Trial Outcomes & Findings for Donor Stem Cell Transplant in Treating Patients With Myeloid Cancer or Other Disease (NCT NCT00392782)

NCT ID: NCT00392782

Last Updated: 2017-12-28

Results Overview

Number of patients alive and without disease at 1 year after transplant.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

1 Year

Results posted on

2017-12-28

Participant Flow

Participant milestones

Participant milestones
Measure
All Treated Patients
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Overall Study
STARTED
24
Overall Study
COMPLETED
24
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Donor Stem Cell Transplant in Treating Patients With Myeloid Cancer or Other Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
41.1 years
STANDARD_DEVIATION 12.9 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
11 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
6 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
24 participants
n=5 Participants
Disease
Acute Myeloid Leukemia - CR1
10 Participants
n=5 Participants
Disease
Acute Myeloid Leukemia - CR2
7 Participants
n=5 Participants
Disease
Myelodysplastic Syndrome - RAEB2
2 Participants
n=5 Participants
Disease
Myelodysplastic Syndrome - NOS
1 Participants
n=5 Participants
Disease
Chronic Myeloid Leukemia
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 Year

Number of patients alive and without disease at 1 year after transplant.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Incidence of Disease-free Survival
18 Participants

SECONDARY outcome

Timeframe: 1 Year

Number of patients with disease at 1 year.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Incidence of Disease Relapse
6 Participants

SECONDARY outcome

Timeframe: Day 100

Number of patients with grade II-IV acute graft-versus-host disease at Day 100 post transplant. Graft-versus-host disease (GVHD) is a common complication of allogeneic bone marrow transplantation in which functional immune cells in the transplanted marrow recognize the recipient as "foreign" and mount an immunologic attack. Grade I=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Incidence of Grade II-IV Acute Graft-vs-host Disease (GVHD)
6 Participants

SECONDARY outcome

Timeframe: 1 Year

Number of patients with chronic graft-versus-host disease at 1 year post transplant. Graft-versus-host disease (GVHD) is a common complication of allogeneic bone marrow transplantation in which functional immune cells in the transplanted marrow recognize the recipient as "foreign" and mount an immunologic attack. Grade I=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening. Chronic GVHD is an extension of acute GVHD.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Incidence of Chronic Graft-versus-host Disease (GVHD)
4 Participants

SECONDARY outcome

Timeframe: Day 100

Number of patients with graft failure is defined by lack of neutrophil engraftment by 100 days after transplant in patients surviving a minimum of 14 days.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Incidence of Graft Failure
1 Participants

SECONDARY outcome

Timeframe: 1 Year

Number of patients with treatment related death at 1 year post transplant.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Transplant-related Mortality
8 Participants

SECONDARY outcome

Timeframe: 1 Year

Number of patients who were deceased at 1 year post transplant.

Outcome measures

Outcome measures
Measure
All Treated Patients
n=24 Participants
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Overall Survival
10 Participants

Adverse Events

All Treated Patients

Serious events: 23 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Treated Patients
n=24 participants at risk
Includes patients with partial matched unrelated donor transplants and treated with: total body irradiation twice daily on days -10 and -9 and receive thiotepa intravenously (IV) over 4 hours on days -8 and -7, fludarabine phosphate IV over 30-60 minutes on days -7 to -3, and antithymocyte globulin IV over 4-6 hours on days -5 to -2. Patients undergo filgrastim (G-CSF)-mobilized, T-cell-depleted, CD34+-selected allogeneic PBSC transplantation on day 0.
Immune system disorders
ALT/serum glutamic pyruvic transaminase increased
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Respiratory, thoracic and mediastinal disorders
Adult Respiratory Distress Syndrome
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Hepatobiliary disorders
Hyperbilirubinemia
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Blood and lymphatic system disorders
Blood/bone marrow, other
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Nervous system disorders
Cerebrovascular ischemia
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Cardiac disorders
Cardiac, general
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Hepatobiliary disorders
Cholecystitis
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
General disorders
Death
12.5%
3/24 • Number of events 3 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Gastrointestinal disorders
Dehydration
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Gastrointestinal disorders
Diarrhea
16.7%
4/24 • Number of events 4 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
General disorders
Fatigue
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Injury, poisoning and procedural complications
Fracture
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Endocrine disorders
Low serum glucose
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Blood and lymphatic system disorders
Low hemoglobin
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Blood and lymphatic system disorders
Hemolysis
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Respiratory, thoracic and mediastinal disorders
Hypoxia
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Blood and lymphatic system disorders
Infection with Grade 3-4 neutrophils
4.2%
1/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection, other
12.5%
3/24 • Number of events 4 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection with normal neutrophils, lung
4.2%
1/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection with unknown neutrophils, blood
25.0%
6/24 • Number of events 6 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection with unknown neutrophils, catheter
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection with unknown neutrophils, colon
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection w/unknown neutrophils - lung
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection w/unknown neutrophils - mucosa
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection with unknown neutrophils - upper airway
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Infections and infestations
Infection with unknown neutrophils - wound
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Gastrointestinal disorders
Mucositis
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
General disorders
Gastrointestinal necrosis
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Nervous system disorders
Neurology
4.2%
1/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Gastrointestinal disorders
Gastrointestinal obstruction - ureter
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
General disorders
Pain - abdomen
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Cardiac disorders
Pain - cardiac/heart
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
General disorders
Progressive disease
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Respiratory, thoracic and mediastinal disorders
Pulmonary - upper respiratory
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Skin and subcutaneous tissue disorders
Rash
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
General disorders
Relapse
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Renal and urinary disorders
Renal
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Cardiac disorders
Supraventricular and nodal arrhythmia
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Nervous system disorders
Syncope
4.2%
1/24 • Number of events 1 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Blood and lymphatic system disorders
Thrombosis
8.3%
2/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.
Cardiac disorders
Vascular
4.2%
1/24 • Number of events 2 • Serious adverse events were collected from first date of study treatment up to 1 year post transplant.
Because all study participants received potentially toxic preparative therapy, significant regimen-related toxicity was anticipated. Therefore only selected adverse events (serious infections, graft failure and GVHD) were collected.

Other adverse events

Adverse event data not reported

Additional Information

Daniel Weisdorf, M.D.

Masonic Cancer Center, University of Minnesota

Phone: 612-624-0123

Results disclosure agreements

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