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AzTrials

Acute Lymphoblastic LeukemiaLAL-2025NCT07443592

Treatment for Ph-negative ALL for Adults up to 65 Years

A study testing Pediatric-type of chemotherapy (+blinatumomab for B-cell precursor ALL) and Transplantation in people with Acute Lymphoblastic Leukemia, run by PETHEMA Foundation at 95 sites in Spain.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this trial is to provide a protocol for treatment for adults with Ph-negative acute lymphoblastic leukemia (ALL) and to learn if this provides higher probability of survival than the previous one. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Acute Lymphoblastic Leukemia
What is being tested?
Pediatric-type of chemotherapy (+blinatumomab for B-cell precursor ALL) and Transplantation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
330 participants
Where
95 sitesSpain
Study dates
6 Mar 2026to 1 Jun 2033
Phase
Interventional
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • De novo ALL.
  • Age 18-65 years.
  • No prior treatment, except:
  • Urgent leukapheresis, Urgent treatment of hyperleukocytosis with hydroxyurea, Urgent cranial irradiation (one dose) for CNS leukostasis, Urgent mediastinal irradiation for superior vena cava syndrome.
  • Adequate general condition (ECOG score 0-2), or >2 if due to ALL.
  • Negative pregnancy test for women of childbearing age.

Who cannot join

  • Age > 65 years.
  • ALL type L3 or with mature B phenotype (sIg+) or with the cytogenetic alterations characteristic of mature B-cell ALL (t(8;14), t(2;8), t(8;22)).
  • Ph-positive B-cell ALL (BCR::ABL1).
  • Lymphoid blast crisis of chronic myeloid leukemia.
  • Patients with a history of coronary artery disease, valvular heart disease, or hypertensive heart disease, which contraindicates the use of anthracyclines.
  • Patients with active chronic liver disease.
Show all 13Show fewer
  • Patients with severe chronic respiratory failure.
  • Renal insufficiency not due to ALL.
  • Severe neurological disorders, not due to ALL, that contraindicate the use of these treatments (especially blinatumomab).
  • History of clinically significant pancreatitis, at the investigator's discretion (taking into account the date of the pancreatitis, its previous severity, and sequelae).
  • Pregnancy or breastfeeding.
  • Psychiatric or mental illness that prevents providing informed consent for sample submission or adequately participating in the study.
  • Impaired general health (ECOG scores 3 and 4) not attributable to ALL.

Trial locations and contacts

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

Anna Torrent, Dr contact

+34934978987

atorrent@iconcologia.net

Josep Maria Ribera contact

+34934978987

jribera@iconcologia.net

95 sites in 1 country

Spain95 sites
  • Hospital de A Coruña

    A Coruña

    Victor Noriega, Dr

  • Hospital Universitario de Araba

    Alava

    Pilar Romero, Dr

  • Hospital General Universitario de Albacete

    Albacete

    Jesús Lorenzo Algarra, Dr

  • Hospital General Universitario Dr. Balmis

    Alicante

    Carmen Botella, Dr

  • Hospital Universitario Torrecárdenas

    Almería

    María José García, Dr

  • Hospital General de Lanzarote

    Arrecife

    Azueg Hong, Dr

  • Hospital Nuestra Señora de Sonsoles / Complejo Asistencial de Ávila

    Ávila

    María Paz Martínez, Dr

  • Hospital Universitario de Badajoz

    Badajoz

    María Soledad Casado, Dr

  • ICO-Hospital Germans Trias i Pujol

    Badalona

    Anna Torrent, Dr

  • Hospital Clínic de Barcelona

    Barcelona

    Núria Martínez, Dr

  • Hospital de Sant Pau

    Barcelona

    Irene García, Dr

  • Hospital del Mar

    Barcelona

    Lucía Gómez, Dr

  • Hospital QuirónSalud

    Barcelona

    Yva Rodríguez, Dr

  • Hospital Vall d'Hebrón

    Barcelona

    Pere Barba, Dr

  • Basurtuko Ospitalea

    Bilbao

    Cristina Barrenetxea, Dr

  • Hospital Universitario de Burgos

    Burgos

    Jorge Labrador, Dr

  • Hospital San Pedro Alcántara

    Cáceres

    Juan Bergua, Dr

  • Hospital Puerta del Mar

    Cadiz

    José Ángel Raposo, Dr

  • Hospital Universitario Santa Lucía

    Cartagena

    Antonio Martínez, Dr

  • Hospital General de Castellón

    Castelló

    Raimundo García, Dr

  • Hospital General de Ciudad Real

    Ciudad Real

    Raúl Vanegas, Dr

  • Hospital Universitario Reina Sofía

    Córdoba

    Josefina Serrano, Dr

  • Hospital Universitario de Cruces

    Cruces

    Javier Arzuaga, Dr

  • Hospital Virgen de la Luz

    Cuenca

    María José Busto, Dr

  • Hospital Universitario de Donostia

    Donostia / San Sebastian

    Teresa Artola, Dr

  • Hospital de Fuenlabrada

    Fuenlabrada

    Pilar Bravo, Dr

  • Hospital Universitario de Galdakao

    Galdakao

    Matxalen Olivares, Dr

  • Hospital de Getafe

    Getafe

    Cristian Escolano, Dr

  • ICO-Hospital Josep Trueta

    Girona

    Marta Sitges, Dr

  • Area Hospitalaria Juan Ramón Jimenez

    Huelva

    María Solé, Dr

  • Consorcio Hospitalario de Jaén

    Jaén

    Juan Antonio López, Dr

  • Hospital Jerez de la Frontera

    Jerez de la Frontera

    Lourdes Hermosín, Dr

  • ICO-Hospital Duran i Reynals

    L'Hospitalet de Llobregat

    Clara Maluquer, Dr

  • C. H. U. de Gran Canaria Dr. Negrín

    Las Palmas de Gran Canaria

    Carlos Rodríguez, Dr

  • Complejo Hospitalario Universitario Insular Materno Infantil de Canarias

    Las Palmas de Gran Canaria

    Rosa Fernández, Dr

  • Hospital Severo Ochoa

    Leganés

    Lorena Abalo, Dr

  • Hospital Universitario de León

    León

    Nora Suárez, Dr

  • Hospital Arnau de Vilanova

    Lleida

    Antoni Garcia, Dr

  • Hospital San Pedro

    Logroño

    Andrea Campeny, Dr

  • Hospital Universitario Lucus Augusti

    Lugo

    Aitor Abuín, Dr

  • C. H. Gregorio Marañón

    Madrid

    Ignacio Alberto Gómez, Dr

  • Clínica Universidad Navarra

    Madrid

    Carlos Grande, Dr

  • Hospital Clínico San Carlos

    Madrid

    Marta Mateo, Dr

  • Hospital Doce de Octubre

    Madrid

    Pilar Martínez, Dr

  • Hospital Infanta Leonor

    Madrid

    María Ángeles Foncillas, Dr

  • Hospital La Princesa

    Madrid

    Javier Ortín, dr

  • Hospital La Zarzuela

    Madrid

    Daniel García, Dr

  • Hospital Príncipe de Asturias

    Madrid

    Paula Gili, Dr

  • Hospital Ramón y Cajal

    Madrid

    Pilar Herrera, Dr

  • Hospital Ruber Juan Bravo

    Madrid

    Aranzazu Alonso, Dr

  • Hospital Sanchinarro

    Madrid

    Laura Llorente, Dr

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid

    Laura Solán, Dr

  • Hospital Universitario HLA Moncloa

    Madrid

    Concha Alaez, Dr

  • Hospital Universitario Infanta Sofía

    Madrid

    Alícia Roldán, Dr

  • Hospital Universitario La Paz

    Madrid

    Irene Sánchez, Dr

  • Hospital Universitario Quirónsalud

    Madrid

    Virginia Pradillo, Dr

  • MD Anderson Cancer Center

    Madrid

    Alejandro Bobes, Dr

  • Hospital Puerta de Hierro

    Majadahonda

    Ana Bocanegra, Dr

  • . Hospital Clínico Universitario Virgen de la Victoria

    Málaga

    María Paz Queipo, Dr

  • Hospital QuirónSalud

    Málaga

    Rahinatu Awol, Dr

  • Hospital Regional Universitario de Málaga (Carlos Haya)

    Málaga

    Daniel Barrios, Dr

  • Hospital Morales Meseguer

    Murcia

    María Luz Amigo, Dr

  • Hospital Virgen de la Arrixaca

    Murcia

    Joaquín Gómez, Dr

  • Complejo Hospitalario Universitario de Ourense

    Ourense

    José Ángel Méndez, Dr

  • Hospital Central de Asturias

    Oviedo

    Teresa Bernal, Dr

  • Complejo Asistencial de Palencia

    Palencia

    Jackeline Solano, Dr

  • Hospital Son Espases

    Palma de Mallorca

    Andrés Novo, Dr

  • Hospital Universitari Son Llàtzer

    Palma de Mallorca

    Antonia Cladera, Dr

  • Clínica Universidad Navarra

    Pamplona

    José Rifón, Dr

  • Hospital Universitario de Navarra

    Pamplona

    Maria Carmen Mateos, Dr

  • Complejo Hospitalario Pontevedra (CHUP)-Montecelo

    Pontevedra

    María Lourdes Amador, Dr

  • C. Asistencial U. de Salamanca

    Salamanca

    Mónica Cabrero, Dr

  • Hospital Nuestra Señora Candelaria

    Santa Cruz de Tenerife

    María Teresa Busnego, Dr

  • Hospital Universitario de Canarias

    Santa Cruz de Tenerife

    Bernardo Javier González, Dr

  • Hospital Universitario Marqués de Valdecilla

    Santander

    Arancha Bermúdez, Dr

  • C H Santiago de Compostela

    Santiago de Compostela

    Natalia Alonso, Dr

  • Hospital General de Segovia

    Segovia

    Ana Torres, Dr

  • Consoorcio Hospitalario Virgen de Valme

    Seville

    Encarnación Gil, Dr

  • Hospital Virgen de la Macarena

    Seville

    Rafael Flores, Dr

  • Hospital Virgen del Rocío

    Seville

    José González, Dr

  • ICO-Hospital Joan XXIII

    Tarragona

    Ana Vicent, Dr

  • Hospital Universitari Mútua Terrassa

    Terrassa

    Ferran Vall-llovera, Dr

  • Hospital Universitario de Toledo

    Toledo

    Laura Parrilla, Dr

  • Hospital Universitario de Torrejón

    Torrejón de Ardoz

    Mirian Santero, Dr

  • Hospital Arnau de Vilanova

    Valencia

    Carmen Benet, Dr

  • Hospital Clínico de Valencia

    Valencia

    Mar Tormo, Dr

  • Hospital Doctor Peset

    Valencia

    Miriam Panero, Dr

  • Hospital General de Valencia

    Valencia

    Armando Mena-Duran, Dr

  • Hospital Universitari i Politècnic La Fe

    Valencia

    Pau Montesinos, Dr

  • Hospital Clínico Universitario de Valladolid

    Valladolid

    Lara Gómez, Dr

  • Hospital Río Hortega

    Valladolid

    Alberto Cantalapiedra, Dr

  • Hospital Álvaro Cunqueiro

    Vigo

    Sandra Suárez, Dr

  • Complejo Asistencial de Zamora

    Zamora

    Carmen Montes, Dr

  • Hospital Lozano Blesa

    Zaragoza

    Mayte Olave, Dr

  • Hospital Miguel Servet

    Zaragoza

    Beatriz de Rueda, Dr

Other trials in Spain

About this study

Official title: Protocol for the Treatment of BCR::ABL1-negative Acute Lymphoblastic Leukemia in Adults up to 65 Years

The goal of this trial is to provide a protocol for treatment for adults with Ph-negative acute lymphoblastic leukemia (ALL) and to learn if this provides higher probability of survival than the previous one. The main question is to know if the incorporation of blinatumomab for B-cell precursor ALL, substituting some chemotherapy blocks, offers better probability of survival than the previous trial, which did not use immunotherapy. In addition, T-cell precursor ALL participants will receive different treatment approaches depending on the stage of maturation of the tumor.

Read the detailed description

Participants will be uniformly treated with four drug-induction: vincristine (VCR), prednisone (PDN), pegylated asparaginase (PegASP), daunorubicin (DNR).

Resistant participants will receive a second induction with inotuzumab for B-cell precursor ALL or with FLAG-Ida (fludarabine, cytarabine, idarubicin and granulocyte colony stimulating factor) for T-cell precursor ALL.

B-cell precursor ALL participants with adequate MRD clearance after cycle 1 of blinatumomab will receive 3 blocks of early consolidation. If adequate MRD clearance and good genetic background, the patients will proceed to delayed intensification, reinduction and maintenance. The remaining patients will receive early or delayed alloHSCT.

T-cell precursor ALL participants with adequate MRD clearance after the first cycle of consolidation will receive 2 blocks of early consolidation and reinduction. If adequate MRD clearance and good genetic background, the patients will proceed to delayed intensification and maintenance. The remaining patients will receive early or delayed alloHSCT.

Being tested
Pediatric-type of chemotherapy (+blinatumomab for B-cell precursor ALL), Transplantation
Keywords
ALL, adult, Philadephia-negative, minimal residual disease, genetics, immunotherapy, transplantation
Medical subject headings
Precursor Cell Lymphoblastic Leukemia-Lymphoma, Neoplasm, Residual

What participants receive

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

  • Pediatric-type of chemotherapy (+blinatumomab for B-cell precursor ALL)Drug

    Pediatric type chemotherapy (induction, early and delayed consolidation, reinduction, maintenance). Induction (VCR,PDN,PegASP,DNR). Early and delayed consolidation (high-dose Methotrexate, high-dose Cytarabine, PegASP). Reinduction (VCR, PDN, PegASP, DNR). Maintenance (Methotrexate, Mercaptopurine). Blinatumomab cycles in consolidation therapy for participants with B-cell precursor ALL.

  • TransplantationProcedure or surgery

    allogeneic stem cell transplantation

Study groups in NCT07443592
Study groupRoleWhat they receive
Chemotherapy (+ blinatumomab for B-cell precursor ALL)OtherPediatric-inspired chemotherapy
Receives: Drug: Pediatric-type of chemotherapy (+blinatumomab for B-cell precursor ALL)
TransplantationOtherallogeneic stem cell transplantation
Receives: Procedure: Transplantation

What is being measured

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

  1. Overall survival comparison versus previous trial

    Comparison of time from diagnosis to death or last follow-up between the present LAL-2025 trial and the previous LAL19 trial for adult Ph-negative

    Measured: 5 years

Secondary outcomes (5)
  1. Complete remission (CR) rate

    Proportion of participants who achieve CR with or 2 induction therapy lines

    Measured: 4 or 8 weeks after treatment onset

  2. MRD status after induction and consolidation

    Proportion of participants who achieve and maintain the negative MRD status (<10-4)

    Measured: After induction (4-8 weeks) and consolidation (16-20 weeks)

  3. MRD variation between induction and after cycle 1 blinatumomab

    Proportion of B-cell precursor ALL participants who achieve and maintain the negative MRD status (<10-4) at week 4 or 8 (end of induction 1 or 2) and after week 8 or 12 (after blinatumomab cycle1)

    Measured: After induction (4-8 weeks) and after cycle 1 blinatumomab (8-12 weeks)

  4. Frequency of allogeneic stem cell transplantation (alloSCT) dut to high-risk genetics

    Proportion of participants that are allocated to alloSCT exclusively due to the presence to high-risk genetic alterations defined in the trial

    Measured: 5 years

  5. Effect of blinatumomab within each B-cell precursor ALL genetic subtype

    Proportion of paarticipants with negative MRD status within each B-cell precursor ALL genetic subtype according to the World Health Organization (WHO) and the International Consensus Classification of Acute Leukemia (ICC)

    Measured: 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 posted2 Mar 2026
  2. Study start6 Mar 2026 (estimated)
  3. Primary completion6 Mar 2031 (estimated)
  4. Study completion1 Jun 2033 (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 N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
330 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07443592
Sponsor's protocol ID
PETHEMA LAL-2025
Acronym
LAL-2025
Status last verified
Feb 2026
First submitted
25 Feb 2026
Last updated
2 Mar 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Pediatric-type of chemotherapy (+blinatumomab for B-cell precursor ALL) and Transplantation in people with Acute Lymphoblastic Leukemia, run by PETHEMA Foundation at 95 sites in Spain.

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 13 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: opening soon, as of the sponsor's last update on 2 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 95 sites in Spain. 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.

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 Anna Torrent, Dr (+34934978987, atorrent@iconcologia.net), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall survival comparison versus previous trial (time frame: 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 2 Mar 2026.

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