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Vaccine Therapy With or Without Donor Lymphocyte Infusion in Treating Patients With Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia, or Multiple Myeloma Undergoing Donor Stem Cell Transplant

2014年3月20日更新者：Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Posttransplant Immunotherapy With Donor Lymphocyte Infusions and Autologous Tumor Vaccines After HLA-Matched Transplant

RATIONALE: Vaccines made from the patient's cancer cells may help the body build an effective immune response to kill cancer cells. Giving vaccine therapy together with donor lymphocyte infusion after a stem cell transplant from the patient's brother or sister may kill any cancer cells that remain after transplant.

PURPOSE: This clinical trial is studying the side effects, best dose, and how well vaccine therapy with or without donor lymphocyte infusion works in treating patients with acute myeloid leukemia, acute lymphoblastic leukemia, or multiple myeloma undergoing donor stem cell transplant.

研究概览

地位

终止

条件

干预/治疗

详细说明

OBJECTIVES:

Determine time to relapse and overall survival of patients with high-risk acute myeloid leukemia, acute lymphoblastic leukemia, or multiple myeloma treated with autologous tumor cell vaccine with or without donor lymphocyte infusion after HLA-matched related sibling nonmyeloablative hematopoietic stem cell transplantation.
Evaluate the safety and tolerability of this regimen in these patients.
Determine the maximum tolerated dose of donor lymphocyte infusions in these patients.

OUTLINE: Patients undergo collection of tumor cells for production of the cancer cell vaccine and then undergo HLA-matched related sibling nonmyeloablative hematopoietic stem cell transplantation (HSCT). Patients then receive cancer cell vaccine with or without donor lymphocyte infusion. The donor lymphocytes are obtained from the same relative who donated stem cells for the HSCT.

PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

研究类型

介入性

注册 (实际的)

阶段

阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

美国
- Maryland
  - Baltimore、Maryland、美国、21231-2410
    - Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年至 70年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

DISEASE CHARACTERISTICS:

Confirmed diagnosis of 1 of the following:
- Acute myeloid leukemia (AML), meeting any of the following criteria:
  - Relapsed disease
  - AML arising from myelodysplastic syndromes
  - Primary refractory disease
  - De novo AML with high-risk features
- Acute lymphoblastic leukemia (ALL), meeting any of the following criteria:
  - De novo ALL that is Philadelphia chromosome positive or with t(4,11) cytogenetic features
  - Relapsed disease
- Multiple myeloma (in need of treatment)
Planning to undergo HLA-matched related sibling nonmyeloablative hematopoietic stem cell transplantation

PATIENT CHARACTERISTICS:

Not specified

PRIOR CONCURRENT THERAPY:

See Disease Characteristics

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

主要用途：治疗
屏蔽：无（打开标签）

研究衡量的是什么？

主要结果指标

结果测量
总生存期
复发时间
Safety and tolerability, in terms of incidence of graft-versus-host disease and local/systemic toxicities
Maximum tolerated dose of donor lymphocytes

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

合作者

National Cancer Institute (NCI)

调查人员

学习椅：Carol A. Huff, MD、Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2007年4月1日

初级完成 (实际的)

2010年3月1日

研究完成 (实际的)

2010年3月1日

研究注册日期

首次提交

2007年5月3日

首先提交符合 QC 标准的