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UnknownNCT05137860

Efficacy of the Use of Bortezomib for the Treatment of Relapsed Leukemia or Positive MRD

Efficacy of the Use of Bortezomib for the Treatment of Relapsed Leukemia or Positive Minimal Residual Disease

Status
Unknown
Phase
Phase 4
Study type
Interventional
Enrollment
56 (estimated)
Sponsor
Hospital General de Mexico · Other Government
Sex
All
Age
18 Years – 50 Years
Healthy volunteers
Not accepted

Summary

Various drugs have been added to different treatment regimens in order to improve the response rate in patients with Acute Lymphoblastic Leukemia, however, it has been shown that adding Bortezomib to the relapsing regimen improves the proportion of second complete remissions without increasing chemotherapy toxicity. Therefore, proteasome inhibitors can drastically modify the prognosis of patients, since their synergy with drugs such as steroids has positioned them as an attractive strategy.

Detailed description

Mortality associated with leukemia has decreased due to the use of various chemotherapy combinations, the addition of new agents, or the chemical modification of existing drugs. Despite advances in treatment, the prognosis in the adult population continues to be unfavorable. About 25% of the patients will be refractory to the first treatment regimen and the rest will have a disease-free survival below 40%. The chemotherapy intensity reduction strategy based on risk stratification according to Minimal Residual Disease (MRD) is a strategy used by various pediatric centers in order to detect patients at high risk of relapse.

Conditions

Interventions

TypeNameDescription
DRUGBortezomibCombination of Bortezomib with Standard Chemotherapy scheme for acute lymphoblastic patients in relapse.

Timeline

Start date
2021-12-12
Primary completion
2022-12-22
Completion
2023-06-23
First posted
2021-11-30
Last updated
2022-01-18

Locations

1 site across 1 country: Mexico

Source: ClinicalTrials.gov record NCT05137860. Inclusion in this directory is not an endorsement.