- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00636909
Nonmyeloablative Allo SCT for the Treatment of Hematologic Disorders (MINI HEME)
April 5, 2017 updated by: David McDermott, Beth Israel Deaconess Medical Center
Nonmyeloablative Allogeneic Stem Cell Transplant for the Treatment of Hematologic Disorders
The purpose of this study is to provide allogeneic stem cell transplantation to patients who have not traditionally undergone this procedure because of it high incidence of treatment related side effects.
We hope to decrease these side effects by decreasing the chemotherapy dose prior to transplant (non-myeloablative, smaller dose of chemotherapy given so bone marrow is not completely eliminated) and by using donated stem cells to treat cancer of the blood.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
25
Phase
- Phase 2
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
No older than 65 years (Child, Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria - Patient:
- AML, ALL,CML Chronic Phase, Accelerated Phase, or Blast Crisis, CLL, MDS, RELAPSED NON-HODGKIN'S OR HODGKIN'S LYMPHOMA, Aplastic Anemia, Multiple Myeloma, MYELOPROLIFERATIVE DISORDER (P Vera, CMML, ET
- Age less than 65 years
- Patients must have a healthy family member who is HLA-identical to the recipient or has 1 antigen mismatch and who is willing to receive a course of G-CSF and undergo 2-4 daily leukaphereses
- Each patient must sign an informed consent and be willing to participate as a research subject after having been advised of the nature and risk of the study prior to entering protocol
Inclusion Criteria - Donor:
- Absence of hematologic or marrow function related diseases that interferes with the collection of sufficient numbers of normal progenitor cells
- Absence of any medical condition that would pose a serious health risk by undergoing peripheral blood stem cell harvest
- Negative HIV, HTLV-1, Hepatitis B surface antigen and Hepatitis C
- The donor must be blood relation. A prospective related donor must be at least genotypically HLA-A, B, DR identical to the patient, but can differ for 1 HLA-locus.
Exclusion Criteria - Patient:
- Active CNS involvement
- Females who are pregnant or breast feeding
- ECOG performance status > 1. Karnofsky performance status < 80%
- LVEF < 40%
- Active viral, bacterial, or fungal infection
- Patients seropositive for HIV; HTLV -1
- Patients not providing informed consent
- Patients with known hypersensitivity to E. Coli derived product
Exclusion Criteria - Donor:
- A positive HIv infection or HTLV - 1 test or evidence of active/persistent viral hepatitis infection. Presence of any medical condition that would pose a serious health risk by undergoing peripheral blood stem cell harvest. Donors with known hypersensitivity to E. Coli derived products.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
Study treatment arm with G-CSF
|
preparative cytoreduction
preparative cytoreduction
immunosuppressive therapy
immunosuppressive therapy
foster engraftment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
durable engraftment
Time Frame: 100 days
|
100 days
|
hematopoeitic reconstitution
Time Frame: 3 years
|
3 years
|
evaluate the patterns of post-transplant chimerism among lymphoid and antigen presenting cells
Time Frame: 3 years
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
disease free survival and overall survival
Time Frame: 3 years
|
3 years
|
incidence of treatment related toxicity and acute and chronic graft versus host disease
Time Frame: 100 days
|
100 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 1999
Primary Completion (Actual)
March 1, 2006
Study Registration Dates
First Submitted
March 10, 2008
First Submitted That Met QC Criteria
March 10, 2008
First Posted (Estimate)
March 17, 2008
Study Record Updates
Last Update Posted (Actual)
April 6, 2017
Last Update Submitted That Met QC Criteria
April 5, 2017
Last Verified
April 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Bone Marrow Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Anemia
- Neoplastic Processes
- Neoplasms, Plasma Cell
- Leukemia
- Bone Marrow Failure Disorders
- Lymphoma
- Cell Transformation, Neoplastic
- Carcinogenesis
- Leukemia, Myeloid
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive
- Disease
- Multiple Myeloma
- Hodgkin Disease
- Hematologic Diseases
- Blast Crisis
- Myeloproliferative Disorders
- Anemia, Aplastic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Antirheumatic Agents
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Dermatologic Agents
- Antifungal Agents
- Reproductive Control Agents
- Abortifacient Agents, Nonsteroidal
- Abortifacient Agents
- Folic Acid Antagonists
- Calcineurin Inhibitors
- Cyclophosphamide
- Fludarabine
- Methotrexate
- Cyclosporine
- Cyclosporins
Other Study ID Numbers
- 2001P002293
- W-99-0234-FB
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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