A Study of Ponatinib Versus Imatinib in Adults With Acute Lymphoblastic Leukemia
NCT03589326 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 245
Last updated 2025-11-26
Summary
In this study, adults with newly-diagnosed Philadelphia Chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) will receive first-line therapy of ponatinib or imatinib.
The main aim of this study is to compare the number of participants on each treatment that show no signs of disease.
Participants will take tablets of either ponatinib or imatinib at the same time each day combined with reduced-intensity chemotherapy for up to 20 months. Then, they will continue with single-agent therapy (ponatinib or imatinib) until they meet the discontinuation criteria from the study.
Conditions
- Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia (Ph+ALL)
Interventions
- DRUG
-
Ponatinib
Ponatinib Tablets.
- DRUG
-
Imatinib
Imatinib Tablets.
- DRUG
-
Vincristine
Vincristine IV injection.
- DRUG
-
Dexamethasone Tablets.
- DRUG
-
Cytarabine IV infusion.
- DRUG
-
Methotrexate
Methotrexate IV infusion.
- DRUG
-
Prednisone Tablets.
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Study Director · Takeda
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-10-04
- Primary Completion
- 2022-08-12
- Completion
- 2027-07-31
- FDA Drug
- Yes
Countries
- United States
- Argentina
- Australia
- Austria
- Brazil
- Bulgaria
- Canada
- China
- Finland
- France
- Greece
- Italy
- Japan
- Mexico
- Poland
- Russia
- South Korea
- Spain
- Taiwan
- Turkey (Türkiye)
Study Locations
More Related Trials
-
A Study of Ponatinib in Japanese Participants With Chronic Myeloid Leukemia (CML) and Ph+ Acute Lymphoblastic Leukemia (ALL)
NCT01667133 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Ponatinib Hydrochloride as Second Line Therapy in Treating Patients With Chronic Myeloid Leukemia in Chronic Phase Resistant or Intolerant to Imatinib Mesylate, Dasatinib, or Nilotinib
NCT01746836 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of Ponatinib With Chemotherapy in Children, Teenagers, and Adults With Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia
NCT04501614 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Blinatumomab, Methotrexate, Cytarabine, and Ponatinib in Treating Patients With Philadelphia Chromosome-Positive, or BCR-ABL Positive, or Relapsed/Refractory, Acute Lymphoblastic Leukemia
NCT03263572 ·Status: RECRUITING ·Phase: PHASE2
-
Phase II Front-line Ponatinib in Adult Philadelphia+/BCR-ABL+ Acute Lymphoblastic Leukemia.
NCT01641107 ·Status: COMPLETED ·Phase: PHASE2
-
Activity and Risk Profile of Ponatinib in Chronic Phase Patients With Chronic Myeloid Leukemia Resistant to Imatinib
NCT02398825 ·Status: TERMINATED ·Phase: PHASE2
-
Ponatinib Plus Chemotherapy in Acute Lymphoblastic Leukemia Patients
NCT05306301 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Cardiovascular Assessment of Ponatinib as Third Line Treatment in Chronic Phase Chronic Myeloid Leukemia
NCT04709731 ·Status: UNKNOWN ·Phase: PHASE2
-
Ponatinib Plus Reduced-intensity Chemotherapy in the First-line Treatment of Adult Patients With Ph+ ALL
NCT04554459 ·Status: TERMINATED ·Phase: PHASE2
-
The Study for CML Who Failed Prior TKIs or With T315I Mutation or Ph+ ALL Who Failed Prior TKIs or With T315I Mutation
NCT04233346 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Ponatinib in Participants With Resistant Chronic Phase Chronic Myeloid Leukemia (CP-CML) to Characterize the Efficacy and Safety of a Range of Doses
NCT02467270 ·Status: COMPLETED ·Phase: PHASE2
-
Olverembatinib Combined With Reduced-Intensity Chemotherapy and Venetoclax for de Novo Ph+ ALL
NCT05594784 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Ponatinib for Treatment of Pediatric Recurrent or Refractory Leukemias, Lymphomas or Solid Tumors
NCT03934372 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Ponatinib - Frontline for Chronic Myeloid Leukemia (CML) in Accelerated Phase (AP)
NCT01570868 ·Status: TERMINATED ·Phase: PHASE2
-
Safety Study of AP24534 to Treat Chronic Myelogenous Leukemia (CML) and Other Hematological Malignancies
NCT00660920 ·Status: COMPLETED ·Phase: PHASE1
-
Ponatinib in Chronic Myeloid Leukemia Patients in Chronic Phase
NCT06119269 ·Status: RECRUITING
-
Ponatinib in Adult Ph+ ALL Patients With MRD Positivity or Hematological Relapse
NCT04475731 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Subcutaneous Blinatumomab Plus Ponatinib for BCR-ABL+ B-ALL
NCT07301424 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study to Evaluate Available Treatment Information of Ponatinib, Bosutinib, Imatinib, Dasatinib and Nilotinib in Adults With Chronic Myeloid Leukemia
NCT05743465 ·Status: COMPLETED
-
Study of Imatinib-Combined Chemotherapy for BCR-ABL-Positive Acute Lymphoblastic Leukemia (ALL)
NCT00130195 ·Status: COMPLETED ·Phase: PHASE2
-
Pediatric-Inspired Chemotherapy Plus Tyrosine Kinase Inhibitor in Adult Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia
NCT04845035 ·Status: WITHDRAWN ·Phase: PHASE2
-
Ph+/Bcr-Abl+ ALL Imatinib and Nilotinib Rotational Study
NCT01025505 ·Status: COMPLETED ·Phase: PHASE2
-
Study Investigating the Efficacy of Crenolanib With Chemotherapy vs Chemotherapy Alone in R/R FLT3 Mutated AML
NCT03250338 ·Status: COMPLETED ·Phase: PHASE3
-
Consolidation Treatment With Ponatinib 15 mg on Treatment Free-Remission Rate in Patients With Chronic Myeloid Leukemia
NCT04043676 ·Status: UNKNOWN ·Phase: PHASE2
-
Compare Bosutinib To Imatinib In Subjects With Newly Diagnosed Chronic Phase Philadelphia Chromosome Positive CML
NCT00574873 ·Status: COMPLETED ·Phase: PHASE3