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Acute Lymphoblastic Leukemia, PediatricPhase 2VHR ALLNCT06257394

Treatment of Pediatric Very High-risk Acute Lymphoblastic Leukemia in Korea

A Phase 2 study testing Dasatinib(Sprycel) arm and Non-Dasatinib(Sprycel) arm in people with Acute Lymphoblastic Leukemia, Pediatric, run by Hyoung Jin Kang at 10 sites in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Very high-risk acute lymphoblastic leukemia Read more about this study

Who is it for?
Ages 1 year to 19 years
Conditions the study is for
Acute Lymphoblastic Leukemia, Pediatric
What is being tested?
Dasatinib(Sprycel) arm and Non-Dasatinib(Sprycel) arm
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
10 sitesSouth Korea
Study dates
20 Oct 2024to 31 Dec 2034
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year to 19 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Pediatric patients diagnosed with ALL between the ages of 1 and 19 years at the time of diagnosis who meet one or more of the following conditions:
  • Philadelphia chromosome-positive t(9;22)(q34;q11) or
  • Patients with failed remission who had blast > 5% on bone marrow test after initial remission induction therapy or
  • Hypodiploidy (Number of chromosomes \< 44 (less than 44)) or
  • E2A-HLF(Hepatic Leukemia Factor) translocation-positive or
  • When the prognosis is judged to be poor according to NGS-MRD results among high-risk ALL patients (i) In B-ALL, the NGS-MRD(Next Generation Sequencing-Minimal Residual Disease) after consolidation therapy is 0.01% or more, and the NGS-MRD followed during interim maintenance treatment is also 0.01% or more, (ii) In T-ALL, NGS-MRD(Next Generation Sequencing-Minimal Residual Disease) is more than 0.01% after consolidation therapy

Who cannot join

  • Participants with contraindications to medications
  • When the study participant or their legal representative withdraws consent
  • Pregnant or lactating women (patients of child-bearing potential require adequate contraception during the study period)
  • Participants who are medically unsuitable to participate in this study at the discretion of the investigator Participants participating in other interventional studies other than this protocol

Trial locations and contacts

10 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Hyoung Jin Kang, Ph.D contact

+82-2-2072-3452

kanghj@snu.ac.kr

Hyoung Jin Kang contact

+82220723452

kanghj@snu.ac.kr

10 sites in 1 country

South Korea10 sites, 10 recruiting
  • Kyungpook National University Chilgok-Hospital

    Daegu, 41404

    Ji Yoon Kim, Professor, +82-53-200-5704, phojyk@knu.ac.kr

    Recruiting
  • Chungnam National University Hospital

    Daejeon, 35015

    Yeon Jung Lim, Professor, +82-10-2705-1743, heagori@daum.net

    Recruiting
  • Chonnam National University Hwasun Hospital

    Hwasun, 58128

    Hee Jo Baek, Professor, +82-61-379-8060, swan93@naver.com

    Recruiting
  • Jeju National University Hospital

    Jeju City, 63241

    Hyun Sik Kang, Professor, +82-64-717-1528, medyapsb@naver.com

    Recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Hyoung Jin Kang, Professor, +82-2-2072-3452, kanghj@snu.ac.kr

    Recruiting
  • Severance Hospital

    Seoul, 03722

    Seung-min Hahn, Professor, +82-2-2258-9943, bluenile88@yuhs.ac

    Recruiting
  • Asan Medical Center

    Seoul, 05505

    Ho Joon Im, Professor, 8201062311573, hojim@amc.seoul.kr

    Recruiting
  • Samsung Medical Center

    Seoul, 06351

    Hee Young Ju, Professor, +82-2-3410-0865, hyju320@gmail.com

    Recruiting
  • Seoul saint Mary's Hospital

    Seoul, 06591

    Jae Won Yoo, Professor, +82-2-2258-6763, hoiring0209@gmail.com

    Recruiting
  • Pusan National University Yangsan Hospital

    Yangsan, 50612

    Eu Jeen Yang, Professor, +82-10-6478-8489, 41sirius@hanmail.net

    Recruiting

Other trials in South Korea

About this study

Official title: Multi-center Clinical Trial for Optimal Treatment of Pediatric Very High-risk Acute Lymphoblastic Leukemia in Korea

Very high-risk acute lymphoblastic leukemia

Read the detailed description
  • Arm A : Philadelphia chromosome-positive : Induction (Except Consolidation #3 using Blinatumomab, all administration should be given with Dasatinib.)
  • Morphologic Complete Remission after the Induction : Consolidation #1 → Consolidation #2 → Consolidation #3
  1. If Minimal Residual Disease \& qPCR not detected after the post-consolidation #1 : Consolidation #3 using High Dose Methotrexate, High Dose Cytarabine → DI(Delayed Intensification) #1 → IM(Interim Maintenance) #2 → DI(Delayed Intensification) #2 → Maintenance
  2. If Minimal Residual Disease or qPCR(Quantitative Polymerase Chain Reaction) positivie after the post-consolidation #1 : Consolidation #3 using Blinatumomab →Allogeneic HSCT(Hematopoietic Stem Cell Transplantation)
  • M2 or M3 after the Induction : Re-induction → Consolidation #2 → Consolidation #3 → Allogeneic HSCT(Hematopoietic Stem Cell Transplantation)
  1. If Minimal Residual Disease \& qPCR(Quantitative Polymerase Chain Reaction) not detected after the post-consolidation #1 : Consolidation #3 using High Dose Methotrexate, HD Cytarabine
  2. If Minimal Residual Disease or qPCR(Quantitative Polymerase Chain Reaction) positivie after the post-reinduction : Consolidation #3 using Blinatumomab
  • In Arm A, except Consolidation #3 using Blinatumomab, all administration should be given with Dasatinib.
  • Arm B : Other VHR ALL except Philadelphia chromosome-positive : Induction
  • Morphologic Complete Remission after the Induction : Consolidation #1 → Consolidation #2 → Consolidation #3
  1. If Minimal Residual Disease not detected after the post-consolidation #1 : Consolidation #3 using High Dose Methotrexate, High Dose Cytarabine → Allogeneic HSCT(Hematopoietic Stem Cell Transplantation)
  2. If Minimal Residual Disease positivie after the post-consolidation #1 : Consolidation #3 using Blinatumomab →Allogeneic HSCT(Hematopoietic Stem Cell Transplantation)
  • M2 or M3 after the Induction : Re-induction → Consolidation #2 → Consolidation #3 → Allogeneic HSCT(Hematopoietic Stem Cell Transplantation)
  1. If Minimal Residual Disease not detected after the post-consolidation #1 : Consolidation #3 using High Dose Methotrexate, High Dose Cytarabine
  2. If Minimal Residual Disease positivie after the post-reinduction : Consolidation #3 using Blinatumomab
Being tested
Dasatinib(Sprycel) arm, Non-Dasatinib(Sprycel) arm
Keywords
VHR ALL, NGS-MRD
Medical subject headings
Precursor Cell Lymphoblastic Leukemia-Lymphoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dasatinib(Sprycel) armDrug

    ▪ Arm A : Philadelphia chromosome-positive : Induction (Except Consolidation #3 using Blinatumomab, all administration should be given with Dasatinib.)

    • Morphologic CR after the Induction : Consolidation #1 → Consolidation #2 → Consolidation #3
    1. If MRD \& qPCR not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine → DI #1 → IM #2 → DI #2 → Maintenance
    2. If MRD or qPCR positive after the post-consolidation #1 : Consolidation #3 using Blinatumomab →Allogeneic HSCT
    • M2 or M3 after the Induction : Re-induction → Consolidation #2 → Consolidation #3 → Allogeneic HSCT
    1. If MRD \& qPCR not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine
    2. If MRD or qPCR positive after the post-reinduction : Consolidation #3 using Blinatumomab
    • In Arm A, except Consolidation #3 using Blinatumomab, all administration should be given with Dasatinib.
  • Non-Dasatinib(Sprycel) armDrug

    ▪ Arm B : Other VHR ALL except Philadelphia chromosome-positive : Induction

    • Morphologic CR after the Induction : Consolidation #1 → Consolidation #2 → Consolidation #3
    1. If MRD not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine → Allogeneic HSCT
    2. If MRD positive after the post-consolidation #1 : Consolidation #3 using Blinatumomab →Allogeneic HSCT
    • M2 or M3 after the Induction : Re-induction → Consolidation #2 → Consolidation #3‡ → Allogeneic HSCT
    1. If MRD not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine
    2. If MRD positive after the post-reinduction : Consolidation #3 using Blinatumomab
Study groups in NCT06257394
Study groupRoleWhat they receive
[Arm A, Dasatinib(Sprycel) Arm]Experimental▪ Arm A : Philadelphia chromosome-positive : Induction (Except Consolidation #3 using Blinatumomab, all administration should be given with Dasatinib.) * Morphologic CR after the Induction : Consolidation #1 → Consolidation #2 → Consolidation #3 1. If MRD \& qPCR not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine → DI #1 → IM #2 → DI #2 → Maintenance 2. If MRD or qPCR positive after the post-consolidation #1 : Consolidation #3 using Blinatumomab →Allogeneic HSCT * M2 or M3 after the Induction : Re-induction → Consolidation #2 → Consolidation #3 → Allogeneic HSCT 1. If MRD \& qPCR not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine 2. If MRD or qPCR positive after the post-reinduction : Consolidation #3 using Blinatumomab * In Arm A, except Consolidation #3 using Blinatumomab, all administration should be given with Dasatinib.
Receives: Drug: Dasatinib(Sprycel) arm
[Arm B, Non-Dasatinib(Sprycel) Arm]Experimental▪ Arm B : Other VHR ALL except Philadelphia chromosome-positive : Induction * Morphologic CR after the Induction : Consolidation #1 → Consolidation #2 → Consolidation #3 1. If MRD not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine → Allogeneic HSCT 2. If MRD positive after the post-consolidation #1 : Consolidation #3 using Blinatumomab →Allogeneic HSCT * M2 or M3 after the Induction : Re-induction → Consolidation #2 → Consolidation #3 → Allogeneic HSCT 1. If MRD not detected after the post-consolidation #1 : Consolidation #3 using HD MTX, HD Cytarabine 2. If MRD positive after the post-reinduction : Consolidation #3 using Blinatumomab
Receives: Drug: Non-Dasatinib(Sprycel) arm

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event free survival

    Measured: Up to 5 years

Secondary outcomes (5)
  1. Overall survival

    The time until defined by date of all-cause mortality from the date of 1st infusion

    Measured: Up to 5 years

  2. Recurred rate

    As the period from enrollment to disease progression/recurrence

    Measured: Up to 5 years

  3. Death rate related to infusion

    The time until defined by date of drug-related mortality from the date of 1st infusion

    Measured: Up to 5 years

  4. Adverse Event

    Measured: From Day 1 of the clinical trial to 28 days after last drug administration

  5. The rate of Hematopoietic stem cell transplantation

    The rate of Hematopoietic stem cell transplantation after the Induction and consolidation therapy

    Measured: Up to 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2024
  2. Study start20 Oct 2024
  3. Primary completion31 Dec 2034 (estimated)
  4. Study completion31 Dec 2034 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
74 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06257394
Sponsor's protocol ID
H-2401-028-1500
Acronym
VHR ALL
Status last verified
Jul 2026
First submitted
1 Feb 2024
Last updated
29 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dasatinib(Sprycel) arm and Non-Dasatinib(Sprycel) arm in people with Acute Lymphoblastic Leukemia, Pediatric, run by Hyoung Jin Kang at 10 sites in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hyoung Jin Kang, Ph.D (+82-2-2072-3452, kanghj@snu.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event free survival (time frame: Up to 5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jul 2026.

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