- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT01020734
Donor Stem Cell Transplant or Bone Marrow Transplant in Treating Patients With Acute Myeloid Leukemia in Remission
Allogeneic Hematopoietic Cell Transplantation for Patients With Acute Myelogenous Leukemia in Remission Using HLA-Matched Sibling Donors, HLA-Matched Unrelated Donors, or HLA-Mismatched Familial Donors - A Phase 2 Study
RATIONALE: Giving chemotherapy before a donor bone marrow or peripheral blood stem cell transplant helps stop the growth of cancer cells. It also helps stop the patient's immune system from rejecting the donor's stem cells. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. Sometimes the transplanted cells from a donor can make an immune response against the body's normal cells. Giving cyclosporine and methotrexate before and after transplant may stop this from happening.
PURPOSE: This phase II trial is studying how well donor stem cell transplant or bone marrow transplant works in treating patients with acute myeloid leukemia in remission.
연구 개요
상태
정황
상세 설명
OBJECTIVES:
Primary
- Evaluate the efficacy of allogeneic hematopoietic stem cell transplantation (HSCT) or bone marrow transplantation (BMT) from a HLA-matched sibling donor, HLA-matched unrelated donor, or HLA-mismatched familial donor, in terms of the frequency of relapse and duration of remission, in patients with acute myeloid leukemia (AML) who have either achieved complete remission (CR1) after induction chemotherapy or who experienced recurrent AML then achieved second CR (CR2) after salvage chemotherapy.
Secondary
- Determine the engraftment, donor chimerism, and secondary graft failure in these patients.
- Assess acute and chronic graft-vs-host disease, immune recovery, and infections in these patients.
- Determine transplantation-related mortality, leukemia-free survival, and overall survival of these patients.
OUTLINE:
Conditioning chemotherapy and allogeneic bone marrow or hematopoietic stem cell transplantation (HSCT): After completion of induction chemotherapy and a resulting complete response (CR1) or salvage chemotherapy resulting in CR2, patients receive 1 of the following conditioning regimens and transplantations determined by age, co-morbidity, and type of available donor:
- 15 to 55 years of age without significant co-morbidity* undergoing HLA-matched sibling bone marrow transplantation (BMT) (BuCy conditioning): Patients receive busulfan IV once daily on days -7 to -4 and cyclophosphamide IV over 1-2 hours once daily on days -3 and -2. Patients then undergo an allogeneic BMT on day 0.
- Older than 55 years or younger than 55 years with co-morbidity* undergoing HLA-matched sibling BMT; patients of any age undergoing HLA-matched unrelated HSCT; and for patients of any age undergoing HLA-mismatched familial donor HSCT (BuFluATG conditioning): Patients receive busulfan IV once daily on days -7 and -6, fludarabine phosphate IV over 30 minutes once daily on days -7 to -2, anti-thymocyte globulin IV over 4 hours once daily on days -3 to -1, and methylprednisolone IV over 30 minutes once daily on days -4 to -1. Patients then undergo either an allogeneic BMT on day 0 or allogeneic peripheral blood hematopoietic stem cell infusions on days 0-1 or 0-2.
NOTE: *Significant co-morbidity is defined as residual fungal or other infections in the lung or other viscera and residual organ toxicities occurring during induction or consolidation chemotherapy.
- GVHD prophylaxis: Patients receive cyclosporine orally or IV over 2-4 hours twice daily beginning on day -1 followed by a taper starting on day 30 (BuFluATG conditioning) or day 60 (BuCy conditioning). Patients also receive methotrexate IV on days 1, 3, and 6 after the last day of donor cell infusion.
- CNS prophylaxis: Patients receive intrathecal (IT) methotrexate once before conditioning regimen. Patients receive IT methotrexate once every 2 weeks for 3 times after transplantation and platelet recovery. Patients also receive leucovorin calcium orally or IV over 4 hours after IT methotrexate and then once every 6 hours for a total of 8 doses after each dose of IT methotrexate.
After completion of study therapy, patients are followed every 3 months for 3 years and then annually.
연구 유형
등록 (실제)
단계
- 2 단계
연락처 및 위치
연구 장소
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-
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Busan, 대한민국, 612-030
- Inje University - Haeundae Paik Hospital
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Seoul, 대한민국, 138-736
- Asan Medical Center - University of Ulsan College of Medicine
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
DISEASE CHARACTERISTICS:
Diagnosis of acute myeloid leukemia (AML) meeting 1 of the following criteria:
- Achieved complete response (CR1) after induction chemotherapy
- Recurrent AML that went into second CR (CR2) after salvage chemotherapy, except those who have undergone prior allogeneic HSCT
- No acute promyelocytic leukemia or acute myeloid leukemia with chromosomal changes t(8;21), inv 16, or t(15;17)
Must have a donor available meeting one of the following criteria:
- HLA-matched sibling of 65 years or younger
- 6/6 HLA-matched unrelated donor (younger than 55 years) for antigen A, B, and DR
- HLA-mismatched family member (offspring, parents, haploidentical sibling)
PATIENT CHARACTERISTICS:
- Karnofsky performance status 70-100%
- Bilirubin < 2.0 mg/dL
- AST < 3 times the upper limit of normal
- Creatinine < 2.0 mg/dL
- Ejection fraction > 40% on MUGA scan
- Negative pregnancy test
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: transplantation
perform allogeneic HCT for patients with AML in CR1; then analyze various pre-transplantation variable, including donor type, for correlation to outcomes
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Efficacy of the treatment measured in terms of frequency of relapse and duration of remission
기간: up to 2 years after transplantation
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duration of CR, leukemia recurrence
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up to 2 years after transplantation
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Engraftment
기간: up to 35 days after transplantation
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achievement of neutrophil count over 500/ul
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up to 35 days after transplantation
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Acute and chronic graft-versus-host disease
기간: up to 100 days for acute GVHD and up to 2 years for chronic GVHD
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up to 100 days for acute GVHD and up to 2 years for chronic GVHD
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Treatment-related mortality
기간: up to 2 years after transplantation
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up to 2 years after transplantation
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Leukemia-free survival and overall survival
기간: up to 2 years after transplantation
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up to 2 years after transplantation
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
- 11q23(MLL) 이상이 있는 성인 급성 골수성 백혈병
- t(16;16)(p13;q22)가 있는 성인 급성 골수성 백혈병
- 완화된 소아 급성 골수성 백혈병
- 재발성 성인 급성 골수성 백혈병
- 차도가 있는 성인 급성 골수성 백혈병
- 성인 급성 거핵모구성 백혈병(M7)
- 성인 급성 최소 분화 골수성 백혈병(M0)
- 성인 급성 단구성 백혈병(M5a)
- 성인 급성 단핵구 백혈병(M5b)
- 성숙한 성인 급성 골수성 백혈병(M2)
- 성숙하지 않은 성인 급성 골수성 백혈병(M1)
- 성인 급성 골수단구성 백혈병(M4)
- 성인 적백혈병(M6a)
- 성인 순수 적혈구성 백혈병(M6b)
- 재발성 소아 급성 골수성 백혈병
- 소아 급성 적백혈병(M6)
- 소아 급성 거핵구성 백혈병(M7)
- 소아 급성 최소 분화 골수성 백혈병(M0)
- 성숙하지 않은 소아 급성 골수성 백혈병(M1)
- 성숙기 소아 급성 골수성 백혈병(M2)
- 소아 급성 골수단구성 백혈병(M4)
- 소아 급성 단구성 백혈병(M5a)
- 소아 급성 단핵구 백혈병(M5b)
- del(5q)이 있는 성인 급성 골수성 백혈병
추가 관련 MeSH 약관
기타 연구 ID 번호
- CDR0000659891
- AMC-UUCM-2009-0579
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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