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Phase 2 N=105 Randomized Treatment

Randomized Double Cord Blood Transplant Study

Leukemia, Lymphocytic, Acute · Leukemia, Myelocytic, Acute · Leukemia, Myeloid, Chronic · Lymphoma, Non-Hodgkin

Enrolled (actual)
105
Serious AEs
12.4%
Results posted
May 2019
Primary outcome: Primary: Time To Neutrophil Engraftment — 17; 15 Days

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Expanded allogeneic cord blood (CB) (Procedure); One Unmanipulated and One Expanded Cord Blood Unit (Procedure); Rituxan (Drug); Melphalan (Drug); Thiotepa (Drug); Fludarabine (Drug); Cyclophosphamide (Drug); Mesna (Drug); Total body irradiation (TBI) (Radiation)
Age
Pediatric, Adult, Older Adult · 0+ yrs
Sex
All
Sponsor
M.D. Anderson Cancer Center
Primary completion
Jul 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Time To Neutrophil Engraftment
17; 15
PRIMARY
Number of Participants With Engraftment
45; 44
SECONDARY
Rate of Acute Graft Versus Host Disease (GVHD)
29; 24
SECONDARY
Rate of Chronic GVHD
16; 20; 10; 14; 9; 13
SECONDARY
Number of Participants Severity of Acute GVHD by Treatment Arm
20; 15; 6; 2; 19; 27

Summary

The goal of this clinical research study is to learn if combining cord blood units to make the cells "take" faster in recipients will help to improve the results of cord blood transplants.

Eligibility Criteria

Inclusion Criteria

  • Disease-Specific Eligibility Requirements: Patients must have one of the following hematologic malignancies: 1. Acute Myelogenous Leukemia (AML), Myelodysplastic Syndrome (MDS) 2. Acute Lymphoblastic Leukemia (ALL) 3. Chronic Myelogenous Leukemia (CML) 4. Non-Hodgkin's Lymphoma (NHL) 5. Hodgkin's Disease (HD) 6. Chronic Lymphocytic Leukemia (CLL) 7. Chronic eosinophilic leukemia or Philadelphia chromosome negative CML.
  • Greater than 1 month old and = 12 years), or Lansky Play-Performance Scale (age =1 month = 12 years), or Lansky Play-Performance Scale (age = 1 month = 12 years), or Lansky Play-Performance Scale (age = 1 month <=50 years. 4. Organ function requirements: a. Left ventricular ejection function of at least 50%. b. Pulmonary function test demonstrating a diffusion capacity of at least 50% predicted. c. Creatinine < 1.6 mg/dL. d. SGPT <= 2.0 x normal.

Exclusion Criteria

  • HIV positive.
  • Pregnancy.
  • Serious medical Condition.
  • Patients with signs & symptoms leading to positive lumbar puncture (malignant cells in the CSF) or to documented metastatic parenchymal disease are ineligible for this study.
  • Availability of appropriate, willing, HLA-matched related donor.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00067002). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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