The study focuses on people with relapsed or refractory CD19+ B-cell Acute Lymphoblastic Leukemia, a type of blood cancer that has returned or does not respond to standard treatments. The investigational drug being tested is called MK-1045, an intravenous medication identified by its code name, and it will be compared with an existing therapy named blinatumomab. Both drugs are given through a vein, and the trial also includes the use of tocilizumab as background medication to help manage certain side effects.
The purpose of the trial is to determine whether MK-1045 can achieve a higher rate of complete remission (no detectable cancer) and improve overall survival (how long participants live) compared with blinatumomab. Participants will receive a series of treatment cycles lasting several weeks, during which doctors will monitor for adverse events (side effects) and check for minimal residual disease negativity (absence of tiny amounts of cancer cells). Some participants may later undergo allogeneic hematopoietic stem cell transplantation, a procedure that replaces diseased blood‑forming cells with healthy ones from a donor, if deemed appropriate by their physicians.



Denmark
France
Greece
Italy
Spain
Sweden
The Netherlands