Clinical trial · Interventional
Alemtuzumab With or Without Methotrexate and Mercaptopurine in Treating Young Patients With Relapsed Acute Lymphoblastic Leukemia
A Phase II Study of Campath-1H in Children With Acute Lymphoblastic Leukemia in Second or Greater Relapse or Twice Induction Failure
NCT00089349CI-TRIAL-00010596completedPhase 2ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This phase II trial is studying how well giving alemtuzumab with or without methotrexate and mercaptopurine works in treating young patients with relapsed acute lymphoblastic leukemia. Monoclonal antibodies such as alemtuzumab can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Drugs used in chemotherapy, such as methotrexate and mercaptopurine, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining monoclonal antibody therapy with chemotherapy may kill more cancer cells.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Recurrent Childhood Acute Lymphoblastic Leukemia | Childhood Acute Lymphoblastic Leukemia | CURATED_BROADER | 0.78 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| alemtuzumab | Biological | Alemtuzumab | ALIAS |
| mercaptopurine | Drug | Mercaptopurine | ALIAS |
| methotrexate | Drug | Methotrexate | ALIAS |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Arm I
- description
- Course 1: Patients receive alemtuzumab IV over 2 hours on days 1-5, 8, 10, 12, 15, 17, 19, 22, 24, and 26 in the absence of disease progression or unacceptable toxicity. Patients achieving complete remission (CR), partial remission (PR), or cytolytic PR at day 29, or patients with CNS disease that achieve a CNS 1 or CNS 2 status, proceed to course 2. Courses 2 and 3: Patients receive alemtuzumab IV over 2 hours on days 1, 8, 15, and 22; methotrexate IV continuously over 24 hours on day 1 and then orally once daily on days 8, 15, and 22; and oral mercaptopurine once daily on days 1-28. Patients with a CR or PR at day 29 proceed to course 3. In course 3, patients receive alemtuzumab, methotrexate, and mercaptopurine as in course 2. CNS prophylaxis\*: Patients receive methotrexate intrathecally on day 1 of courses 2 and 3 on day 1 of courses 2 and 3. NOTE: \* CNS-negative patients receive methotrexate intrathecally on day 15 of course 1 and day 1 of courses 2 and 3.
- interventionNames
- Biological: alemtuzumab
- Drug: methotrexate
- Drug: mercaptopurine
Primary outcomes (3)
- measure
- Response rate to Campath-1H alone
- timeFrame
- Day 29, course 1
Eligibility
Eligibility (as posted)
- Sex
- All
- Maximum age
- 30 Years
Show eligibility criteria text
Inclusion Criteria:
* Diagnosis of acute lymphoblastic leukemia (ALL)
* Meets 1 of the following criteria:
* Second or subsequent bone marrow relapse
* Failed ≥ 2 regimens for remission induction
* Patients who relapse while receiving standard ALL maintenance chemotherapy do not require a waiting period prior to study entry
* More than 25% blasts in bone marrow aspirate (M3 marrow)
* CD52 expression on ≥ 25% of malignant cells at relapse
* Philadelphia chromosome-positive patients must have failed prior imatinib mesylate
* Performance status - Karnofsky 50-100% (for patients \> 10 years of age)
* Performance status - Lansky 50-100% (for patients ≤ 10 years of age)
* At least 8 weeks
* ALT ≤ 5 times upper limit of normal (ULN)
* Bilirubin ≤ 1.5 times ULN
* Creatinine clearance or radioisotope glomerular filtration rate ≥ 70 mL/min
* Creatinine normal for age
* Pulse oximetry \> 94%
* No evidence of dyspnea at rest
* No exercise intolerance
* No serious uncontrolled infection
* No autoimmune hemolytic anemia
* No autoimmune thrombocytopenia
* Not pregnant or nursing
* No nursing for 3 months after study participation
* Negative pregnancy test
* Fertile patients must use effective contraception during and for 6 months after study participation
* Seizure disorder allowed provided patients are on anticonvulsants and symptoms are well controlled
* CNS toxicity ≤ grade 2
* No other serious uncontrolled medical condition (e.g., diabetes)
* Recovered from prior immunotherapy
* At least 8 weeks since prior biologic agents (e.g., monoclonal antibodies)
* More than 1 week since prior growth factor(s)
* At least 4 months since prior stem cell transplantation
* No evidence of active acute or chronic graft-versus-host disease post allogeneic stem cell transplantation
* No prior alemtuzumab or its components
* No other concurrent anticancer immunomodulating agents
* Recovered from prior chemotherapy
* One dose of prior intrathecal (IT) methotrexate, cytarabine, and hydrocortisone; IT cytarabine alone; or IT methotrexate alone allowed as part of initial diagnostic spinal tap
* Prior hydroxyurea therapy allowed
* No other concurrent anticancer chemotherapy agents
* Prior steroid therapy allowed
* More than 2 weeks since prior radiotherapy and recoveredReferences
Publications (0)
Data not yet available
No reference posted for this study.