Phase 2
Completed N=56
Busulfan and Fludarabine Followed by Post-transplant Cyclophosphamide
Source: ClinicalTrials.gov NCT00800839 ↗Enrolled (actual)
56
Serious AEs
69.6%
Results posted
Sep 2016
Primary outcomePrimary: Cumulative Incidence of Grade II to IV Acute GVHD — 53 percentage of incidence
Summary
The goal of this clinical research study is to learn if cyclophosphamide given after busulfan and fludarabine can help to prevent graft versus host disease (GVHD - a condition in which transplanted tissue attacks the body into which it is transplanted) in patients receiving a stem cell transplant. The safety of this drug combination will also be studied.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cumulative Incidence of Grade II to IV Acute GVHD |
53 | — |
| PRIMARY Cumulative Incidence of Grade III to IV Acute GVHD |
22 | — |
| PRIMARY Day-100 Treatment-Related Mortality |
14 | — |
| SECONDARY Rate of Engraftment |
18 | — |
| SECONDARY 2-year Progression-Free Survival |
26 | — |
| SECONDARY 2-year Overall Survival |
33 | — |
Eligibility Criteria
Inclusion Criteria
- Patients with high risk hematological malignancies, including those with induction failure and after treated or untreated relapse.
- HLA-identical sibling or matched unrelated donor transplants not eligible for protocols of higher priority.
- Age 6 months to 75 years.
- Bilirubin 50mL/min using the Cockcroft-Gault equation for adult patients 18 to 70 years old, and the Schwartz equation for pediatric patients 6 months to 17 years old.
- Diffusing capacity for carbon monoxide (DLCO) >45% predicted corrected for hemoglobin (as reported by the Pulmonary Function Laboratory at MDACC). For most children /= 92% on room air.
- left ventricular ejection fraction (LVEF) >/= 35%.
Exclusion Criteria
- HIV seropositivity
- Uncontrolled infections.
- Positive Beta human chorionic gonadotropin (HCG) test in a woman with child bearing potential defined as not post-menopausal for 12 months or no previous surgical sterilization
- Inability to sign consent
Data sourced from ClinicalTrials.gov (NCT00800839). 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. Informational only — not medical advice.