Thymoglobuline Versus Alemtuzumab in Patients Undergoing Allogeneic Transplant

NCT ID: NCT00354120

Last Updated: 2023-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-31

Study Completion Date

2011-08-31

Brief Summary

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The purpose of this study is to compare Reduced Intensity Conditioning protocols containing either Thymoglobuline or Alemtuzumab in patients undergoing allogeneic transplant from voluntary unrelated donors.

Detailed Description

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The reduction of intensity of conditioning is currently indicated for patients who cannot undergo standard myelo-ablation due to their age, comorbidities or type of pathology. Furthermore, the rationale to use RIC regimens is based on the observation that the infusion of alloreactive donor lymphocytes may yield to a graft versus tumour effect. However, in this kind of regimens the morbidity and TRM due to GvHD are still a concern and in vivo T-depletion is a necessary treatment. Both monoclonal (Alemtuzumab) and polyclonal T-depletion protocols carry risks and benefits. Benefits being a better prophylaxis for GvHD, and risks being an higher incidence of post-transplantation infections and relapse. At the moment, it is not clear which type of regimen, monoclonal or polyclonal, is better for the treatment.

Conditions

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Acute Myeloblastic Leukemia Lymphoblastic Leukemia Myelodysplasia Chronic Myeloid Leukemia Myelofibrosis Lympho-proliferative Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Alentuzumab

Group Type EXPERIMENTAL

Alentuzumab

Intervention Type DRUG

Alentuzumab

2

Globulina antilinfocitaria

Group Type ACTIVE_COMPARATOR

Globulina antilinfocitaria

Intervention Type DRUG

Globulina antilinfocitaria

Interventions

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Alentuzumab

Alentuzumab

Intervention Type DRUG

Globulina antilinfocitaria

Globulina antilinfocitaria

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Group 1: 55-65 yo patients suffering from Acute Myeloblastic and Lymphoblastic Leukemia, Myelo-displasia, Chronic Myeloid Leukemia and Idiopathic Myelofibrosis (according to IBMDR operative manual)
* Group 2: patients \<= 65 yo suffering from lympho-proliferative diseases according the REAL classification:
* High-doses chemotherapy relapsed CLL (B and T)
* Follicular lymphoma relapsed after 2 standard chemotherapy regimens or after high-doses chemotherapy
* Mantellar lymphoma relapsed after 1 standard chemotherapy regimen or after high-doses chemotherapy
* Lympho-plasmacytoid and B marginal zone lymphoma in relapse after 2 standard chemotherapy regimens or after high-doses chemotherapy
* Advanced (stage ≥ III A) or relapsed T lymphomas
* Large B-cells lymphomas in 2nd or further complete remission after relapse from high dose chemotherapy and autotransplant or after 2 standard chemotherapy regimens
* Fungal mycosis in advanced stage (≥ III A) or in chemosensitive relapse after 2 lines of chemotherapy and Sezary syndrome in chemosensitive relapse after 1 line of chemotherapy
* Hodgkin disease relapse after autotransplant with chemosensitive disease or in relapse after 1 year from chemotherapy and not eligible for autotransplant since an insufficient mobilization of autologous hemopoietic stem cells.

Exclusion Criteria

* Performance status \< 70% (Karnofsky)
* Left ventricular cardiac ejection fraction \< 40% or receiving treatment for heart failure
* DLCO pulmonary \< 40% or receiving continuous oxygen therapy
* Neuropathy (previous or at present)
* Pregnancy
* Patients with arterial hypertension not controlled with multi-pharmacological treatments
* HIV positive
* B-CLL with clear evidence of transformation into Richter syndrome
* Mycosis fungoides with clear evidence of transformation into blasts
* Hodgkin's disease refractory to chemotherapy
* Absence of informed consent
* Psychiatric disease or other condition compromising the signing of the informed consent form or compliance with the treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gruppo Italiano Trapianto di Midollo Osseo

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alessandro Rambaldi, MD

Role: STUDY_CHAIR

Divisione di Ematologia - Ospedali Riuniti di Bergamo

Locations

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Ematologia e Centro Trapianti Midollo Osseo - Ospedale IRCCS Casa Sollievo della Sofferenza

San Giovanni Rotondo, Foggia, Italy

Site Status

Divisione Ematologia - Ospedale "SS. Antonio, Biagio e Cesare Arrigo"

Alessandria, , Italy

Site Status

Clinica di Ematologia - Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status

Divisione di Ematologia - Ospedali Riuniti Bergamo

Bergamo, , Italy

Site Status

S.C. Ematologia - Azienda Ospedaliera S. Croce e Carle

Cuneo, , Italy

Site Status

Cattedra di Ematologia - Azienda Ospedaliera di Careggi

Florence, , Italy

Site Status

Trapianti Midollo Osseo - Div. di Ematologia 2 - Ospedale S. Martino

Genova, , Italy

Site Status

Divisione di Ematologia - Istituto Nazionale dei Tumori

Milan, , Italy

Site Status

U.O. Ematologia I - Centro Trapianti di Midollo - Ospedale Maggiore - Policlinico Mangiagalli e Regina Elena

Milan, , Italy

Site Status

Divisione Ematologia - Azienda Ospedaliera Universitaria - Policlinico -

Modena, , Italy

Site Status

Cattedra di Medicina Interna ed Ematologia - Ospedale S. Gerardo de' i Tintori - Università degli Studi di Milano

Monza, , Italy

Site Status

Divisione Ematologia con trapianto - Ospedale "V. Cervello"

Palermo, , Italy

Site Status

Dipartimento di Ematologia - IRCCS Policlinico S. Matteo - Università di Pavia

Pavia, , Italy

Site Status

Dip. di Ematologia - Unità di Terapia Intensiva Ematologica per il Trapianto Emopoietico - Ospedale Civile di Pescara

Pescara, , Italy

Site Status

Ematologia - Ospedale S. Chiara

Pisa, , Italy

Site Status

Centro Unico Regionale Trapianti di Midollo Osseo - Ospedale Bianchi-Melacino-Morelli

Reggio Calabria, , Italy

Site Status

Cattedra di Ematologia - Università La Sapienza

Roma, , Italy

Site Status

Divisione di Ematologia - Istituto di Semeiotica Medica - Policlinico A. Gemelli

Roma, , Italy

Site Status

U.O. di Ematologia e Trapianti di Midollo Osseo - Azienda Osp. S. Camillo-Forlanini / Padiglione Morgagni

Roma, , Italy

Site Status

Dipartimento di Oncologia Medica ed Ematologia - Istituto Clinico Humanitas

Rozzano (MI), , Italy

Site Status

Ematologia 2 - ASO San Giovanni Battista

Torino, , Italy

Site Status

Clinica Ematologica - Policlinico Universitario

Udine, , Italy

Site Status

Countries

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Italy

Related Links

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Other Identifiers

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EudraCT:2005-000805-68

Identifier Type: -

Identifier Source: org_study_id

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