B
Participants will receive a larger MK-1045 dose once weekly for up to 13 cycles (two 28-day and eleven 42-day cycles). Participants will have the option to change treatment at the end of Part 1.
Active_comparator: Blinatumomab
Participants will receive blinatumomab on days 1, 8, 15, and 22 of each 42-day cycle
Sponsors
Leads: Merck Sharp & Dohme LLC

This content was sourced from clinicaltrials.gov

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