- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01139164
Allogeneic Hematopoietic Stem Cell Transplantation With Reduced Intensity Pre-transplant Conditioning for the Treatment of High-risk Hematological Malignancies (V3)
June 13, 2018 updated by: Medical University of South Carolina
Allogeneic Hematopoietic Stem Cell Transplantation With Reduced-Intensity Pre-Transplant Conditioning for the Treatment of High-Risk Hematological Malignancies
This is study is for patients that have been diagnosed with high-risk hematological malignancies.
The main purpose of this study is to confirm previously published results of stem cell transplantation with reduced intensity pre-transplant conditioning.
Patients will be assigned to 1 of 3 regimens depending on the patient's diagnosis.
Participants will be followed by the transplant team for the remainder of the patient's life.
Patient's will visit MUSC daily, then visits will be reduced to frequent visits for up to 6 months.
After 6 months, the visits will be reduced more depending on the patient's condition.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
78
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
-
-
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
1 year to 75 years (Child, Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- A proven diagnosis of one of the conditions in Table 1.
- Prior therapy including blood or marrow transplant will not exclude patients for reduced intensity transplant.
- Age < 75 years. Pediatric patients are eligible from the ages of 1 month to 18 years if the transplant physician believes that co-morbid conditions significantly increase the risk for a standard transplant regimen.
- HIV antibody negative.
- ECOG performance status 0-3, (or equivalent Karnofsky and Lansky performance scores for patients <18yrs, see appendix 2)
- Availability of an HLA-identical related donor or suitable alternative donor, (≥7/8 allele match at A, B, C and DRB). Syngeneic transplants will not be allowed in this protocol.
- Due to the complexity of the study, all patients prior to enrollment will be assessed by the PI or co-PI.
- Patient with marrow failure states or immune deficiency syndromes undergoing stem cell transplants must be reviewed by one of the investigators to determine eligibility for study.
- Adequate insurance coverage (or financial resources) to cover the costs associated with the patient's transplant and, in the case of patients eligible for cohort C, to cover the costs associated with I 131 Tositumomab treatment.
Exclusion Criteria:
- Active CNS involvement with malignant disease.
- Pregnancy.
- Fertile men or women unwilling to use contraceptive techniques during the study period.
- Creatinine clearance < 30 ml/min.
- Left ventricular ejection fraction <30% or clinical cardiac failure uncontrolled by medical therapy.
- Pulmonary disease requiring supplemental oxygen therapy.
- Patients with estimated life span less than 1 year due to medical illnesses other than the condition being treated on the study.
Donor Selection:
Inclusion Criteria
- Major HLA identical relative or genotypically matched unrelated donor (7-8/8 alleles) .
- Donors must meet the selection criteria as defined by the Foundation for the Accreditation of Cell Therapy (FACT) and will be screened per the American Association of Blood Banks (AABB) guidelines.
Exclusion Criterion
- Positive anti-donor HLA antibody.
- Identical twin.
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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Single Arm, non-randomized study
|
Chronic Lymphocytic Leukemia/ Chronic Prolymphocytic Leukemia, Multiple Myeloma.
Other malignancies not addressed in A or C
B-Cell Lymphomas
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To Determine the Treatment-related Mortality Rate of Allogeneic Stem Cell Transplants Using Reduced-intensity Conditioning Regimens Within 1st 100-days.
Time Frame: 8 years
|
Number of subject deaths prior to day 100.
|
8 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To Determine the Engraftment Rate of Allogeneic Stem Cell Transplants
Time Frame: Day +100
|
To determine the engraftment rate of allogeneic stem cell transplants using reduced-intensity conditioning regimens.
It will be measured as the proportion of subjects meeting criteria for engraftment before day +30 and full donor chimerism demonstrated before or at day +100.
Engraftment is defined by maintenance of ANC > 500/mm3 for at least 3 consecutive days and platelet count > 20,000/mm3 for 3 consecutive days in absence of platelet transfusion.
These criteria must have been met before Day +30.
Chimerism is the pressence of donor cells and will be analyzed by FISH for sex-mismatched donor-recipient pairs and VNTR analysis for sex-mathced pairs.
Chimerism by Day +100 will be documented for this outcome
|
Day +100
|
Morbidity of Allogeneic Stem Cell Transplants
Time Frame: 100 days
|
To determine the morbidity, including the pattern and severity of complications, of allogeneic stem cell transplants using reduced-intensity conditioning regimens.
The average number of days spent in the hospital until day +100 will be reported as a surrogate for morbidity and complications.
|
100 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Robert Stuart, MD, Medical University of South Carolina
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
June 1, 2010
Primary Completion (Actual)
September 1, 2014
Study Completion (Actual)
December 1, 2015
Study Registration Dates
First Submitted
June 4, 2010
First Submitted That Met QC Criteria
June 7, 2010
First Posted (Estimate)
June 8, 2010
Study Record Updates
Last Update Posted (Actual)
July 11, 2018
Last Update Submitted That Met QC Criteria
June 13, 2018
Last Verified
February 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 101370
- HR#19490 (Other Identifier: MUSC IRB)
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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