Trial Outcomes & Findings for Bone Marrow Transplant From Partially Matched Donors and Nonmyeloablative Conditioning for Blood Cancers (BMT CTN 0603) (NCT NCT00849147)

NCT ID: NCT00849147

Last Updated: 2023-01-04

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

55 participants

Primary outcome timeframe

Measured at Month 6 and Year 1

Results posted on

2023-01-04

Participant Flow

Participant milestones

Participant milestones
Measure
Haplo-marrow Transplantation
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Overall Study
STARTED
55
Overall Study
COMPLETED
50
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Haplo-marrow Transplantation
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Overall Study
Withdrawal by Subject
1
Overall Study
Protocol Violation
2
Overall Study
Disease Relapse/Progression
2

Baseline Characteristics

Bone Marrow Transplant From Partially Matched Donors and Nonmyeloablative Conditioning for Blood Cancers (BMT CTN 0603)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Age, Continuous
45.4 years
STANDARD_DEVIATION 18.1 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
Race (NIH/OMB)
White
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Karnofsky Performance-status score
100%
19 participants
n=5 Participants
Karnofsky Performance-status score
90%
19 participants
n=5 Participants
Karnofsky Performance-status score
80%
9 participants
n=5 Participants
Karnofsky Performance-status score
70%
3 participants
n=5 Participants
Primary Disease
Acute Lymphoblastic Leukemia
6 participants
n=5 Participants
Primary Disease
Acute Myelogeneous Leukemia
22 participants
n=5 Participants
Primary Disease
Biphenotypic/Undifferentiated Leukemia
3 participants
n=5 Participants
Primary Disease
Hodgkins Lymphoma
7 participants
n=5 Participants
Primary Disease
Large Cell Lymphoma
8 participants
n=5 Participants
Primary Disease
Marginal Zone B-cell Lymphoma
1 participants
n=5 Participants
Primary Disease
Mantle Cell Lymphoma
3 participants
n=5 Participants
Human leucocyte antigen (HLA) Typing Match Score - GVH direction
5/10
28 participants
n=5 Participants
Human leucocyte antigen (HLA) Typing Match Score - GVH direction
6/10
12 participants
n=5 Participants
Human leucocyte antigen (HLA) Typing Match Score - GVH direction
7/10
9 participants
n=5 Participants
Human leucocyte antigen (HLA) Typing Match Score - GVH direction
8/10
1 participants
n=5 Participants
HLA Typing Match Score - Host vs Graft (HVG) direction
5/10
22 participants
n=5 Participants
HLA Typing Match Score - Host vs Graft (HVG) direction
6/10
22 participants
n=5 Participants
HLA Typing Match Score - Host vs Graft (HVG) direction
7/10
3 participants
n=5 Participants
HLA Typing Match Score - Host vs Graft (HVG) direction
8/10
1 participants
n=5 Participants
HLA Typing Match Score - Host vs Graft (HVG) direction
9/10
1 participants
n=5 Participants
HLA Typing Match Score - Host vs Graft (HVG) direction
10/10
1 participants
n=5 Participants
Weight
78 kilograms
n=5 Participants

PRIMARY outcome

Timeframe: Measured at Month 6 and Year 1

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Overall Survival at 180 Days From the Time of Transplant
6 months
83.7 percentage of participants
Interval 70.0 to 91.5
Overall Survival at 180 Days From the Time of Transplant
1 year
62.0 percentage of participants
Interval 44.1 to 75.7

SECONDARY outcome

Timeframe: Measured at Days 28, 56, 90, and 100

Cumulative incidence of neutrophil recovery \>500/μL at day +56

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Neutrophil Recovery
Day 28
96.0 percentage of participants
Interval 89.9 to 100.0
Neutrophil Recovery
Day 56
96.0 percentage of participants
Interval 89.9 to 100.0
Neutrophil Recovery
Day 90
100.0 percentage of participants
Interval 96.1 to 100.0
Neutrophil Recovery
Day 100
100.0 percentage of participants
Interval 96.1 to 100.0

SECONDARY outcome

Timeframe: Measured at Day 67

Primary graft failure is defined as \< 5% donor chimerism on all measurements.

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Primary Graft Failure
1 participants

SECONDARY outcome

Timeframe: Measured at Day 100

Secondary graft failure is defined as initial recovery followed by neutropenia with \< 5% donor chimerism. If no chimerism assays were performed and absolute neutrophil count is \< 500/mm3, then it will be counted as a secondary graft failure.

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Secondary Graft Failure
0 participants

SECONDARY outcome

Timeframe: Measured at Days 56, 90, and 100

Platelet Recovery to 20K

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Platelet Recovery
Day 56
96.0 percentage of participants
Interval 89.7 to 100.0
Platelet Recovery
Day 90
96.0 percentage of participants
Interval 89.7 to 100.0
Platelet Recovery
Day 100
98.0 percentage of participants
Interval 93.1 to 100.0

SECONDARY outcome

Timeframe: Measured at Days 56, 90, and 100

Platelet Recovery to 50K

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Platelet Recovery
Day 90
76.0 percentage of participants
Interval 63.8 to 88.2
Platelet Recovery
Day 100
76.0 percentage of participants
Interval 63.8 to 88.2
Platelet Recovery
Day 56
76.0 percentage of participants
Interval 63.8 to 88.2

SECONDARY outcome

Timeframe: Measured at Day 56

Marrow or Blood Sample. Donor cell engraftment is defined as donor chimerism ≥ 5% on Day ≥ 56 after transplantation. Chimerism should be evaluated on Days \~28, \~56, \~180, and \~365 after transplantation. Chimerism may be evaluated in whole blood or mononuclear fraction.

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Donor Cell Engraftment
Chimerism Performed
42 participants
Donor Cell Engraftment
Donor Percentage ≥95%
39 participants
Donor Cell Engraftment
Donor Percentage 5%-95%
2 participants
Donor Cell Engraftment
Donor Percentage <5%
1 participants

SECONDARY outcome

Timeframe: Measured at Day 100

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Acute Graft-versus-host Disease (GVHD)
Grade II-IV Acute GVHD
32.0 percentage of participants
Interval 18.9 to 45.1
Acute Graft-versus-host Disease (GVHD)
Grade III-IV Acute GVHD
0.0 percentage of participants
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Measured at Year 1

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Chronic GVHD
12.9 percentage of participants
Interval 2.9 to 22.9

SECONDARY outcome

Timeframe: Measured at Year 1

Progression-free survival is defined as the minimum time interval of the times to relapse/recurrence, to death or to last follow-up.

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Progression-free Survival
47.9 percentage of participants
Interval 32.0 to 62.2

SECONDARY outcome

Timeframe: Measured at 6 months and 1 year

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Treatment-related Mortality (TRM)
6 months
4.0 percentage of participants
Interval 0.0 to 9.5
Treatment-related Mortality (TRM)
1 year
7.0 percentage of participants
Interval 0.0 to 15.0

SECONDARY outcome

Timeframe: Measured at Year 1

Population: 36 patients incurred a total number of 108 infection events.

Number of infections; infections will be reported by anatomic site, date of onset, organism and resolution, if any. Patients will be followed for infection for 1 year post-transplant.

Outcome measures

Outcome measures
Measure
Haplo-marrow Transplantation
n=50 Participants
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Infections
1 Infection
14 participants
Infections
2 Infections
6 participants
Infections
3 Infections
10 participants
Infections
4 Infections
2 participants
Infections
5 Infections
1 participants
Infections
6-10 Infections
2 participants
Infections
>10 Infections
1 participants

Adverse Events

Haplo-marrow Transplantation

Serious events: 5 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Haplo-marrow Transplantation
n=52 participants at risk
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Cardiac disorders
Atrial fibrillation
1.9%
1/52 • Number of events 1 • 1-year post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
Cardiac disorders
Cardiac failure congestive
1.9%
1/52 • Number of events 1 • 1-year post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
Infections and infestations
Pseudomonas infection
1.9%
1/52 • Number of events 1 • 1-year post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
Respiratory, thoracic and mediastinal disorders
Respiratory distress
1.9%
1/52 • Number of events 1 • 1-year post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.9%
1/52 • Number of events 1 • 1-year post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.

Other adverse events

Other adverse events
Measure
Haplo-marrow Transplantation
n=52 participants at risk
Haploidentical bone marrow transplantation using a non-myeloablative preparative regimen.
Nervous system disorders
Headache
1.9%
1/52 • Number of events 1 • 1-year post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.

Additional Information

Adam Mendizabal

The EMMES Corporation

Phone: 301-251-1161

Results disclosure agreements

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