Antibody-Guided chemotherapy aims to give relapsed leukemia patients a second shot
NCT ID NCT01219816
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Adults with B-cell acute lymphoblastic leukemia that has come back or stopped responding to treatment have few options. This phase 2 trial tests whether adding epratuzumab, an antibody that attaches to the CD22 protein found on most of these leukemia cells, to standard chemotherapy can improve the chance of a complete response. Researchers will give participants either an intensive chemotherapy regimen called HyperCVAD or a gentler combination of vincristine and dexamethasone, depending on their age and fitness, along with epratuzumab. The main goal is to see how many patients achieve a complete remission, which could make them eligible for a stem cell transplant.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- epratuzumab, an antibody that targets the CD22 protein on leukemia cells, added to chemotherapy
- What this could lead to
- If it works, this combination could help more adults with relapsed or refractory B-ALL reach a second remission and become eligible for a potentially curative stem cell transplant.
- What could go wrong
- This is a phase 2 trial in a small group of very sick patients, so it may not improve remission rates or survival. Adding epratuzumab to intensive chemotherapy could also cause serious side effects, including infections and low blood counts.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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57 people
The number who actually took part.
- Start date
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Nov 2010
- Finished
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Nov 2016
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \>= 18 years * B-ALL (OMs) with \>= 20 % of blasts in bone marrow * CD22+ expression \>= 30% of the blast population * Refractory B-ALL defined by treatment failure after 2 successive courses of induction therapy or relapse \< 6 months after first CR * First relapse of B-ALL * Second relapse or beyond * Performance status 0-2 * Creatinine clearance \>= 50 ml/min (Cockroft formula) * Serum bilirubine \<= 30 µmom/l * Written informed consent Exclusion Criteria: * T-ALL * Meningeal involvement * CD22 expression on tumor cells or \< 30% * HIV positive * Active Hepatitis B or C * Left ventricular ejection fraction \< 50% in patients \<60 years * Contra-indication to Epratuzumab * Previous or concurrent second malignancy except for adequately treated basal cell carcinoma of the skin, curatively treated in situ carcinoma of the cervix, curatively treated solid cancer, with no evidence of disease for at least 5 years * Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule * Participation at the same time in another study in which investigational drugs are used * Absence of written informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Angers University Hospital
Angers, 49933, France
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CHU de Poitiers
Poitiers, 86021, France
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Edouard Herriot Hospital
Lyon, 69437, France
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HEnri Mondor Hospital
Créteil, 94010, France
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Haut-Leveque Hospital
Pessac, 33604, France
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Institut Paoli Calmette
Marseille, 13373, France
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Nantes University Hospital
Nantes, 44000, France
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Purpan Hospital
Toulouse, 37509, France
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Saint Louis Hospital
Paris, 75010, France
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St Antoine
Paris, 75015, France
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University Hospital
Caen, 14000, France
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