Chemoimmunotherapy for ALK+ Relapsed/Refractory ALCL

PHASE2Active, not recruitingINTERVENTIONAL
Enrollment

20

Participants

Timeline

Start Date

August 7, 2025

Primary Completion Date

July 1, 2029

Study Completion Date

July 1, 2030

Conditions
Anaplastic Large Cell Lymphoma, ALK-Positive
Interventions
DRUG

Vinblastine (Velban)

Low risk cohort patients will receive 2 cycles of Induction therapy with single-drug vinBLAStine (VBL), then undergo disease assessment. If complete remission (CR) and MRD -, LR patients will continue single-drug VBL for a total of 24 months (if absent disease progression or unacceptable toxicity).

DRUG

Brentuximab vedotin (Adcetris)

HR cohort patients with no previous exposure to BV will receive 2 cycles of Induction therapy with BV and NIVO \[BV + NIVO\] one every 21 days, then undergo disease assessment. Patients in CR will proceed with consolidation with RTC allogeneic SCT (SCT)\*. If patient has any response other than CR and MRD-, they will receive 2 cycles of BV, VBL, and NIVO \[BV + VBL + NIVO\] once every 21 days

DRUG

Nivolumab (Opdivo)

High risk cohort patients with previous exposure to Brentuximab vedotin (BV) will receive 2 cycles of Induction therapy with VBL and NIVO \[VBL + NIVO\] on day 1 and 15, then undergo disease assessment. If response is not CR, or patient has PR/SD/PD, patient will receive \[BV+VBL+NIVO\] and subsequent therapy as defined for the HR2 cohort.

Trial Locations (1)

10595

New York Medical College, Valhalla

Sponsors
All Listed Sponsors
collaborator

University of Alabama at Birmingham

OTHER

collaborator

Helen DeVos Children's Hospital

OTHER

collaborator

Nationwide Children's Hospital

OTHER

collaborator

Memorial Sloan Kettering Cancer Center

OTHER

collaborator

University of Utah

OTHER

collaborator

Ohio State University

OTHER

collaborator

University of North Carolina

OTHER

collaborator

Children's Hospital of Philadelphia

OTHER

collaborator

Medical College of Wisconsin

OTHER

collaborator

Children's Hospital of Orange County

OTHER

lead

New York Medical College

OTHER