NCT02723994

Brief Summary

This is a nonrandomized study of ruxolitinib in combination with a standard multi-agent chemotherapy regimen for the treatment of B-cell acute lymphoblastic leukemia. Part 1 of the study will optimize the dose of study drug (ruxolitinib) in combination with the chemotherapy regimen. Part 2 will evaluate the efficacy of combination chemotherapy and ruxolitinib at the recommended dose determined in Part 1.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
171

participants targeted

Target at P75+ for phase_2 leukemia

Timeline
Completed

Started Sep 2016

Longer than P75 for phase_2 leukemia

Geographic Reach
3 countries

111 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 9, 2016

Completed
22 days until next milestone

First Posted

Study publicly available on registry

March 31, 2016

Completed
6 months until next milestone

Study Start

First participant enrolled

September 30, 2016

Completed
9.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 3, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 3, 2026

Completed
Last Updated

March 11, 2026

Status Verified

March 1, 2026

Enrollment Period

9.4 years

First QC Date

March 9, 2016

Last Update Submit

March 9, 2026

Conditions

Keywords

B-cell acute lymphoblastic leukemia (ALL)pediatricmulti-agent chemotherapyJAK inhibitor

Outcome Measures

Primary Outcomes (2)

  • Part 1: Safety/tolerability of ruxolitinib in combination with chemotherapy as measured by adverse events (AEs), vital signs, clinical laboratory tests, and echocardiograms

    Part 1: AEs assessed from screening through up to 30 days after the last dose of study drug, expected to be 26 months (females) or 38 months (males)

  • Part 2: Efficacy of ruxolitinib in combination with chemotherapy as measured by Event-free survival, defined as the percentage of patients alive without relapse, progression, or death at 3 years from study Day 1

    Part 2: assessed at 3 years

Secondary Outcomes (1)

  • Safety and tolerability of the combination treatment for subjects beginning treatment at the recommended dose for Part 2, as assessed by AEs, vital signs, clinical laboratory tests, and echocardiograms

    AEs assessed from screening through up to 30 days after the last dose of study treatment, expected to be 26 months (females) or 38 months (males)

Study Arms (1)

Ruxolitinib in combination with chemotherapy

EXPERIMENTAL
Drug: RuxolitinibDrug: Asparaginase Erwinia ChrysanthemiDrug: CyclophosphamideDrug: CytarabineDrug: DexamethasoneDrug: DoxorubicinDrug: Leucovorin CalciumDrug: MercaptopurineDrug: MethotrexateDrug: PegaspargaseDrug: PrednisoneDrug: ThioguanineDrug: Vincristine Sulfate

Interventions

Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy

In Part 1, ruxolitinib will be administered at a protocol-defined starting dose in combination with chemotherapy, with dose escalation and de-escalation following the rolling 6 study design. The established recommended starting dose will be taken forward into Part 2.

Also known as: INCB018424
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy
Ruxolitinib in combination with chemotherapy

Eligibility Criteria

Age1 Year - 21 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Eligible for study when participant is 1 year to 21 years at the time of diagnosis
  • Eligible Ages in Canada; 2 years to 21 years
  • De novo high-risk (HR) Ph-like B-ALL for which any of following criteria are present at diagnosis:
  • Age ≥ 10 years
  • White blood cell (WBC) ≥ 50 × 10\^3/μL
  • CNS3 leukemia at diagnosis
  • Systemic steroid pretreatment without presteroid WBC documentation
  • Diagnostic bone marrow or peripheral blood sample must have gene expression profiling and downstream genetic testing performed by submitting diagnostic specimens under the COG AALL08B1 or APEC14B1 biology studies, or AALL1131 or its successor study. Specimens must demonstrate a Ph-like expression profile (ie, LDA-positive) as tested by low density microarray testing at the COG ALL reference laboratory or TriCore laboratory at the University of New Mexico AND must contain 1 of the following genetic lesions: (determined at COG ALL reference laboratories, or equivalent CAP/CLIA-certified laboratories approved by the medical monitor:
  • CRLF2 rearrangement with confirmed JAK1 or JAK2 mutation (JAK+)
  • CRLF2 rearrangement without JAK mutation
  • Other JAK pathway alterations (eg, JAK2 fusions, EPOR fusions, SH2B3 deletions, IL7RA mutations) with or without CRLF2-R, or CRLF2-R with unknown JAK status as determined by a COG ALL Reference Laboratory
  • Completed a 4-drug Induction therapy regimen (modified aBFM regimen or equivalent) in Study AALL1131 or its successor study, or as per the institutional standard of care for HR B-ALL and have had end-Induction minimal residual disease (MRD) assessed
  • Male and female subjects of reproductive non childbearing potential or willing to take appropriate precautions to avoid pregnancy or fathering a child for the duration of study participation

You may not qualify if:

  • Receipt of any other cytotoxic chemotherapy before Induction therapy, with exception of hydroxyurea or steroid pretreatment
  • Trisomy 21 (Down syndrome)
  • BCR-ABL1-rearranged (Ph+) ALL
  • Calculated creatinine clearance or radioisotope glomerular filtration rate \< 70 mL/min/1.73 m\^2
  • Alanine aminotransferase ≥ 5 × upper limit of normal (ULN) for age
  • Direct bilirubin ≥ 1.5 × ULN (may be assumed if total bilirubin is below ULN)
  • History or evidence of cirrhosis
  • Platelet count \< 75 × 10\^3/μL
  • Absolute neutrophil count (ANC) \< 750/μL
  • Positive screen for hepatitis B or C
  • Known human immunodeficiency virus infection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (111)

The Childrens Hospital of Alabama

Birmingham, Alabama, 35233, United States

Location

Phoenix Children'S Hospital

Phoenix, Arizona, 85016-7710, United States

Location

Arkansas Childrens Hospital

Little Rock, Arkansas, 72202, United States

Location

Kaiser Permanente

Fontana, California, 92335, United States

Location

Loma Linda University Cancer Center

Loma Linda, California, 92350, United States

Location

Miller Childrens Hospital Pharmacy

Long Beach, California, 90806, United States

Location

Children'S Hospital Los Angeles

Los Angeles, California, 90027, United States

Location

Kaiser Foundation Health Plan

Los Angeles, California, 90027, United States

Location

Southern California Permanente Medical Group

Los Angeles, California, 90027, United States

Location

Valley Childrens Hospital

Madera, California, 93636-8762, United States

Location

Choc Children Hospital

Orange, California, 92868, United States

Location

Lucille Packard Childrens Hospital

Palo Alto, California, 94304, United States

Location

Kaiser Permanente

San Diego, California, 92111, United States

Location

Rady Children'S Hospital - San Diego

San Diego, California, 92123, United States

Location

Ucsf Pediatric Oncology

San Francisco, California, 94158, United States

Location

Kaiser Permanente Downey

Santa Fe Springs, California, 90670, United States

Location

Children'S Hospital Colorado

Aurora, Colorado, 80045, United States

Location

Connecticut Children'S Medical Ctr

Hartford, Connecticut, 06106, United States

Location

Smilow Cancer Center - Yale

New Haven, Connecticut, 06510, United States

Location

Alfred I. Dupont Hospital For Children

Wilmington, Delaware, 19803, United States

Location

Childrens Hospital of Southwest Florida

Fort Myers, Florida, 33908, United States

Location

Joe Dimaggio Children Hospital

Hollywood, Florida, 33021, United States

Location

Nemours Childrens Clinic

Jacksonville, Florida, 32207, United States

Location

University of Florida Health Shands Hospital

Jacksonville, Florida, 32209, United States

Location

Florida Hospital Orlando

Orlando, Florida, 32803, United States

Location

Arnold Palmer Hospital For Children

Orlando, Florida, 32806, United States

Location

Nemours Childrens Clinic

Pensacola, Florida, 32504, United States

Location

All Childrens Hospital

St. Petersburg, Florida, 33701, United States

Location

St Josephs Childrens Hospital Tampa

Tampa, Florida, 33607, United States

Location

Saint Marys Medical Center

West Palm Beach, Florida, 33407, United States

Location

Egleston Children'S Health

Atlanta, Georgia, 30322-1060, United States

Location

Kapiolani Medical Center For Women and Children

Honolulu, Hawaii, 96826, United States

Location

Ann & Robert H. Lurie Children'S Hospital

Chicago, Illinois, 60611, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153-3328, United States

Location

Southern Illinois University School of Medicine

Springfield, Illinois, 62702, United States

Location

Riley Hospital For Children

Indianapolis, Indiana, 46202, United States

Location

St Vincent Hospital

Indianapolis, Indiana, 46260, United States

Location

Blank Childrens Hospital

Des Moines, Iowa, 50309, United States

Location

University of Iowa Hospital and Clinics

Iowa City, Iowa, 52242, United States

Location

University of Kentucky

Lexington, Kentucky, 40536, United States

Location

Kosair Childrens Hospital

Louisville, Kentucky, 40202, United States

Location

Ochsner Clinic

New Orleans, Louisiana, 70121, United States

Location

Maine Center For Cancer Medicine

Scarborough, Maine, 04074, United States

Location

Sinai Hospital of Baltimore

Baltimore, Maryland, 21215, United States

Location

Johns Hopkins University

Baltimore, Maryland, 21287-7049, United States

Location

Dana Farber Boston Children'S

Boston, Massachusetts, 02215, United States

Location

Cs Mott Childrens Hospital

Ann Arbor, Michigan, 48109, United States

Location

Helen Devos Childrens Hosp

Grand Rapids, Michigan, 49503, United States

Location

Michigan State University

Lansing, Michigan, 48912, United States

Location

Children'S Hospitals and Clinics of Minnesota

Minneapolis, Minnesota, 55404, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

Location

The Children'S Mercy Hospital Outpatient

Kansas City, Missouri, 64108, United States

Location

Washington University

St Louis, Missouri, 63130, United States

Location

Children'S Hospital & Medical Center

Omaha, Nebraska, 68114, United States

Location

Alliance For Childhood Diseases

Las Vegas, Nevada, 89109, United States

Location

Children'S Center For Cancer & Blood Dis

Las Vegas, Nevada, 89109, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Morristown Medical Center

Morristown, New Jersey, 07962, United States

Location

Rutgers Cancer Institute of Nj

New Brunswick, New Jersey, 08901, United States

Location

Newark Beth Israel Medical Center

Newark, New Jersey, 07112, United States

Location

St Josephs Regional Medical Center

Paterson, New Jersey, 07503, United States

Location

University of New Mexico Hospital

Albuquerque, New Mexico, 87131, United States

Location

Albany Medical College

Albany, New York, 12208, United States

Location

Roswell Park Comprehensive Cancer Center

Buffalo, New York, 14263, United States

Location

Cohen Children'S Medical Center

New Hyde Park, New York, 11040, United States

Location

Weill Cornell Medical College

New York, New York, 10021, United States

Location

Nyu Clinical Cancer Center

New York, New York, 10032, United States

Location

University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

Suny Upstate Medical University

Syracuse, New York, 13210, United States

Location

New York Medical College

Valhalla, New York, 10595, United States

Location

University of North Carolina At Chapel Hill

Chapel Hill, North Carolina, 27514, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, 28203, United States

Location

Wake Forest University

Winston-Salem, North Carolina, 27157, United States

Location

Akron Children'S Hospital

Akron, Ohio, 44308, United States

Location

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Rainbow Babies & Children Hosp

Cleveland, Ohio, 44106, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

Nationwide Children'S Hospital

Columbus, Ohio, 43205, United States

Location

Dayton Children'S Hospital

Dayton, Ohio, 45404, United States

Location

Toledo Hospital

Toledo, Ohio, 43606, United States

Location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

Legacy Emanuel Hospital and Health Center

Portland, Oregon, 97227, United States

Location

Doernbecher Childrens Hospital

Portland, Oregon, 97239, United States

Location

Penn State Hershey Medical Center

Hershey, Pennsylvania, 17033-2360, United States

Location

Children'S Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Childrens Hospital of Pittsburgh

Pittsburgh, Pennsylvania, 15224, United States

Location

Hasbro Childrens Hospital

Providence, Rhode Island, 02903, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Dell Childrens Medical Center of Central Texas

Austin, Texas, 78723, United States

Location

Driscoll Children'S Hospital

Corpus Christi, Texas, 78411, United States

Location

Medical City Dallas Hospital

Dallas, Texas, 75230, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

El Paso Children'S Hospital Corporation

El Paso, Texas, 79905, United States

Location

Texas Childrens Hospital

Houston, Texas, 77030, United States

Location

University of Texas Health Science Cente

San Antonio, Texas, 78229, United States

Location

Primary Children'S Hospital

Salt Lake City, Utah, 84113, United States

Location

Children'S Hospital of the

Norfolk, Virginia, 23507, United States

Location

Seattle Children'S Hospital

Seattle, Washington, 98105, United States

Location

Providence Sacred Heart Medical Center & Children'S Hospital

Spokane, Washington, 99204, United States

Location

St Vincent Hospital

Green Bay, Wisconsin, 54301, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Alberta'S Children Hospital

Calgary, Alberta, T3B 6A8, Canada

Location

Bc Children'S Hospital

Vancouver, British Columbia, V6G1R8, Canada

Location

The Hospital For Sick Children

Toronto, Ontario, 94611, Canada

Location

Chu Sainte-Justine

Montreal, Quebec, H3T 1C5, Canada

Location

McGill University Health Centre/Glen Site/Cedars Cancer Centre

Montreal, Quebec, H4A 3J1, Canada

Location

McMaster University Medical Centre

Hamilton, L8V 5C2, Canada

Location

University Pediatric Hospital

San Juan, PR, 00930, Puerto Rico

Location

San Jorge Childrens Hospital

San Juan, 00912, Puerto Rico

Location

MeSH Terms

Conditions

LeukemiaBurkitt Lymphoma

Interventions

ruxolitinibasparaginase erwinia chrysanthemi recombinantCyclophosphamideCytarabineDexamethasoneDoxorubicinLeucovorinMercaptopurineMethotrexatepegaspargasePrednisoneThioguanineVincristine

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesEpstein-Barr Virus InfectionsHerpesviridae InfectionsDNA Virus InfectionsVirus DiseasesInfectionsTumor Virus InfectionsLymphoma, B-CellLymphoma, Non-HodgkinLymphomaLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus CompoundsCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsArabinonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicAminoglycosidesGlycosidesCarbohydratesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesSulfhydryl CompoundsSulfur CompoundsPurinesAminopterinPregnadienediolsVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesIndolizidinesIndolizines

Study Officials

  • Albert Assad, MD

    Incyte Corporation

    STUDY DIRECTOR
  • Sarah Tasian, MD

    Children's Hospital of Philadelphia, Philadelphia, PA

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

March 9, 2016

First Posted

March 31, 2016

Study Start

September 30, 2016

Primary Completion

March 3, 2026

Study Completion

March 3, 2026

Last Updated

March 11, 2026

Record last verified: 2026-03

Locations