Trial Outcomes & Findings for Fludarabine and Busulfan Followed by Allogeneic Stem Cell Transplant in Treating Older Patients With Acute Myeloid Leukemia in First Complete Remission (NCT NCT00070135)

NCT ID: NCT00070135

Last Updated: 2018-06-12

Results Overview

Percentage of participants who were alive and relapse free at 2 years for patients who were matched with an unrelated donor for transplant. The 2 year disease free survival, with 95% confidence interval, was estimated using the Kaplan Meier method. A relapse is defined as any of the following: * Reappearance of leukemia blasts cells in peripheral blood * \>5% blasts in the marrow, not attributable to another cause (e.g., bone marrow regeneration) * If there are no circulating blasts, but the marrow contains 5-20% blasts, a repeat bone marrow ≥ 1 week later with \>5% blasts is necessary to meet the criteria for relapse * The development of extramedullary leukemia or leukemic cells in the cerebral spinal fluid

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

121 participants

Primary outcome timeframe

2 years

Results posted on

2018-06-12

Participant Flow

Between November 2004 and 2011, 121 participants were registered and received transplants at 21 centers.

Seven (7) participants were excluded from the all analyses after they were deemed ineligible.

Participant milestones

Participant milestones
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover.
Overall Study
STARTED
114
Overall Study
COMPLETED
114
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fludarabine and Busulfan Followed by Allogeneic Stem Cell Transplant in Treating Older Patients With Acute Myeloid Leukemia in First Complete Remission

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
n=114 Participants
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover.
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
43 Participants
n=5 Participants
Sex: Female, Male
Male
71 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
102 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
105 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
Region of Enrollment
United States
114 participants
n=5 Participants
Transplant Donor Type
Matched unrelated donor
59 participants
n=5 Participants
Transplant Donor Type
Matched related donor
55 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Population: Participants who received a matched unrelated donor were included in this analysis.

Percentage of participants who were alive and relapse free at 2 years for patients who were matched with an unrelated donor for transplant. The 2 year disease free survival, with 95% confidence interval, was estimated using the Kaplan Meier method. A relapse is defined as any of the following: * Reappearance of leukemia blasts cells in peripheral blood * \>5% blasts in the marrow, not attributable to another cause (e.g., bone marrow regeneration) * If there are no circulating blasts, but the marrow contains 5-20% blasts, a repeat bone marrow ≥ 1 week later with \>5% blasts is necessary to meet the criteria for relapse * The development of extramedullary leukemia or leukemic cells in the cerebral spinal fluid

Outcome measures

Outcome measures
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
n=59 Participants
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover.
2 Year Disease Free Survival In Unrelated Donor Recipient Group
40 percentage of participants
Interval 29.0 to 55.0

SECONDARY outcome

Timeframe: Up to 2 years

Percentage of participants who were alive and relapse free at 2 years for all patients. The 2 year disease free survival, with 95% confidence interval, was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
n=114 Participants
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover.
2 Year DFS for All Patients
42 percentage of participants
Interval 33.0 to 52.0

SECONDARY outcome

Timeframe: Up to 5 years

Percentage of patients who died due to causes other than relapse

Outcome measures

Outcome measures
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
n=114 Participants
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover.
Non-relapse Mortality (NRM)
16 percentage of patients

Adverse Events

Treatment (Fludarabine, Busulfan, Allogeneic PBSC)

Serious events: 38 serious events
Other events: 109 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
n=114 participants at risk
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover
Blood and lymphatic system disorders
Blood disorder
0.88%
1/114 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
6.1%
7/114 • Number of events 8
Blood and lymphatic system disorders
Hemoglobin decreased
11.4%
13/114 • Number of events 24
Blood and lymphatic system disorders
Hemolysis
2.6%
3/114 • Number of events 5
Cardiac disorders
Atrial fibrillation
0.88%
1/114 • Number of events 1
Cardiac disorders
Cardiac pain
0.88%
1/114 • Number of events 1
Cardiac disorders
Cardiopulmonary arrest
0.88%
1/114 • Number of events 1
Cardiac disorders
Left ventricular failure
1.8%
2/114 • Number of events 2
Cardiac disorders
Myocardial ischemia
1.8%
2/114 • Number of events 2
Cardiac disorders
Pericardial effusion
0.88%
1/114 • Number of events 1
Cardiac disorders
Sinus tachycardia
1.8%
2/114 • Number of events 2
Ear and labyrinth disorders
Ear disorder
0.88%
1/114 • Number of events 1
Ear and labyrinth disorders
Tinnitus
0.88%
1/114 • Number of events 1
Endocrine disorders
Adrenal insufficiency
0.88%
1/114 • Number of events 1
Endocrine disorders
Hyperthyroidism
0.88%
1/114 • Number of events 1
Eye disorders
Dry eye syndrome
2.6%
3/114 • Number of events 4
Eye disorders
Vision blurred
0.88%
1/114 • Number of events 1
Eye disorders
Watering eyes
1.8%
2/114 • Number of events 3
Gastrointestinal disorders
Abdominal distension
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Abdominal pain
4.4%
5/114 • Number of events 5
Gastrointestinal disorders
Constipation
6.1%
7/114 • Number of events 7
Gastrointestinal disorders
Diarrhea
14.0%
16/114 • Number of events 25
Gastrointestinal disorders
Dry mouth
2.6%
3/114 • Number of events 5
Gastrointestinal disorders
Dyspepsia
2.6%
3/114 • Number of events 3
Gastrointestinal disorders
Dysphagia
1.8%
2/114 • Number of events 2
Gastrointestinal disorders
Ear, nose and throat examination abnormal
2.6%
3/114 • Number of events 4
Gastrointestinal disorders
Gastric hemorrhage
1.8%
2/114 • Number of events 2
Gastrointestinal disorders
Gastrointestinal disorder
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Mucositis oral
2.6%
3/114 • Number of events 5
Gastrointestinal disorders
Nausea
7.0%
8/114 • Number of events 15
Gastrointestinal disorders
Oral pain
0.88%
1/114 • Number of events 3
Gastrointestinal disorders
Tooth disorder
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Vomiting
2.6%
3/114 • Number of events 4
General disorders
Chest pain
0.88%
1/114 • Number of events 1
General disorders
Chills
4.4%
5/114 • Number of events 5
General disorders
Death NOS
0.88%
1/114 • Number of events 1
General disorders
Disease progression
0.88%
1/114 • Number of events 1
General disorders
Edema limbs
8.8%
10/114 • Number of events 12
General disorders
Fatigue
13.2%
15/114 • Number of events 23
General disorders
Fever
6.1%
7/114 • Number of events 7
General disorders
General symptom
0.88%
1/114 • Number of events 1
General disorders
Ill-defined disorder
0.88%
1/114 • Number of events 1
General disorders
Localized edema
1.8%
2/114 • Number of events 2
General disorders
Multi-organ failure
1.8%
2/114 • Number of events 2
General disorders
Pain
1.8%
2/114 • Number of events 2
Immune system disorders
Hypersensitivity
1.8%
2/114 • Number of events 2
Infections and infestations
Bladder infection
2.6%
3/114 • Number of events 4
Infections and infestations
Bronchitis
0.88%
1/114 • Number of events 1
Infections and infestations
Catheter related infection
2.6%
3/114 • Number of events 3
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
0.88%
1/114 • Number of events 1
Infections and infestations
Encephalitis infection
0.88%
1/114 • Number of events 1
Infections and infestations
Infection
1.8%
2/114 • Number of events 2
Infections and infestations
Infectious colitis
1.8%
2/114 • Number of events 2
Infections and infestations
Lip infection
0.88%
1/114 • Number of events 1
Infections and infestations
Opportunistic infection
0.88%
1/114 • Number of events 1
Infections and infestations
Paranasal sinus infection
0.88%
1/114 • Number of events 1
Infections and infestations
Phlebitis infective
0.88%
1/114 • Number of events 1
Infections and infestations
Pneumonia
1.8%
2/114 • Number of events 2
Infections and infestations
Sepsis
6.1%
7/114 • Number of events 9
Infections and infestations
Sinusitis
0.88%
1/114 • Number of events 1
Infections and infestations
Skin infection
0.88%
1/114 • Number of events 1
Infections and infestations
Soft tissue infection
0.88%
1/114 • Number of events 1
Infections and infestations
Upper respiratory infection
3.5%
4/114 • Number of events 6
Infections and infestations
Wound infection
0.88%
1/114 • Number of events 1
Injury, poisoning and procedural complications
Vascular access complication
0.88%
1/114 • Number of events 2
Investigations
Activated partial thromboplastin time prolonged
0.88%
1/114 • Number of events 1
Investigations
Alanine aminotransferase increased
10.5%
12/114 • Number of events 12
Investigations
Alkaline phosphatase increased
9.6%
11/114 • Number of events 17
Investigations
Aspartate aminotransferase increased
8.8%
10/114 • Number of events 12
Investigations
Blood bilirubin increased
6.1%
7/114 • Number of events 8
Investigations
Creatinine increased
11.4%
13/114 • Number of events 16
Investigations
INR increased
1.8%
2/114 • Number of events 3
Investigations
Laboratory test abnormal
3.5%
4/114 • Number of events 8
Investigations
Leukocyte count decreased
4.4%
5/114 • Number of events 8
Investigations
Lymphocyte count decreased
5.3%
6/114 • Number of events 13
Investigations
Neutrophil count decreased
18.4%
21/114 • Number of events 26
Investigations
Platelet count decreased
24.6%
28/114 • Number of events 52
Investigations
Serum cholesterol increased
0.88%
1/114 • Number of events 3
Investigations
Weight gain
6.1%
7/114 • Number of events 13
Investigations
Weight loss
6.1%
7/114 • Number of events 14
Metabolism and nutrition disorders
Acidosis
0.88%
1/114 • Number of events 1
Metabolism and nutrition disorders
Anorexia
7.0%
8/114 • Number of events 11
Metabolism and nutrition disorders
Blood glucose increased
13.2%
15/114 • Number of events 24
Metabolism and nutrition disorders
Blood uric acid increased
0.88%
1/114 • Number of events 1
Metabolism and nutrition disorders
Dehydration
1.8%
2/114 • Number of events 2
Metabolism and nutrition disorders
Iron overload
1.8%
2/114 • Number of events 3
Metabolism and nutrition disorders
Serum albumin decreased
7.9%
9/114 • Number of events 12
Metabolism and nutrition disorders
Serum calcium decreased
6.1%
7/114 • Number of events 12
Metabolism and nutrition disorders
Serum calcium increased
1.8%
2/114 • Number of events 3
Metabolism and nutrition disorders
Serum glucose decreased
0.88%
1/114 • Number of events 2
Metabolism and nutrition disorders
Serum magnesium decreased
12.3%
14/114 • Number of events 21
Metabolism and nutrition disorders
Serum magnesium increased
1.8%
2/114 • Number of events 3
Metabolism and nutrition disorders
Serum phosphate decreased
4.4%
5/114 • Number of events 6
Metabolism and nutrition disorders
Serum potassium decreased
7.9%
9/114 • Number of events 12
Metabolism and nutrition disorders
Serum potassium increased
5.3%
6/114 • Number of events 9
Metabolism and nutrition disorders
Serum sodium decreased
4.4%
5/114 • Number of events 8
Metabolism and nutrition disorders
Serum sodium increased
2.6%
3/114 • Number of events 4
Metabolism and nutrition disorders
Serum triglycerides increased
0.88%
1/114 • Number of events 3
Musculoskeletal and connective tissue disorders
Arthralgia
4.4%
5/114 • Number of events 7
Musculoskeletal and connective tissue disorders
Back pain
6.1%
7/114 • Number of events 7
Musculoskeletal and connective tissue disorders
Bone pain
3.5%
4/114 • Number of events 4
Musculoskeletal and connective tissue disorders
Muscle weakness
3.5%
4/114 • Number of events 5
Musculoskeletal and connective tissue disorders
Muscle weakness left-sided
0.88%
1/114 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
4.4%
5/114 • Number of events 8
Musculoskeletal and connective tissue disorders
Muscle weakness right-sided
0.88%
1/114 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
0.88%
1/114 • Number of events 1
Musculoskeletal and connective tissue disorders
Neck pain
0.88%
1/114 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain in extremity
3.5%
4/114 • Number of events 5
Musculoskeletal and connective tissue disorders
Scoliosis
0.88%
1/114 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplasia
0.88%
1/114 • Number of events 1
Nervous system disorders
Ataxia
0.88%
1/114 • Number of events 1
Nervous system disorders
Depressed level of consciousness
2.6%
3/114 • Number of events 3
Nervous system disorders
Dizziness
5.3%
6/114 • Number of events 7
Nervous system disorders
Dysgeusia
0.88%
1/114 • Number of events 1
Nervous system disorders
Facial nerve disorder
0.88%
1/114 • Number of events 1
Nervous system disorders
Headache
5.3%
6/114 • Number of events 6
Nervous system disorders
Intracranial hemorrhage
1.8%
2/114 • Number of events 2
Nervous system disorders
Memory impairment
0.88%
1/114 • Number of events 1
Nervous system disorders
Neuralgia
0.88%
1/114 • Number of events 1
Nervous system disorders
Neurological disorder NOS
0.88%
1/114 • Number of events 1
Nervous system disorders
Peripheral sensory neuropathy
0.88%
1/114 • Number of events 1
Nervous system disorders
Speech disorder
0.88%
1/114 • Number of events 1
Nervous system disorders
Syncope
0.88%
1/114 • Number of events 1
Nervous system disorders
Tremor
1.8%
2/114 • Number of events 2
Psychiatric disorders
Agitation
3.5%
4/114 • Number of events 4
Psychiatric disorders
Anxiety
4.4%
5/114 • Number of events 5
Psychiatric disorders
Confusion
3.5%
4/114 • Number of events 4
Psychiatric disorders
Depression
5.3%
6/114 • Number of events 9
Psychiatric disorders
Insomnia
4.4%
5/114 • Number of events 5
Psychiatric disorders
Psychosis
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Bladder pain
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Bladder spasm
0.88%
1/114 • Number of events 2
Renal and urinary disorders
Cystitis
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Glomerular filtration rate decreased
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Kidney pain
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Renal failure
1.8%
2/114 • Number of events 2
Renal and urinary disorders
Urethral pain
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Urinary frequency
2.6%
3/114 • Number of events 4
Renal and urinary disorders
Urinary incontinence
1.8%
2/114 • Number of events 3
Renal and urinary disorders
Urinary retention
2.6%
3/114 • Number of events 3
Reproductive system and breast disorders
Pelvic floor muscle weakness
0.88%
1/114 • Number of events 1
Reproductive system and breast disorders
Scrotal pain
0.88%
1/114 • Number of events 1
Reproductive system and breast disorders
Vaginal inflammation
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
1.8%
2/114 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Aspiration
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
5.3%
6/114 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Dyspnea
12.3%
14/114 • Number of events 17
Respiratory, thoracic and mediastinal disorders
Hypoxia
9.6%
11/114 • Number of events 12
Respiratory, thoracic and mediastinal disorders
Nasal congestion
1.8%
2/114 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonitis
6.1%
7/114 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
4.4%
5/114 • Number of events 5
Skin and subcutaneous tissue disorders
Alopecia
2.6%
3/114 • Number of events 8
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
0.88%
1/114 • Number of events 2
Skin and subcutaneous tissue disorders
Nail disorder
1.8%
2/114 • Number of events 2
Skin and subcutaneous tissue disorders
Pain of skin
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Petechiae
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
4.4%
5/114 • Number of events 6
Skin and subcutaneous tissue disorders
Rash acneiform
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
17.5%
20/114 • Number of events 31
Skin and subcutaneous tissue disorders
Skin disorder
3.5%
4/114 • Number of events 8
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.88%
1/114 • Number of events 1
Vascular disorders
Hematoma
0.88%
1/114 • Number of events 1
Vascular disorders
Hemorrhage
0.88%
1/114 • Number of events 1
Vascular disorders
Hot flashes
0.88%
1/114 • Number of events 1
Vascular disorders
Hypertension
8.8%
10/114 • Number of events 13
Vascular disorders
Hypotension
9.6%
11/114 • Number of events 15
Vascular disorders
Thrombosis
1.8%
2/114 • Number of events 2

Other adverse events

Other adverse events
Measure
Treatment (Fludarabine, Busulfan, Allogeneic PBSC)
n=114 participants at risk
PREPARATIVE REGIMEN: Patients receive fludarabine 30 mg/m\^2 IV over 30 minutes on days -7 to -3 and busulfan 0.8 mg/kg IV over 2 hours 4 times per day (every 6 hours) on days -4 and -3. GVHD PROPHYLAXIS: Patients receive tacrolimus 0.03 mg/kg (suggested starting dose) PO BID on days -2 with taper between days 90-120, and stopping by days 150-180. Patients also receive methotrexate 5 mg/m\^2 IV on days 1, 3, 6, and 11 and rabbit antithymocyte globulin 2.5 mg/kg IV over 4-6 hours on days -4 through -2. ALLOGENEIC PBSC: Patients undergo allogeneic PBSC transplant on day 0. Patients then receive filgrastim 5 or 10 mcg/kg SC daily beginning on day 12 and continuing until blood counts recover
Blood and lymphatic system disorders
Blood disorder
0.88%
1/114 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
39.5%
45/114 • Number of events 49
Blood and lymphatic system disorders
Hemoglobin decreased
48.2%
55/114 • Number of events 141
Blood and lymphatic system disorders
Hemolysis
3.5%
4/114 • Number of events 6
Blood and lymphatic system disorders
Lymphatic disorder
0.88%
1/114 • Number of events 1
Cardiac disorders
Atrial fibrillation
0.88%
1/114 • Number of events 3
Cardiac disorders
Cardiac disorder
1.8%
2/114 • Number of events 2
Cardiac disorders
Conduction disorder
0.88%
1/114 • Number of events 1
Cardiac disorders
Left ventricular dysfunction
2.6%
3/114 • Number of events 4
Cardiac disorders
Left ventricular failure
4.4%
5/114 • Number of events 6
Cardiac disorders
Myocardial ischemia
0.88%
1/114 • Number of events 1
Cardiac disorders
Palpitations
0.88%
1/114 • Number of events 1
Cardiac disorders
Sinus bradycardia
0.88%
1/114 • Number of events 1
Cardiac disorders
Sinus tachycardia
3.5%
4/114 • Number of events 4
Ear and labyrinth disorders
Ear disorder
1.8%
2/114 • Number of events 5
Ear and labyrinth disorders
Ear pain
0.88%
1/114 • Number of events 1
Ear and labyrinth disorders
External ear pain
2.6%
3/114 • Number of events 4
Ear and labyrinth disorders
Hearing impaired
2.6%
3/114 • Number of events 4
Ear and labyrinth disorders
Tinnitus
0.88%
1/114 • Number of events 1
Endocrine disorders
Adrenal insufficiency
0.88%
1/114 • Number of events 1
Endocrine disorders
Hypothyroidism
6.1%
7/114 • Number of events 11
Eye disorders
Cataract
4.4%
5/114 • Number of events 6
Eye disorders
Conjunctivitis
0.88%
1/114 • Number of events 1
Eye disorders
Diplopia
0.88%
1/114 • Number of events 1
Eye disorders
Dry eye syndrome
13.2%
15/114 • Number of events 38
Eye disorders
Extraocular muscle paresis
0.88%
1/114 • Number of events 1
Eye disorders
Eye disorder
5.3%
6/114 • Number of events 6
Eye disorders
Eye pain
1.8%
2/114 • Number of events 2
Eye disorders
Optic nerve disorder
0.88%
1/114 • Number of events 1
Eye disorders
Retinal detachment
0.88%
1/114 • Number of events 1
Eye disorders
Vision blurred
3.5%
4/114 • Number of events 4
Eye disorders
Vitreous hemorrhage
0.88%
1/114 • Number of events 1
Eye disorders
Watering eyes
3.5%
4/114 • Number of events 4
Gastrointestinal disorders
Abdominal distension
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Abdominal pain
8.8%
10/114 • Number of events 14
Gastrointestinal disorders
Anal pain
1.8%
2/114 • Number of events 2
Gastrointestinal disorders
Colitis
1.8%
2/114 • Number of events 2
Gastrointestinal disorders
Constipation
22.8%
26/114 • Number of events 35
Gastrointestinal disorders
Diarrhea
45.6%
52/114 • Number of events 80
Gastrointestinal disorders
Dry mouth
15.8%
18/114 • Number of events 35
Gastrointestinal disorders
Dyspepsia
15.8%
18/114 • Number of events 29
Gastrointestinal disorders
Dysphagia
2.6%
3/114 • Number of events 3
Gastrointestinal disorders
Ear, nose and throat examination abnormal
14.0%
16/114 • Number of events 18
Gastrointestinal disorders
Enteritis
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Esophagitis
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Fecal incontinence
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Flatulence
0.88%
1/114 • Number of events 3
Gastrointestinal disorders
Gastric ulcer
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Gastritis
3.5%
4/114 • Number of events 5
Gastrointestinal disorders
Gastrointestinal disorder
3.5%
4/114 • Number of events 8
Gastrointestinal disorders
Hemorrhoidal hemorrhage
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Hemorrhoids
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Lip pain
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
1.8%
2/114 • Number of events 2
Gastrointestinal disorders
Mucositis oral
8.8%
10/114 • Number of events 10
Gastrointestinal disorders
Nausea
43.0%
49/114 • Number of events 76
Gastrointestinal disorders
Oesophagoscopy abnormal
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Oral hemorrhage
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Oral pain
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Rectal pain
1.8%
2/114 • Number of events 3
Gastrointestinal disorders
Typhlitis
0.88%
1/114 • Number of events 1
Gastrointestinal disorders
Vomiting
21.9%
25/114 • Number of events 30
General disorders
Chest pain
3.5%
4/114 • Number of events 4
General disorders
Chills
17.5%
20/114 • Number of events 23
General disorders
Edema limbs
20.2%
23/114 • Number of events 35
General disorders
Fatigue
52.6%
60/114 • Number of events 128
General disorders
Fever
23.7%
27/114 • Number of events 31
General disorders
Gait abnormal
0.88%
1/114 • Number of events 1
General disorders
General symptom
0.88%
1/114 • Number of events 1
General disorders
Hypothermia
1.8%
2/114 • Number of events 2
General disorders
Ill-defined disorder
0.88%
1/114 • Number of events 1
General disorders
Injection site reaction
0.88%
1/114 • Number of events 1
General disorders
Localized edema
1.8%
2/114 • Number of events 2
General disorders
Pain
13.2%
15/114 • Number of events 18
Immune system disorders
Hypersensitivity
7.9%
9/114 • Number of events 9
Infections and infestations
Abdominal infection
0.88%
1/114 • Number of events 1
Infections and infestations
Bladder infection
1.8%
2/114 • Number of events 2
Infections and infestations
Bronchitis
3.5%
4/114 • Number of events 5
Infections and infestations
Catheter related infection
0.88%
1/114 • Number of events 2
Infections and infestations
Conjunctivitis infective
0.88%
1/114 • Number of events 1
Infections and infestations
Eye infection
0.88%
1/114 • Number of events 1
Infections and infestations
Gastric infection
0.88%
1/114 • Number of events 1
Infections and infestations
Gingival infection
2.6%
3/114 • Number of events 4
Infections and infestations
Ileal infection
0.88%
1/114 • Number of events 1
Infections and infestations
Infection
9.6%
11/114 • Number of events 13
Infections and infestations
Infectious colitis
0.88%
1/114 • Number of events 1
Infections and infestations
Infectious meningitis
0.88%
1/114 • Number of events 1
Infections and infestations
Lip infection
0.88%
1/114 • Number of events 1
Infections and infestations
Nail infection
0.88%
1/114 • Number of events 2
Infections and infestations
Opportunistic infection
1.8%
2/114 • Number of events 2
Infections and infestations
Pneumonia
6.1%
7/114 • Number of events 7
Infections and infestations
Scrotal infection
0.88%
1/114 • Number of events 1
Infections and infestations
Sepsis
9.6%
11/114 • Number of events 14
Infections and infestations
Sinusitis
4.4%
5/114 • Number of events 6
Infections and infestations
Skin infection
5.3%
6/114 • Number of events 7
Infections and infestations
Soft tissue infection
0.88%
1/114 • Number of events 1
Infections and infestations
Upper respiratory infection
7.9%
9/114 • Number of events 11
Infections and infestations
Urinary tract infection
5.3%
6/114 • Number of events 7
Infections and infestations
Vaginal infection
0.88%
1/114 • Number of events 1
Infections and infestations
Viral hepatitis
1.8%
2/114 • Number of events 2
Infections and infestations
Wound infection
0.88%
1/114 • Number of events 1
Injury, poisoning and procedural complications
Bruising
1.8%
2/114 • Number of events 2
Injury, poisoning and procedural complications
Fracture
0.88%
1/114 • Number of events 1
Injury, poisoning and procedural complications
Vascular access complication
1.8%
2/114 • Number of events 2
Injury, poisoning and procedural complications
Venous injury - Extremity-lower
0.88%
1/114 • Number of events 1
Investigations
Activated partial thromboplastin time prolonged
6.1%
7/114 • Number of events 14
Investigations
Alanine aminotransferase increased
36.0%
41/114 • Number of events 87
Investigations
Alkaline phosphatase increased
29.8%
34/114 • Number of events 70
Investigations
Amylase increased
0.88%
1/114 • Number of events 1
Investigations
Aspartate aminotransferase increased
39.5%
45/114 • Number of events 106
Investigations
Blood bilirubin increased
20.2%
23/114 • Number of events 34
Investigations
CD4 lymphocytes decreased
0.88%
1/114 • Number of events 1
Investigations
Creatinine increased
43.9%
50/114 • Number of events 116
Investigations
Electrocardiogram QTc interval prolonged
0.88%
1/114 • Number of events 2
Investigations
Gamma-glutamyltransferase increased
0.88%
1/114 • Number of events 1
Investigations
INR increased
8.8%
10/114 • Number of events 13
Investigations
Laboratory test abnormal
6.1%
7/114 • Number of events 12
Investigations
Leukocyte count decreased
24.6%
28/114 • Number of events 54
Investigations
Lymphocyte count decreased
22.8%
26/114 • Number of events 44
Investigations
Neutrophil count decreased
83.3%
95/114 • Number of events 157
Investigations
Platelet count decreased
85.1%
97/114 • Number of events 206
Investigations
Serum cholesterol increased
8.8%
10/114 • Number of events 17
Investigations
Weight gain
11.4%
13/114 • Number of events 17
Investigations
Weight loss
10.5%
12/114 • Number of events 16
Metabolism and nutrition disorders
Anorexia
32.5%
37/114 • Number of events 53
Metabolism and nutrition disorders
Blood glucose increased
52.6%
60/114 • Number of events 133
Metabolism and nutrition disorders
Blood uric acid increased
1.8%
2/114 • Number of events 3
Metabolism and nutrition disorders
Dehydration
7.0%
8/114 • Number of events 8
Metabolism and nutrition disorders
Iron overload
1.8%
2/114 • Number of events 2
Metabolism and nutrition disorders
Obesity
0.88%
1/114 • Number of events 2
Metabolism and nutrition disorders
Serum albumin decreased
25.4%
29/114 • Number of events 52
Metabolism and nutrition disorders
Serum calcium decreased
22.8%
26/114 • Number of events 48
Metabolism and nutrition disorders
Serum calcium increased
5.3%
6/114 • Number of events 7
Metabolism and nutrition disorders
Serum glucose decreased
0.88%
1/114 • Number of events 1
Metabolism and nutrition disorders
Serum magnesium decreased
43.9%
50/114 • Number of events 87
Metabolism and nutrition disorders
Serum magnesium increased
2.6%
3/114 • Number of events 4
Metabolism and nutrition disorders
Serum phosphate decreased
11.4%
13/114 • Number of events 15
Metabolism and nutrition disorders
Serum potassium decreased
26.3%
30/114 • Number of events 42
Metabolism and nutrition disorders
Serum potassium increased
19.3%
22/114 • Number of events 32
Metabolism and nutrition disorders
Serum sodium decreased
35.1%
40/114 • Number of events 76
Metabolism and nutrition disorders
Serum sodium increased
5.3%
6/114 • Number of events 10
Metabolism and nutrition disorders
Serum triglycerides increased
8.8%
10/114 • Number of events 13
Musculoskeletal and connective tissue disorders
Abdominal soft tissue necrosis
0.88%
1/114 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
19/114 • Number of events 34
Musculoskeletal and connective tissue disorders
Back pain
17.5%
20/114 • Number of events 26
Musculoskeletal and connective tissue disorders
Bone pain
12.3%
14/114 • Number of events 14
Musculoskeletal and connective tissue disorders
Chest wall pain
2.6%
3/114 • Number of events 4
Musculoskeletal and connective tissue disorders
Fibrosis deep connective tissue
0.88%
1/114 • Number of events 1
Musculoskeletal and connective tissue disorders
Joint disorder
0.88%
1/114 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle weakness
11.4%
13/114 • Number of events 23
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
4.4%
5/114 • Number of events 6
Musculoskeletal and connective tissue disorders
Muscle weakness upper limb
0.88%
1/114 • Number of events 2
Musculoskeletal and connective tissue disorders
Musculoskeletal disorder
3.5%
4/114 • Number of events 5
Musculoskeletal and connective tissue disorders
Myalgia
5.3%
6/114 • Number of events 6
Musculoskeletal and connective tissue disorders
Neck pain
3.5%
4/114 • Number of events 9
Musculoskeletal and connective tissue disorders
Osteoporosis
0.88%
1/114 • Number of events 3
Musculoskeletal and connective tissue disorders
Pain in extremity
11.4%
13/114 • Number of events 24
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Treatment related secondary malignancy
1.8%
2/114 • Number of events 2
Nervous system disorders
Ataxia
0.88%
1/114 • Number of events 1
Nervous system disorders
Dizziness
14.9%
17/114 • Number of events 22
Nervous system disorders
Dysgeusia
7.9%
9/114 • Number of events 18
Nervous system disorders
Extrapyramidal disorder
0.88%
1/114 • Number of events 1
Nervous system disorders
Headache
24.6%
28/114 • Number of events 37
Nervous system disorders
Intracranial hemorrhage
0.88%
1/114 • Number of events 1
Nervous system disorders
Memory impairment
3.5%
4/114 • Number of events 6
Nervous system disorders
Neuralgia
0.88%
1/114 • Number of events 1
Nervous system disorders
Neurological disorder NOS
1.8%
2/114 • Number of events 2
Nervous system disorders
Peripheral sensory neuropathy
7.0%
8/114 • Number of events 8
Nervous system disorders
Seizure
1.8%
2/114 • Number of events 3
Nervous system disorders
Sinus pain
0.88%
1/114 • Number of events 1
Nervous system disorders
Syncope
3.5%
4/114 • Number of events 6
Nervous system disorders
Tremor
8.8%
10/114 • Number of events 16
Psychiatric disorders
Agitation
1.8%
2/114 • Number of events 3
Psychiatric disorders
Anxiety
9.6%
11/114 • Number of events 14
Psychiatric disorders
Confusion
7.9%
9/114 • Number of events 15
Psychiatric disorders
Depression
10.5%
12/114 • Number of events 24
Psychiatric disorders
Insomnia
16.7%
19/114 • Number of events 30
Psychiatric disorders
Psychosis
0.88%
1/114 • Number of events 2
Renal and urinary disorders
Bladder pain
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Bladder spasm
1.8%
2/114 • Number of events 2
Renal and urinary disorders
Hemorrhage urinary tract
2.6%
3/114 • Number of events 3
Renal and urinary disorders
Proteinuria
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Renal failure
1.8%
2/114 • Number of events 2
Renal and urinary disorders
Urethral stenosis
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Urinary frequency
8.8%
10/114 • Number of events 18
Renal and urinary disorders
Urinary incontinence
2.6%
3/114 • Number of events 3
Renal and urinary disorders
Urinary retention
0.88%
1/114 • Number of events 1
Renal and urinary disorders
Urogenital disorder
2.6%
3/114 • Number of events 4
Reproductive system and breast disorders
Erectile dysfunction
1.8%
2/114 • Number of events 5
Reproductive system and breast disorders
Irregular menstruation
2.6%
3/114 • Number of events 4
Reproductive system and breast disorders
Perineal pain
0.88%
1/114 • Number of events 1
Reproductive system and breast disorders
Scrotal pain
1.8%
2/114 • Number of events 2
Reproductive system and breast disorders
Vaginal discharge
0.88%
1/114 • Number of events 1
Reproductive system and breast disorders
Vaginal hemorrhage
0.88%
1/114 • Number of events 1
Reproductive system and breast disorders
Vaginal pain
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
7.0%
8/114 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Apnea
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
21.1%
24/114 • Number of events 38
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.4%
29/114 • Number of events 52
Respiratory, thoracic and mediastinal disorders
Epistaxis
1.8%
2/114 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hiccups
1.8%
2/114 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hypoxia
11.4%
13/114 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Laryngoscopy abnormal
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Nasal congestion
2.6%
3/114 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pharyngeal examination abnormal
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngeal hemorrhage
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
1.8%
2/114 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
2.6%
3/114 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
1.8%
2/114 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pneumonitis
8.8%
10/114 • Number of events 11
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.88%
1/114 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
3.5%
4/114 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Voice alteration
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Alopecia
12.3%
14/114 • Number of events 31
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
13.2%
15/114 • Number of events 27
Skin and subcutaneous tissue disorders
Hand-and-foot syndrome
1.8%
2/114 • Number of events 2
Skin and subcutaneous tissue disorders
Nail disorder
2.6%
3/114 • Number of events 4
Skin and subcutaneous tissue disorders
Petechiae
3.5%
4/114 • Number of events 4
Skin and subcutaneous tissue disorders
Photosensitivity
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
19.3%
22/114 • Number of events 36
Skin and subcutaneous tissue disorders
Rash acneiform
1.8%
2/114 • Number of events 3
Skin and subcutaneous tissue disorders
Rash desquamating
65.8%
75/114 • Number of events 151
Skin and subcutaneous tissue disorders
Skin disorder
7.0%
8/114 • Number of events 11
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
2.6%
3/114 • Number of events 3
Skin and subcutaneous tissue disorders
Skin hypopigmentation
0.88%
1/114 • Number of events 2
Skin and subcutaneous tissue disorders
Skin ulceration
2.6%
3/114 • Number of events 4
Skin and subcutaneous tissue disorders
Sweating
1.8%
2/114 • Number of events 3
Skin and subcutaneous tissue disorders
Urticaria
0.88%
1/114 • Number of events 1
Vascular disorders
Hematoma
1.8%
2/114 • Number of events 3
Vascular disorders
Hemorrhage
1.8%
2/114 • Number of events 2
Vascular disorders
Hot flashes
0.88%
1/114 • Number of events 3
Vascular disorders
Hypertension
34.2%
39/114 • Number of events 68
Vascular disorders
Hypotension
22.8%
26/114 • Number of events 34
Vascular disorders
Thrombosis
3.5%
4/114 • Number of events 4
Vascular disorders
Vascular disorder
0.88%
1/114 • Number of events 1

Additional Information

Steven Devine, MD

The Ohio State University

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60