A Phase 1/2 Study of Blinatumomab in Acute Lymphoblastic Leukaemia

  • Research type

    Research Study

  • Full title

    A Phase 1/2 Open-label Study to Investigate the Safety, Efficacy, and Pharmacokinetics of Administration of Subcutaneous Blinatumomab for the Treatment of Adults and Adolescents with Relapsed or Refractory B cell Precursor Acute Lymphoblastic Leukemia (R/R B‑ALL) and Minimal Residual Disease Positive (MRD+) B‑ALL

  • IRAS ID

    1012706

  • Contact name

    Matthew Rodaway

  • Contact email

    gbinfoline@amgen.com

  • Sponsor organisation

    Amgen Inc.

  • Eudract number

    2023-506136-32

  • Clinicaltrials.gov Identifier

    NCT04521231

  • Research summary

    This study is testing a new way of giving a medicine called blinatumomab to adolescents and adults who have a type of blood cancer called B-cell precursor acute lymphoblastic leukaemia (B-ALL). B-ALL affects the blood and bone marrow. While many people respond well to treatment, some do not (this is called refractory), some have their cancer return (called relapsed), and others have minimal residual disease (MRD), where a small number of cancer cells remain after treatment and may cause the disease to come back.
    Blinatumomab is already used in hospitals and works by helping the body’s immune system find and destroy cancerous B-cells. Currently, it is given as a continuous drip through a vein (intravenous infusion), which can be inconvenient and may cause side effects such as infections from the line. This study will test whether giving the medicine by injection under the skin (subcutaneous injection) is safe, effective, and more convenient.
    The study is in two phases and will include people aged 12 years and older who have relapsed, refractory, or MRD-positive B-ALL. The first part (Phase 1) will find the appropriate dose for the later part, and the second part (Phase 2) will assess how well it works. Participants may receive up to five treatment cycles (each lasting about five weeks) and will be followed for up to two years.
    The study involves regular clinic visits for injections, blood tests, bone marrow checks, and health assessments. Common side effects of blinatumomab include fever, low blood counts, infections, and neurological symptoms. The research aims to improve how blinatumomab is given and help reduce treatment burden and improve outcomes for people with high-risk B-ALL.

  • REC name

    South West - Central Bristol Research Ethics Committee

  • REC reference

    25/SW/0152

  • Date of REC Opinion

    7 Jan 2026

  • REC opinion

    Further Information Unfavourable Opinion