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Meyer et al. Cancer Drug Resist 2019;2:313-25 I http://dx.doi.org/10.20517/cdr.2019.11                                                       Page 321

               Table 1. Summary of epigenetic modulators in clinical development for the treatment of pediatric acute lymphoblastic
               leukemia
                                                  Trial name and
                Drug class          Drug name     clinicaltrials.gov   Indication(s)    Phase     Status
                                                    identifier
                                               A pilot study of
                                               decitabine and
                                               vorinostat with   Acute lymphoblastic leukemia  Phase 1/2  Terminated
                                               chemotherapy
                                               for relapsed ALL
                                               (NCT01483690)
                                               Pre-reinductive
                                               decitabine and
                                               vorinostat in relapsed
                                               lymphoblastic    Acute lymphoblastic lymphoma  Phase 2  Terminated
                                               lymphoma or acute   Acute lymphoblastic leukemia
                                               lymphoblastic leukemia
                                               (NCT00882206)
                                               A study of low-dose
                                               decitabine in relapsed
                                               or refractory acute   Acute lymphocytic leukemia   Phase 1  Completed
                                               lymphocytic leukemia
                                  Decitabine   (NCT00349596)
                                               Phase I/II study of
                                               decitabine and valproic
                                               acid in relapsed/
                                               refractory leukemia   Leukemia          Phase 1/2  Completed
                                               or myelodysplastic   Myelodysplastic syndromes
                                               syndromes
                                               (NCT00075010)
                                                                Childhood acute myeloblastic
                                                                leukemia with maturation (M2)
                                               Decitabine in treating   Childhood acute promyelocytic
                                               children with relapsed or  leukemia (M3)
                                               refractory acute myeloid  Recurrent childhood acute   Phase 1  Terminated
                                               leukemia or acute   lymphoblastic leukemia
                                               lymphoblastic leukemia   Recurrent childhood acute
                DNA methyltransferase
                inhibitors                     (NCT00042796)    myeloid leukemia
                                                                Secondary acute myeloid
                                                                leukemia
                                               Azacitidine and
                                               combination      Acute leukemia or ambiguous
                                               chemotherapy in   lineage
                                               treating infants with   B-cell acute lymphoblastic
                                               acute lymphoblastic   leukemia          Phase 2  Suspended
                                               leukemia and KMT2A   KMT2A gene rearrangement
                                               gene rearrangement   Mixed phenotype acute leukemia
                                               (NCT02828358)
                                               Donor lymphocyte   Acute myelogenous leukemia
                                               infusion with azacitidine   Acute lymphoid leukemia
                                  Azacitidine  to prevent hematologic   Juvenile myelomonocytic   Phase 2  Active, not
                                               malignancy after stem   leukemia                 recruiting
                                               cell transplantation   Myelodysplastic syndrome
                                               (NCT02458235)
                                               A phase I study of
                                               5-azacytidine in
                                               combination with
                                               chemotherapy for   Lymphoblastic leukemia  Phase 1  Completed
                                               children with relapsed or   Myelogenous leukemia
                                               refractory ALL or AML
                                               (NCT01861002)
                                               A phase I dose escalation
                                               and expanded cohort
                                               study of EPZ-5676 in the
                                               treatment of pediatric   Acute myeloid leukemia
                                  Pinometostat  patients with relapsed/  Acute lymphocytic leukemia  Phase 1  Completed
                                               refractory leukemias
                                               bearing a rearrangement
                                               of the MLL gene
                                               (NCT02141828)
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