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Anaplastic Large Cell Lymphoma, ALK-PositivePhase 2ACCELERATENCT07013565

Chemoimmunotherapy for ALK+ Relapsed/Refractory ALCL

A Phase 2 study testing Vinblastine (Velban), Brentuximab vedotin (Adcetris) and Nivolumab (Opdivo) in people with Anaplastic Large Cell Lymphoma, ALK-Positive, run by New York Medical College at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Children, adolescents, and young adults (CAYA) with relapsed/refractory (R/R) high-risk ALK+ Anaplastic Large Cell Lymphoma (ALCL) have a low incidence of overall survival. This clinical trial will investigate if a new FDA approved medication called Nivolumab (NIVO) (which is a checkpoint blockade immunotherapy)… Read more about this study

Who is it for?
Ages 1 year to 39 years
What is being tested?
Vinblastine (Velban), Brentuximab vedotin (Adcetris) and Nivolumab (Opdivo)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
7 Aug 2025to 1 Jul 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year to 39 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Patients must weigh ≥10 kilograms at the time of study enrollment.
  • Patients with relapsed or refractory histologically or cytologically proven ALK-positive anaplastic large cell lymphoma meeting Low or High Risk Criteria:
  • Low Risk Cohort (LR cohort):
  • Any patient with FIRST RELAPSE > ONE YEAR from initial diagnosis of de novo ALK+ ALCL,
  • Common histology,
  • CD3 negative, AND
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  • No prior exposure to vinblastine (VBL).
  • High-Risk Cohort (HR cohort):
  • Any patient with RELAPSED OR PROGRESSIVE DISEASE less than ONE YEAR from initial diagnosis of de novo ALK+ ALCL,
  • Small cell/histiocytic histology,
  • CD3 positive (homogeneous staining of CD3 positive T-cells)
  • Patients must have adequate organ function.
  • Patients must have performance status 60 or above.

Who cannot join

  • ALK-NEGATIVE anaplastic large cell lymphoma.
  • Patients with active leptomeningeal disease (lymphoma cells in CSF).
  • Previous treatment with vinblastine (only in patients in the LR cohort).
  • Female patients who are pregnant. Pregnancy tests must be obtained in girls who are post menarche.
  • Lactating females unless they have agreed not to breastfeed their infants.
  • Patients with Down syndrome.
  • Any patient with uncontrolled infection prior to study entry.
  • Any patient known to have primary or acquired immunodeficiency and/or prior solid organ transplant.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Mitchell S Cairo, MD contact

914-594-2150

mitchell_cairo@nymc.edu

Lauren Harrison, RN, MSN contact

617-285-2844

lauren_harrison@nymc.edu

United States1 site, 1 recruiting
  • New York Medical College

    Valhalla, New York, 10595

    Lauren Harrison, RN, MSN, 617-285-7844, lauren_harrison@nymc.edu

    Mitchell S Cairo, MD, 914-594-2150, mitchell_cairo@nymc.edu

    Recruiting

Other trials in United States

About this study

Official title: NYMC623: A Comprehensive Risk-adapted Chemommunotherapy Protocol of Emerging Immunotherapies for Relapsed/Refractory Alk+ Anaplastic Large Cell Lymphoma (ACCELERATE)

Children, adolescents, and young adults (CAYA) with relapsed/refractory (R/R) high-risk ALK+ Anaplastic Large Cell Lymphoma (ALCL) have a low incidence of overall survival. This clinical trial will investigate if a new FDA approved medication called Nivolumab (NIVO) (which is a checkpoint blockade immunotherapy) combined with chemotherapy based on the patients risk status to get the patient into the best response possible. Then patients will receive lower doses of chemoimmunotherapy and allogeneic stem cell transplantation (stem cells from another person). The investigators this this new treatment will improve survival rates in this high-risk population of patients.

Read the detailed description

Brief Background: A multitude of chemotherapeutic regimens have been evaluated for the treatment of de novo ALK+ ALCL. Unfortunately, no chemotherapeutic regimen has improved the 20-30% treatment failure rate. Given the ubiquitous cell surface expression of CD30 on ALK+ ALCL, the anti-CD30 antibody drug conjugate (ADC) brentuximab vedotin (BV) is a rational therapeutic agent for ALK+ ALCL. 16. In the most recent Children's Oncology Group (COG) trial for de novo ALK+ ALCL (ANHL12P1), BV was combined with ALCL99 chemotherapy and demonstrated the best reported outcomes with a 2-year event free survival and overall survival of 79% and 97% respectively. Immune checkpoint inhibition with antibodies that block the inhibitory immune receptors CTLA-4, PD-1, and PD-L1 have improved the outcomes for many patients with cancer by dramatically enhancing the anti-tumor activity of the immune system. Iwafuchi et al. demonstrated that elevated PD-1/PD-L1 expression was associated with a poor prognosis in pediatric ALK+ ALCL 22. Three different case reports have described dramatic responses (CR, CR, CR) to PD-1 inhibitors in heavily pre-treated patients with R/R ALK+ ALCL. The combination of BV and NIVO has been extensively tested in both pediatric and adult patients with R/R Hodgkin lymphoma and R/R primary mediastinal B-cell lymphoma with robust safety and efficacy. Given the frequent expression of both CD30 and PD-L1 in ALK+ ALCL, the impressive single agent therapeutic efficacy of both BV and NIVO, and the tolerability of the combination of BV and NIVO in other patients with lymphoma, investigating the safety and efficacy of BV and NIVO in R/R ALK+ ALCL is warranted. For pediatric patients with relapsed or refractory ALK-positive ALCL, remission can be achieved through the use of chemotherapy and/or immune therapy. However, the optimal treatment strategy for consolidative therapy in pediatric patients with relapsed or refractory ALK- positive ALCL remains to be determined. The literature reports High-risk patients with CD3-positive ALCL experiencing relapse at any time after first-line therapy achieved 5-year EFS and OS rates of 62 and 73%, respectively after reinduction therapy followed by best available donor allogeneic stem cell transplantation. Very high-risk patients with progression during first-line therapy achieved EFS and OS rates of 41 and 59%, respectively after reinduction therapy followed by best available donor allogeneic stem cell transplantation. For all evaluable patients, the 5-year EFS and OS rates were 53 and 78%, respectively. A major barrier to survival for pediatric patients with relapsed or refractory ALCL is progression of disease during reinduction therapy prior to stem cell transplantation, highlighting the importance of effective re-induction therapy. Limited toxicity associated with immune therapy in comparison to traditional cytotoxic chemotherapy may contribute to more rapid recovery, reduction in time to stem cell transplantation and improvement in performance score prior to stem cell transplantation. Through the use of allogeneic stem cell transplantation and donor lymphocyte infusion, a graft versus lymphoma effect has been suggested for pediatric patients with relapsed or refractory ALCL.

Being tested
Vinblastine (Velban), Brentuximab vedotin (Adcetris), Nivolumab (Opdivo)
Keywords
ALCL, Relapsed ALCL
Medical subject headings
Lymphoma, Large-Cell, Anaplastic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vinblastine (Velban)Drug

    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).

  • Brentuximab vedotin (Adcetris)Drug

    Also called Nivolumab

    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

  • Nivolumab (Opdivo)Drug

    Also called brentuximab vedodin, Vinblastine

    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.

Study groups in NCT07013565
Study groupRoleWhat they receive
Low-risk ALK+ ALCLExperimentalLow risk patients include any patient with FIRST RELAPSE > ONE YEAR from initial diagnosis of de novo ALK+ ALCL,Common histology, CD3 negative, Minimum disseminated disease (MDD) negative at de novo diagnosis (if MDD known), AND No prior exposure to vinblastine (VBL).
Receives: Drug: Vinblastine (Velban)
High Risk ALK+ ALCL (BV Naive)Experimental* Any patient with RELAPSED OR PROGRESSIVE DISEASE ONE YEAR from initial diagnosis of de novo ALK+ ALCL, * Small cell/histiocytic histology, * CD3 positive (homogeneous staining of CD3 positive T-cells) * Second or later relapse, * Induction failure during initial treatment for de novo ALK+ ALCL, OR * Minimal disseminated disease (MDD) positive at de novo diagnosis (if MDD known)
Receives: Drug: Vinblastine (Velban); Drug: Brentuximab vedotin (Adcetris); Drug: Nivolumab (Opdivo)
High Risk ALK+ ALCL (with prior BV)Experimental* Any patient with RELAPSED OR PROGRESSIVE DISEASE ONE YEAR from initial diagnosis of de novo ALK+ ALCL, * Small cell/histiocytic histology, * CD3 positive (homogeneous staining of CD3 positive T-cells) * Second or later relapse, * Induction failure during initial treatment for de novo ALK+ ALCL, OR * Minimal disseminated disease (MDD) positive at de novo diagnosis (if MDD known)
Receives: Drug: Vinblastine (Velban); Drug: Brentuximab vedotin (Adcetris); Drug: Nivolumab (Opdivo)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To determine the incidence of adverse events (safety) of NIVO and Vinblastine (VBL) in CAYA with high-risk R/R ALK+ ALCL with prior exposure to Brentuximab vedotin (BV)

    adverse events possible probably or definitely related to NIVO will be reported.

    Measured: 1 year

  2. To determine the overall response rate of NIVO and Vinblastine (VBL) in CAYA with high-risk R/R ALK+ ALCL with prior exposure to Brentuximab vedotin (BV).

    Patient will have disease assessments to determine best response to therapy with NIVO and Vinblastine

    Measured: 1 year

  3. To determine the safety of NIVO and BV in CAYA with high-risk R/R ALK+ ALCL who have never received BV.

    adverse events probably or definitely related to NIVO will be collected.

    Measured: 1 year

  4. To determine the overall response rate to NIVO and BV in CAYA with high-risk R/R ALK+ ALCL who have never received BV.

    disease assessments will be performed to determine best response post therapy

    Measured: 1 year

  5. To significantly improve the 1 year EFS in CAYA with high-risk ALCL who received NIVO risk-adapted combining immunotherapy with re-induction followed by RTC and AlloHSCT compared to historical controls.

    Events for EFS the first year will be reported and are defined as disease relapse, disease progression or toxic death.

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jun 2025
  2. Study start7 Aug 2025
  3. Primary completion1 Jul 2029 (estimated)
  4. Study completion1 Jul 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07013565
Sponsor's protocol ID
NYMC 623
Acronym
ACCELERATE
Status last verified
May 2026
First submitted
6 May 2025
Last updated
20 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Vinblastine (Velban), Brentuximab vedotin (Adcetris) and Nivolumab (Opdivo) in people with Anaplastic Large Cell Lymphoma, ALK-Positive, run by New York Medical College at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 20 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Mitchell S Cairo, MD (914-594-2150, mitchell_cairo@nymc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To determine the incidence of adverse events (safety) of NIVO and Vinblastine (VBL) in CAYA with high-risk R/R ALK+ ALCL with prior exposure to Brentuximab vedotin (BV) (time frame: 1 year). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2026.

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