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Phase 2 N=96 Treatment

Safety Study of Bone Marrow Transplant Using Mismatched Tissue Followed by Chemotherapy

MDS · Leukemias · Lymphomas

Enrolled (actual)
96
Serious AEs
22.9%
Results posted
Mar 2019
Primary outcome: Primary: Engraftment as Measured by Donor Chimerism — 91 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Busulfan (Drug); Cyclophosphamide (Drug); Total body irradiation (Radiation)
Age
Pediatric, Adult, Older Adult · 0+ yrs
Sex
All
Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Primary completion
Jun 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Engraftment as Measured by Donor Chimerism
91
SECONDARY
Non-relapse Mortality
10; 10
SECONDARY
Acute GVHD
11; 4
SECONDARY
Chronic GVHD
4; 15
SECONDARY
Survival
73; 57; 54; 58; 52; 50
SECONDARY
Relapse
35; 43

Summary

The purpose of this study is to see if giving high dose chemotherapy and total body irradiation before and repeating high dose chemotherapy after a bone marrow transplant could reduce the incidence of graft rejection and disease for patients with blood cancers

Eligibility Criteria

Inclusion Criteria

  • Acute lymphocytic leukemia in high risk CR1
  • Acute myeloid leukemia in CR1
  • Therapy-related AML
  • RAEB with >5% and 2 mg/dl (not due to hemolysis, Gilbert's or primary malignancy)
  • Poor renal function: Creatinine >2.0mg/dl or creatinine clearance
  • HIV-positive
  • Positive leukocytotoxic crossmatch
  • Women of childbearing potential who currently are pregnant or who are not practicing adequate contraception
  • Uncontrolled viral, bacterial, or fungal infections Patients with symptoms consistent with RSV, influenza A, B, or parainfluenza at the time of enrollment will be assayed for the above viruses and if positive are not eligible for the trial until they are no longer symptomatic (patients may have continued assay positivity for a period of time post resolution of symptoms secondary to the nature of the assay.
  • Indolent lymphomas (Follicular Grade 1 and 2, marginal zone, chronic lymphocytic leukemia, small lymphocytic lymphoma, MALT)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00796562). 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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