Yttrium Y 90 Anti-CD45 Monoclonal Antibody AHN-12 in Treating Patients With Advanced Leukemia
Leukemia, Myelodysplastic Syndromes
About this trial
This is an interventional treatment trial for Leukemia focused on measuring recurrent adult acute lymphoblastic leukemia, recurrent adult acute myeloid leukemia, secondary acute myeloid leukemia, previously treated myelodysplastic syndromes, blastic phase chronic myelogenous leukemia, relapsing chronic myelogenous leukemia, adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with t(15;17)(q22;q12), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with t(8;21)(q22;q22)
Eligibility Criteria
Inclusion Criteria:
Histologically confirmed CD45+ diseases:
Acute lymphoblastic leukemia or acute myeloid leukemia (AML), meeting any of the following criteria:
- Primary refractory disease
- Relapsed disease, defined as persistent disease following a minimum of 2 different standard chemotherapy induction attempts at time of diagnosis or at relapse
- Acute myelogenous leukemia (AML), primary refractory or relapsed disease - defined as persistent disease after a minimum of two different standard chemotherapy induction attempts at time of diagnosis or relapse
- Advanced myelodysplastic syndrome (MDS) defined as > or = 15% bone marrow blasts following a minimum of one standard chemotherapy induction attempt
- AML arising from preexisting MDS, refractory - defined as persistent disease following a minimum of one standard chemotherapy induction attempt
- Chronic myelogenous leukemia (CML) following blast crisis (> or = 15% marrow blasts following a minimum of one standard chemotherapy induction attempt
- Peripheral leukemic blasts (by morphology) must be < 5,000/μL (hydroxyurea to control peripheral blast count allowed)
- Must have source of allogeneic stem cells (sibling, unrelated cord[s], or donor) identified prior to initiation of protocol therapy
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2 or Karnofsky PS 60-100%
- Life expectancy > 12 weeks
- Total bilirubin ≤ 2.5 times upper limit of normal (ULN)
- aspartate aminotransferase (AST) and Alanine transaminase (ALT) ≤ 2.5 times upper limit of normal (ULN)
- Creatinine ≤ 1.3 mg/dL OR creatinine clearance ≥ 60 mL/min
- Left ventricular ejection fraction (LVEF) ≥ 45% by Multi Gated Acquisition Scan (MUGA) or echocardiogram (ECHO)
- Carbon Monoxide Diffusing Capacity (DLCO) (corrected) ≥ 50% of predicted
- Human anti-mouse antibody (HAMA) must be negative
- Not pregnant or nursing
- Fertile patients must use effective contraception
- Human immunodeficiency virus (HIV) negative
- Recovered from all prior therapy
- At least 7 days since prior biologic agents
Exclusion Criteria:
- Bone marrow cellularity < 15%
- Known brain metastases or active central nervous system (CNS) disease
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to ^90Y-AHN-12 or other agents used in study
Uncontrolled illness, including, but not limited to, any of the following:
- Ongoing or active infection
- Symptomatic or congestive heart failure
- Unstable angina pectoris
- Cardiac arrhythmia
- Psychiatric illness or social situations that would limit compliance with study requirements
- Other concurrent investigational agents
- Prior allogeneic transplantation
- Less than 60 days since prior autologous transplantation with relapsed disease
Sites / Locations
- Masonic Cancer Center at University of Minnesota
Arms of the Study
Arm 1
Experimental
AHN-12
2.0, 5.0, 7.5, 10.0 or 12.5 mCi/m^2 of ^90Y-AHN-12 at Day 7/8