Inclusion Criteria:

          1. Patients with newly diagnosed CD19 positive B-precursor ALL

          2. Greater than 25 % blasts in bone marrow

          3. Eastern Cooperative Oncology Group (ECOG) performance status <= 2

          4. Charlson comorbidity score <= 2

          5. Age > 55 and < 75 years at the time of informed consent

          6. Renal and hepatic function as defined below:

               -  AST (SGOT), ALT(SGPT) and AP < 5x upper limit of normal (UNL) (unless related to
                  leukemic liver infiltration by investigator assessment)

               -  Total bilirubin < 1.5x ULN (unless related to Gilbert's Meulengracht disease)

               -  Creatinine < 1.5x ULN

               -  Creatinine clearance >= 50 mL/min (e.g. calculated according Cockroft & Gault)

          7. Negative pregnancy test in women of childbearing potential

          8. Ability to understand and willingness to sign a written informed consent

          9. For Germany: Participation in the registry of the German Multicenter Study Group for
             Adult ALL (GMALL)

        Exclusion Criteria:

          1. Antileukemic pretreatment (GMALL prephase with dexamethasone and cyclophosphamide
             allowed)

          2. History of malignancy other than ALL within 5 years prior to start of
             protocol-specified therapy with the exception of:

               -  Malignancy treated with curative intent and with no known active disease present
                  for 2 years before enrollment and felt to be at low risk for recurrence by the
                  treating physician including

               -  Adequately treated non-melanoma skin cancer or lentigo maligna without evidence
                  of disease

               -  Adequately treated cervical carcinoma in situ without evidence of disease

               -  Adequately treated breast ductal carcinoma in situ without evidence of disease

               -  Prostatic intraepithelial neoplasia without evidence of prostate cancer

          3. History or presence of clinically relevant (per investigator's assessment) CNS
             pathology such as epilepsy, childhood or adult seizure, paresis, aphasia, stroke,
             severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic
             brain syndrome or psychosis

          4. Active ALL in the CNS confirmed by CSF analysis) or testes (clinical diagnosis) or
             other extramedullary involvement; non-bulky lymph node (< 7.5 cm diameter) involvement
             will be accepted

          5. Current autoimmune disease or history of autoimmune disease with potential CNS
             involvement

          6. Known exclusion criteria to recommended chemotherapy

          7. Known positivity of HIV, hepatitis B (HbsAG) or hepatitis C virus (anti-HCV)

          8. Subject received prior anti-CD19 therapy

          9. Live vaccination within 2 weeks before the start of study treatment

         10. Known hypersensitivity to immunoglobulins or to any other component of the study drug
             formulation:

             Subject has known sensitivity to immunoglobulins or any of the products or components
             to be administered during dosing

         11. Currently receiving treatment in another investigational device or drug study or less
             than 30 days since ending treatment on another investigational device or drug
             study(s). Thirty days is calculated from day 1 of protocol-specified therapy

         12. Subject likely to not be available to complete all protocol-required study visits or
             procedures, including follow-up visits, and/or to comply with all required study
             procedures to the best of the subject's and investigator's knowledge

         13. History or evidence of any other clinically significant disorder, condition or disease
             (with the exception of those outlined above) that, in the opinion of the investigator
             would pose a risk to subject safety of interfere with the study evaluation, procedures
             or completion

         14. Woman of childbearing potential and is not willing to use a highly effective method of
             contraception while receiving study treatment and for an additional 3 months after the
             last dose of study treatment

         15. Male who has a female partner of childbearing potential, and is not willing to use 2
             highly effective forms of contraception while receiving protocol-specified therapy and
             for at least an additional 3 months after the last dose of protocol-specified therapy.