Description:
The radio-labeled anti-CD66 monoclonal antibody (with 111In for dosimetry and 90Y for
therapy) will be administered in the T11 North room, UCLH, while the reduced intensity
conditioning regimen and the allogeneic hematopoietic stem cell transplant will be performed
in 2 centers, according to the age of the patient: A) patients aged < 13 years will be
transplanted at the Bone Marrow Transplantation Department, Great Ormond Street Hospital
(GOSH), and B) patients aged 13-18 years will be transplanted at the Bone Marrow
Transplantation Department, University College London Hospitals (UCLH).
Title
- Brief Title: Yttrium-90 Anti CD66 Monoclonal Antibody in Childhood Relapsed/Refractory Leukaemia
- Official Title: 90Yttrium-labelled Anti-CD66 Monoclonal Antibody as Part of a Reduced Intensity Conditioning Regimen Prior to Allogeneic Haematopoietic Stem Cell Transplantation: an Open Label, Dose Escalating Phase I Study in Children and Adolescents With Relapsed/Refractory Leukaemia
Clinical Trial IDs
- ORG STUDY ID:
07MI05
- NCT ID:
NCT04082286
Conditions
- Acute Myeloblastic Leukemia
- Acute Lymphoblastic Leukemia
- Juvenile Myelomonocytic Leukemia
Purpose
The radio-labeled anti-CD66 monoclonal antibody (with 111In for dosimetry and 90Y for
therapy) will be administered in the T11 North room, UCLH, while the reduced intensity
conditioning regimen and the allogeneic hematopoietic stem cell transplant will be performed
in 2 centers, according to the age of the patient: A) patients aged < 13 years will be
transplanted at the Bone Marrow Transplantation Department, Great Ormond Street Hospital
(GOSH), and B) patients aged 13-18 years will be transplanted at the Bone Marrow
Transplantation Department, University College London Hospitals (UCLH).
Trial Arms
Name | Type | Description | Interventions |
---|
Radioimmunotherapy | Experimental | Children affected by high risk malignant disorders will be receiving increasing infused activity of a radio-immune conjugated antibody as part of their conditioning regimen prior to alleogeneic stem cell transplantation | |
Eligibility Criteria
Inclusion criteria:
1. An underlying haematological malignancy including:
1. isolated bone marrow relapse of AML after allogeneic haematopoietic stem cell
transplantation;
2. isolated bone marrow relapse of ALL after allogeneic haematopoietic stem cell
transplantation;
3. bone marrow relapse of JMML after allogeneic haematopoietic stem cell
transplantation;
4. refractory AML (5-20% blasts in BM) with/without expression of CD66 on blasts;
5. refractory ALL (5-20% blasts in BM) with/without expression of CD66 on blasts;
6. refractory AML (> 20% blasts in BM) with expression of CD66 on blasts;
7. refractory ALL (> 20% blasts in BM) with expression of CD66 on blasts;
2. be ≥ 1 year old and ≤ 18 years old;
3. must not be eligible for therapy of higher curative potential. Where an alternative
therapy has been shown to prolong survival in an analogous population, this should be
offered to the patient prior to discussing this study;
4. have a Karnofsky Performance Status ≥ 50 or Lansky Performance Status ≥ 30;
5. provide signed, written informed consent from parent or guardian;
6. be able to comply with study procedures and follow-up examinations;
7. have normal cardiac function without specific treatment;
8. have adequate organ function (as indicated by Table 3, chapter 5), within 30 days
prior to 111In infusion;
9. patients who have received any other chemotherapy within the previous 2 weeks and must
have recovered from acute toxicity of all previous therapy prior to enrolment;
10. be negative for human-anti-murine antibodies (HAMA). Exclusion criteria
1) patients with CNS disease; 2) patients with BM cellularity < 10%; 3) patients with ≥ 20%
blasts in BM and no expression of CD66 on blasts; 4) patients who are positive for
human-anti-murine antibodies (HAMA); 5) patients with compromised organ function (as
indicated by Table 3, chapter 5), within 30 days prior to 111In infusion; 6) patients with
extensive chronic GvHD; 7) patients with an active, uncontrolled systemic infection
considered opportunistic, life threatening, or clinically significant at the time of
treatment; 8) patients who are pregnant or lactating; 9) patients with any other severe
concurrent disease, which, in the judgment of the Investigator, would make the patient
inappropriate for entry into this study.
Maximum Eligible Age: | 18 Years |
Minimum Eligible Age: | 1 Year |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | maximum tolerated dose (MTD) |
Time Frame: | 45 days post transplant |
Safety Issue: | |
Description: | targeted radiotherapy delivered by 90Yttrium-labelled anti-CD66 |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Great Ormond Street Hospital for Children NHS Foundation Trust |
Last Updated
June 25, 2021