This phase Ib/II trial studies the side effects and best dose of venetoclax and how well it works when given together with vincristine in treating patients with T-cell or B-cell acute lymphoblastic leukemia that has come back (recurrent) or does not respond to treatment (refractory). Venetoclax may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Chemotherapy drugs, such as vincristine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving venetoclax together with vincristine may work better in treating patients with acute lymphoblastic leukemia compared to vincristine alone.
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Number of Participants With Dose Limiting Toxicity (Phase I)
Timeframe: From start of treatment up to 42 days
Number of Participants With Treatment-Related Toxicities (Phase I)
Timeframe: Assessed every treatment cycle while on treatment and for 30 days after the end of treatment, up to 6 years and 11 months
Complete Remission (CR) + Complete Remission Incomplete (CRi) Rate (Phase II)
Timeframe: Assessed at baseline, then every cycle, up to the end of cycle 3 (1 cycle = 28 days)