90Y-DOTA-anti-CD25 Basiliximab, Fludarabine, Melphalan, and Total Marrow and Lymphoid Irradiation for the Treatment of High-Risk Acute Leukemia or Myelodysplastic Syndrome
NCT05139004 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 7
Last updated 2025-07-08
Summary
This phase I trial is to find out the best dose, possible benefits and/or side effects of 90Y-DOTA-anti-CD25 basiliximab given together with fludarabine, melphalan, and total marrow and lymphoid irradiation (TMLI) in treating patients with high-risk acute leukemia or myelodysplastic syndrome. 90Y-DOTA-anti-CD25 basiliximab is a monoclonal antibody, called basiliximab, linked to a radioactive agent called 90Y-DOTA. Basiliximab attaches to CD25 positive cancer cells in a targeted way and delivers 90Y-DOTA to kill them. Fludarabine and melphalan are common chemotherapy drugs used to prepare the bone marrow to receive transplanted cells. TMLI is a different type of targeted radiation therapy used to prepare the bone marrow to receive transplanted cells. Giving 90Y-DOTA-anti-CD25 basiliximab together with fludarabine, melphalan, and TMLI may help prepare the bone marrow to receive the transplanted cells for improved transplant outcomes in patients with acute leukemia or myelodysplastic syndrome.
Conditions
- Acute Lymphoblastic Leukemia
- Acute Myeloid Leukemia
- Myelodysplastic Syndrome
- Secondary Acute Myeloid Leukemia
Interventions
- PROCEDURE
-
Allogeneic Hematopoietic Stem Cell Transplantation
Undergo AHSCT
- BIOLOGICAL
-
Basiliximab
Given IV
- DRUG
-
Fludarabine Phosphate
Given IV
- DRUG
-
Indium In 111-DOTA-Basiliximab
Given IV
- DRUG
-
Melphalan
Given IV
- BIOLOGICAL
-
Palifermin
Given IV
- RADIATION
-
Total Lymphoid Irradiation
Undergo TMLI
- RADIATION
-
Total Marrow Irradiation
Undergo TMLI
- BIOLOGICAL
-
Yttrium Y 90 Basiliximab
Given IV
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
City of Hope Medical Center
lead OTHER
Principal Investigators
-
Jeffrey Y Wong · City of Hope Medical Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-19
- Primary Completion
- 2027-06-13
- Completion
- 2027-06-13
- FDA Drug
- Yes
Countries
- United States
Study Locations
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