- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00781781
Alemtuzumab Use (MabCampath®) in Hematopoietic Transplant of Unrelated Donor With Reduced Intensity Conditioning
Multicenter, Openlabel, Phase II Intergroups (GELTAMO/GETH) Trial, on the Use of Alemtuzumab for Unrelated Donor Reduced Intensity Conditioning Allogenic Transplant in Hematological Malignancies Patients
Study Overview
Detailed Description
Each patient will be assigned to one of the two dosing schedules and total dose of drug envisaged in the study. The assignation to conventional or reduced Alemtuzumab (MabCampath) dose will be done depending on the age and risk of suffering GVHD, in function of variables coming from general experience.
High risk of GVHD criteria:
Gender incompatibility: male patient of female donor. HLA incompatibility: non identical high resolution typing in HLA A, B, C, DRB1, DQB1 (identity less than 10/10 alleles by high resolution) Age of patient more or equal than 55 years
Conventional doses in high risk (at least one criterion of GVHD high risk):
100 mg de Alemtuzumab IV total dose in 5, 20 mg fractions, days -8, -7, -6, -5 and -4.
Reduced dose in low risk cases (no criteria of GVHD high risk):
50 mg de Alemtuzumab IV total dose en 5 fractions of 10 mg, days -5, -4, -3, -2 and -1.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Barcelona, Spain, 08025
- Hospital Santa Creu i Sant Pau
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Barcelona, Spain
- Vall de Hebron
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Madrid, Spain, 28034
- Hospital Ramón y Cajal
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Madrid, Spain, 28007
- Hospital Gregorio Marañón
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Madrid, Spain, 28006
- Hospital La Princesa
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Murcia, Spain, 30008
- Hospital Morales Meseguer
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Barcelona
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Badalona, Barcelona, Spain, 08916
- Hospital Germans Trias i Pujol
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Hospitalet de Llobregat, Barcelona, Spain, 08907
- ICO Bellvitge
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Cataluña
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Barcelona, Cataluña, Spain, 08036
- Hospital Clinic i Provincial.
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Comunidad Valenciana
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Valencia, Comunidad Valenciana, Spain, 46010
- Hospital Clinico de Valencia
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
Patients with haematological or lymphoid malignancies with allogenic transplantation indication:
High risk follicular NHL, mantle HHC and other low grade NHC (e.g lymphoplasmacytic, extranodal or from marginal zone).
- Disease that does not obtain a CR with Fludarabine or antiCD-20 including chemotherapy.
- Relapse after autologous transplant.
- Non candidates to autologous transplant in 2nd CR (e.g. mobilization failure, or persistent marrow infiltrate).
- Poor prognosis chronic lymphoblastic leukaemia (CLL): Del 11q, Del 17p, complex cariotype; B symptoms, progressive low cell count by marrow infiltration, lymphocytosis or enlarged lymph nodes, or progressive spleen growth.
- High grade lymphoma transformed from a low grade non Hodgkin's lymphoma or from a chronic lymphocitic leukaemia
- High risk T peripheral lymphoma, with IPI > or = 2, non susceptible of autologous transplant, or relapsed after autologous transplant
- Primarily refractory high risk Hodgkin's disease, relapse in patients not susceptible of autologous transplant or relapse after autologous transplant.
- High risk acute mieloblastic leukaemia (AML) in 1st CR, or AMC > or = 2 CR, including AML after MDS and secondary AML.
- High risk acute lymphoblastic leukaemia (ALL) because of poor response to induction chemotherapy (>10% blasts day +14 or no RC day +28-35), or by cytogenetic criteria: Ph+ or 11q23.
- High risk myelodisplastic syndromes (SMD) type RAEB-1 or AREB-2 with IPSS >Int-1.
- For the inclusion in transplant patients with ALL or AML must be in CR, patients with MDS must have <10% blasts en la BM, and patients with lymphoid malignancies must show previous chemosensitivity, with PR or CR.
- Patients 40 to 65 years old. Patients outside this age range could be included according to participating centres criteria.
- Patients in the study population lacking a compatible related donor, and with a possible compatible unrelated donor (>=9/10 by 10 alleles high resolution typing: HLA-A, B, C, DRB1, DQB1) to assign the patients to a risk in subgroup.
- Signed informed consent.
- Not fulfilling any of the following exclusion criteria.
Exclusion Criteria:
- Liver (≥ x3 UNL), kidney (GF <40ml/min), cardiac (LVEF <40%) or respiratory (DLCO & FVC <40% of expected) function tests impairment.
- HIV injection.
- Absence of signed informed consent.
- Progressive disease previous to transplant or not fulfilling the above mentioned response criteria.
- Other co-morbidities that contraindicate CT.
- Pregnant and/or breast-feeding women or with pregnancy risk by inadequate contraception.
- Life expectancy <6 months.
- Mental or psychiatric deficiency impeding adequate understanding and consent to therapy
- Hypersensitivity as shown by anaphylactic reaction to any of the DRUGS used in the trial.
- Active infectious process.
Study Plan
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
High risk patients (at least one GVHD high risk criterion): Total dose 100 mg in 5 doses of 20 mg, days -8 to -4 (inclusive). |
High risk: Total dose 100 mg in 5 doses of 20 mg, days -8 to -4 (inclusive) Low risk: Total dose 50 mg inn 5 dosing OF 10 mg, days -5 to -1 (inclusive).
Other Names:
|
Experimental: 2
Low Risk patients (no GVHD high risk criterion): Total dose 50 mg inn 5 dosing OF 10 mg, days -5 to -1 (inclusive). |
High risk: Total dose 100 mg in 5 doses of 20 mg, days -8 to -4 (inclusive) Low risk: Total dose 50 mg inn 5 dosing OF 10 mg, days -5 to -1 (inclusive).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Analyze the results of incidence and severity of acute and chronic GVHD
Time Frame: 3 years
|
3 years
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Rafael Duarte, MD, Ph.D, ICO Bellvitge. Hospital Duran i Reynals
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ALOTIRNE-EC06007
- 2007-006440-22 (EudraCT Number)
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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