ClinicalTrials.gg
RecruitingNCT06648889Updated Aug 28, 2026

Isatuximab in Adult Patients With Cytologic or Molecular Relapsed/Refractory CD38 Positive T-cell Acute Lymphoblastic Leukemia

A Phase 2 interventional study of Isatuximab and Isatuximab in T-ALL, sponsored by Goethe University. Recruiting at 15 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Goethe University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.

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Phase
Phase 2
Study type
Interventional
Enrollment
28
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 23 studies in Precursor T-Cell Lymphoblastic Leukemia-Lymphoma with a site in Germany — 4 open to participants now, 6 under way, 1 of them phase 3. Precursor T-Cell Lymphoblastic Leukemia-Lymphoma · Germany.

Planned enrollment
15th of 20
28 · median 71
Started
2024
the only one that year
Phase 2
5 of 23
1 open now
Registered
23rd of 23
by date
Lead sponsor
3 of 23
Goethe University

Among the 23 studies in Precursor T-Cell Lymphoblastic Leukemia-Lymphoma with a site in Germany, this one is the 15th largest by planned enrollment of the 20 interventional ones that give a count, is the only one that started in 2024, is one of 5 in phase 2, and was the 23rd registered.

Precursor T-Cell Lymphoblastic Leukemia-Lymphoma

420 studies on the registry are indexed under Precursor T-Cell Lymphoblastic Leukemia-Lymphoma; 75 are open to participants now.

Browse Precursor T-Cell Lymphoblastic Leukemia-Lymphoma studies →

Open to participants now

4 of the 23 studies in Precursor T-Cell Lymphoblastic Leukemia-Lymphoma with a site in Germany are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 59 Precursor T-Cell Lymphoblastic Leukemia-Lymphoma studies recruiting now, 24 (41%) set no upper age limit and 30 (51%) stop at 75 or younger; 35 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Precursor T-Cell Lymphoblastic Leukemia-Lymphoma with a site in Germany, or all of them as a file.
02

Study summary

The planned trial offers treatment cohorts for patients with full cytologic relapse (R/R ALL - Cohort 1), as well as for patients with molecular failure/relapse (MRD+ ALL - Cohort 2). Basically, the study aims to develop data for optimization of first-line therapy of T-ALL, either by modification of standard induction with Isatuximab or by establishing a post-induction therapy for eradication of MRD and thereby evaluates in parallel two different strategies.

03

Conditions studied

  • T-ALL

Keywords

  • R/R or MRD CD38-positive T-ALL
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Cohort 1:

  • Patients with CD38 positive T-ALL/T-LBL

    • Either: In relapse or with primary disease defined as ≥5% blasts in bone marrow cytology or ≥1% minimal residual disease (MRD)
    • Or: Extramedullary relapse or primary refractory disease confirmed by standard imaging with measurable target leasions
  • after at least three chemotherapy cycles (induction I-II, consolidation I) with the following additional specifications:

    • early relapse within 12 months from first achievement of CR or
    • late relapse later than 12 months from first achievement of CR or
    • primary refractory disease without any CR or
    • any relapse after stem cell transplantation or
    • any refractory relapse, defined as no response to at least one salvage therapy or
  • any second or later relapse and
  • Availability of patient material with blast cells (bone marrow or peripheral blood) for central MRD assessment or availability of respective predefined marker (not required in patients with extramedullary disease only).
  • status: 0-2
  • Age ≥ 18 years
  • Evidence of a personally signed and dated indicating that the patient has been informed of all pertinent aspects of the study
  • Patient must be willing and able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures
  • Regeneration from last chemotherapy defined as follows:

    • ≥10.000/uL (platelet transfusion allowed)
    • ≥ 7.5 g/dl (red blood cell transfusion allowed)
  • Adequate liver function defined as follows:

    • ≤ 1.5 (unless Gilbert Meulengracht disease or classified as result of liver infiltration by investigator)
    • and ALT ≤ 2.5 x ULN (unless classified as result of liver infiltration by investigator)
  • Adequate renal function defined as follows:

    • Serum creatinine ≤ 2 x ULN
    • Any serum creatinine level associated with a calculated ≥ 40 mL/min
  • Negative pregnancy test in women of (WOCBP)
  • WOCBP must commit to either abstain continuously from heterosexual sexual intercourse or to use 2 methods of reliable simultaneously.
  • Men who are sexually active with a WOCBP must agree to use a barrier method of contraception
  • Participation in the registry of the German Multicenter Study Group for Adult ALL (GMALL)

Cohort 2:

  • terminated with protocol version 3.2.

Exclusion criteria

Exclusion Criteria:

Cohort 1:

  • Patients with CNS-only relapse
  • Patients who have received prior antileukemic immunotherapy within 2 weeks prior to start of Isatuximab treatment
  • Patients who have received treatment for leukemia with chemotherapy as follows:

    • Patients who have received treatment for leukemia with chemotherapy within 2 weeks prior to start of Isatuximab treatment (exception: documented disease progression under chemotherapy and pre-phase therapy with 5-7 days of Dexamethasone, 3 days of Cyclophosphamide; intrathecal prophylaxis)
    • Patients who are candidates for a treatment with Nelarabine (eligibility to be assessed particularly in patients with extramedullary involvement and/or early/mature T-ALL/T-LBL, due to limited efficacy)
  • Patients must have recovered from acute non-hematologic toxicity form previous therapies to ≤ grade I unless signs or symptoms are correlated to leukaemia involvement
  • Prior SCT ≤ 3 months from start of study treatment
  • Acute GvHD ≥ grade II or active chronic GvHD requiring systemic treatment
  • Any systemic GvHD prophylaxis or treatment within 2 weeks from start of study treatment
  • Known positivity, known surface antigen positivity or known history of
  • Unstable or severe uncontrolled medical condition e.g. unstable cardiac function or unstable pulmonary condition
  • Treatment with an agent within 4 weeks from start of study treatment (safety follow-up period of respective study)
  • Concurrent active other than non-melanoma skin cancer, carcinoma in situ of the cervix, or localized prostate cancer that has been treated with radiation or surgery; patients with previous malignancies are eligible if they have been disease free for ≥ 2 years and do not require any antitumor therapy
  • Evidence of uncontrolled current serious active infection or recent history (within 4 months) of deep tissue infections such as fasciitis or osteomyelitis
  • Known allergies, , or intolerance to Boron or Mannitol, , mAb (including Isatuximab) or human proteins, or their (refer to respective Summary of Product Characteristics), or known sensitivity to mammalian-derived products
  • Active infection, any other concurrent disease or medical condition that are deemed to interfere with the conduct of the study as judged by the investigator
  • Pregnant or breastfeeding females
  • Vaccination with within 4 weeks of first study agent administration
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgement of the investigator, would make the patient inappropriate for entry into this study

Cohort 2:

  • terminated with protocol version 3.2.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
28 participants (estimated)

Study arms

  • Experimental
    GMALL-Isatuximab

    Cohort 1: In this Cohort, Isatuximab shall be implemented as part of a combination therapy for patients with R/R T-ALL/T-LBL, defined as bone marrow infiltration of ≥5% (R/R T-ALL) or ≥1% minimal residual disease (MRD). Cohort 2: In this Cohort, Isatuximab shall be implemented as single drug treatment for patients with molecular failure/relapse. Cohort 2 will include patients with hematologic remission (bone marrow blast count \<5%) of T-cell ALL, but with molecular failure or molecular relapse (MRD+ T-ALL) - terminated with protocol version 3.2.

    Drug: Isatuximab

Interventions

  • Cohort 1: All patients will receive two cycles of induction therapy with standard chemotherapy, Bortezomib and Isatuximab. Isatuximab maintenance may be administered in patients with CR until SCT, progression/relapse, unacceptable toxicity, physicians' decision to change treatment or withdrawal of consent.

    Also known as: Bortezomib

  • Cohort 2: All patients will receive at least one cycle with Isatuximab. Each cycle will be 4 weeks in duration. Isatuximab will be administered until SCT, hematologic relapse including extramedullary, unacceptable toxicity, physicians' decision, or withdrawal of consent - terminated with protocol version 3.2.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with complete hematologic response (ORR= CR and CRi)

    Cohort 1: Proportion of patients with complete hematologic response (ORR= CR and CRi) after 2 cycles of induction therapy including Isatuximab.

    Time frame: Day 22, Week 9, per SoC

  2. Overall incidence and severity of adverse events

    Cohort 1: Overall incidence and severity of adverse events (CTCAE 5.0).

    Time frame: Day 22, Week 9, month 3, month 6 (depends on duration of therapy which is variable)

  3. Proportion of patients with molecular response (MolCR)

    Cohort 2: Proportion of patients with molecular response (MolCR) after one cycle of Isatuximab.

    Time frame: Day 22, Week 9, per SoC

Secondary outcomes

  1. Proportion of patients with CR and CRi, MolCR and cMolCR in R/R

    Cohort 1: Proportion of patients with CR and CRi, MolCR and cMolCR in R/R (cohort 1) after 1 or 2 cycles of induction (best response)

    Time frame: Day 22, Week 9, per SoC

  2. Probability of continuous complete remission

    Probability of continuous complete remission (remission duration) at 18 months

    Time frame: at 18 months

  3. Probability of overall survival

    Probability of overall survival at 18 months

    Time frame: at 18 Months

  4. Probability of relapse-free survival

    Probability of relapse-free survival at 18 months

    Time frame: at 18 months

  5. Probability of event-free survival

    Probability of event-free survival at 18 months

    Time frame: at 18 months

  6. Incidence of relapses and proportion of relapse localisations

    Incidence of relapses and proportion of relapse localisations

    Time frame: Day 22, Week 9, per SoC

  7. Incidence of GvHD in patients with prior SCT

    Incidence of GvHD in patients with prior SCT

    Time frame: until end of trial

  8. Duration of molecular remission (mimimal residual disease by PCR)

    Time frame: Day 22, Week 9, per SoC

  9. Treatment realization for Isatuximab

    Dosing of Isatuximab as scheduled per protocol

    Time frame: d22, week 9, per maintenance cycle, end of treatment at month 6

  10. Probability of continuous MolCR and cMolCR and duration of MolCR and cMolCR

    Probability of continuous MolCR and cMolCR and duration of MolCR and cMolCR

    Time frame: Day 22, Week 9, per SoC

  11. Time to MolCR and cMolCR

    Time to MolCR and cMolCR measured by time-point of first achievement.

    Time frame: Day 22, Week 9, per SoC

  12. Conduct of SCT in patients with CR (ORR), MolCR, cMolCR

    The conduct of SCT will be assessed in patients with CR (ORR), MolCR, cMolCR, SCT parameters and outcome

    Time frame: Through completion of the trial, average 18 months

  13. Measurement of Quality of Life

    Measurement of Quality of Life with EORTC instruments (e.g. EORTC QLQ-C30) at different time-points during treatment

    Time frame: Day 22, Week 9

  14. Hospitalisation days

    Hospitalisation days

    Time frame: Day 22, Week 9, month 3 and 6 (depending on treatment duration which is individual)

07

Study locations

15 of 15 sites recruiting
  • University Hospital Augsburg, II. Medizinischen Klinik, Hämatologie, internistische Onkologie und Hämostaseologie
    Augsburg, 86156, Germany
    Recruiting
    • Andreas Rank, MD · Contact
    • Andreas Rank, MD · Principal investigator
  • Charité Berlin, Campus Benjamin Franklin, Department of Hematology, Oncology and Tumorimmunologyt Hämatologie
    Berlin, 12203, Germany
    Recruiting
    • Stefan Schwartz, MD · Contact
    • Stefan Schwartz, MD · Principal investigator
  • Gesundheit Nord Klinikverbund Bremen gGmbH, Klinikum Bremen-Mitte, Med. Klinik I
    Bremen, 28205, Germany
    Recruiting
    • Maher Hanoun, Prof. M.D. · Contact
    • Maher Hanoun, Prof. M.D. · Principal investigator
  • Klinikum Carl Gustav Carus Dresden, Medizinische Klinik und Poliklinik I
    Dresden, 01307, Germany
    Recruiting
    • Lisa Heberling, MD · Contact
    • Lisa Heberling, MD · Principal investigator
  • University Hospital Düsseldorf, Department of Hematology, Oncology and Clinical Immunology
    Düsseldorf, 40225, Germany
    Recruiting
    • Kathrin Nachtkamp, MD · Contact
    • Kathrin Nachtkamp, MD · Principal investigator
  • University Hospital Erlangen AöR, Department of Medicine 5
    Erlangen, 91054, Germany
    Recruiting
    • Bernd Spriewald, MD · Contact
    • Bernd Spriewald, MD · Principal investigator
  • Goethe University Hospital Frankfurt, Department of Medicine, Hematology and Oncology
    Frankfurt am Main, 60580, Germany
    Recruiting
  • University Hospital Hamburg-Eppendorf, Department of Medicine II
    Hamburg, 20251, Germany
    Recruiting
    • Franziska Westendorf, MD · Contact
    • Franziska Westendorf, MD · Principal investigator
  • University Hospital Heidelberg, Department V, Hematology, Oncology and Rheumatology
    Heidelberg, 69120, Germany
    Recruiting
    • Simon Raffel, MD · Contact
    • Simon Raffel, MD · Principal investigator
  • University Hospital Schleswig-Holstein, Campus Kiel, Medical Department II
    Kiel, 24105, Germany
    Recruiting
    • Lars Fransecky, MD · Contact
    • Lars Fransecky, MD · Principal investigator
  • University Hospital Leipzig; Klinik für Hämatologie, Zelltherapie, Hämostaseologie und Infektiologie, Bereich Hämatologie und Zelltherapie
    Leipzig, 04103, Germany
    Recruiting
    • Georg-Nikolaus Franke, MD · Contact
    • Georg-Nikolaus Franke, MD · Principal investigator
  • University Hospital München-Großhadern, Medizinische Klinik und Poliklinik III
    München, 81377, Germany
    Recruiting
    • Veit Bücklein, MD · Contact
    • Veit Bücklein, MD · Principal investigator
  • University Hospital Münster, Medizinische Klinik A / KMT-Zentrum
    Münster, 48149, Germany
    Recruiting
    • Matthias Stelljes, MD · Contact
    • Matthias Stelljes, MD · Principal investigator
  • Klinikum Oldenburg AöR, Universitätsklinik für Innere Medizin - Onkologie und Hämatologie
    Oldenburg, 26135, Germany
    Recruiting
    • Andreas Voß, MD · Contact
    • Andreas Voß, MD · Principal investigator
  • Robert-Bosch-Krankenhaus; Abteilung für Hämatologie, Onkologie und Palliativmedizin
    Stuttgart, 70376, Germany
    Recruiting
    • Sonja Martin, MD · Contact
    • Sonja Martin, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2024 (actual). Primary completion is estimated for Jun 2029, 56 months after the start.

Of 41 non-industry phase 2 interventional studies under Precursor T-Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 64 months of starting (the median), counting those still running; a quarter within 43 and three quarters within 97. This study's planned 56 months is below that.

Counting every sponsor, half of 44 studies reached it within 63 months; a quarter within 39 and three quarters within 97.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 15, 2024
First posted
Oct 18, 2024
StartActual
Oct 22, 2024
Primary completionEst.
Jun 2029
CompletionEst.
Jun 2030
Last update
Aug 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06648889
Lead sponsor
Goethe University
Collaborators
Sanofi
Responsible party
Nicola Goekbuget (Dr. Nicola Gökbuget, Head of Trial Center, Goethe University) — Principal investigator
First posted
Oct 18, 2024
Start date
Oct 22, 2024
Primary completion
Jun 2029 (estimated)
Completion
Jun 2030 (estimated)
Last update
Aug 28, 2026

Study contacts

Nicola Goekbuget, MD
Contact
goekbuget@em.uni-frankfurt.de
0049-6963016365
Nicola Goekbuget, MD
study director · Department of Medicine, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany
Anjali Cremer, MD
principal investigator · Department of Medicine, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Isatuximab

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