Hematopoietic Stem Cell Transplantation for Mucopolysaccharidosis

NCT ID: NCT01238328

Last Updated: 2012-06-04

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

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and side effects of donor hematopoietic cells using chemotherapy regimen without total-body irradiation in children undergoing a hematopoietic stem cell transplant for Mucopolysaccharidosis. The blood stem cells will be derived from either related donor or unrelated umbilical cord blood or haploidentical donor.

Detailed Description

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Conditions

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Mucopolysaccharidosis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Transplantation

Group Type EXPERIMENTAL

Conditioning regimen

Intervention Type DRUG

For sibling full match:

* Busulfan 16 mg/kg \>5year - 20 mg/kg \<5year po
* Cyclophosphamide 200 mg/kg iv

For other related full match, sibling or other related with one antigen mismatch and umbilical cord blood:

* Busulfan 16 mg/kg \>5year - 20 mg/kg \<5year po
* Cyclophosphamide 200 mg/kg iv
* Antithymocyte globulin (ATG) rabbit (Thymoglobulin) 10 mg/kg or ATG horse (Atgam) 40 mg/kg

For haploidentical:

* Busulfan 16 mg/kg \>5year - 20 mg/kg \<5year po
* Cyclophosphamide 200 mg/kg iv
* Fludarabine 160 mg/m\^2

Graft-versus-host disease (GVHD) prophylaxis

Intervention Type DRUG

* Cyclosporin A 1.5 mg/kg/day iv from -2, then 3 mg/kg/day iv (from +7 in peripheral blood stem cell transplant (PBSCT) and +11 in Bone marrow transplantation or Umbilical Cord Blood (UCB) transplantation) then 9 mg/kg/day po
* 10 mg/m\^2 iv day +1 then 6 mg/m\^ iv day +3 and +6 (Not for UCBT)

Stem Cell Transplantation

Intervention Type PROCEDURE

Patients undergoing Hematopoietic Stem Cell Transplantation from one of below source:

1. Sibling full match
2. Other related full match
3. Sibling or other related with 1 mismatch antigen
4. Cord Blood
5. Haploidentical

Interventions

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Conditioning regimen

For sibling full match:

* Busulfan 16 mg/kg \>5year - 20 mg/kg \<5year po
* Cyclophosphamide 200 mg/kg iv

For other related full match, sibling or other related with one antigen mismatch and umbilical cord blood:

* Busulfan 16 mg/kg \>5year - 20 mg/kg \<5year po
* Cyclophosphamide 200 mg/kg iv
* Antithymocyte globulin (ATG) rabbit (Thymoglobulin) 10 mg/kg or ATG horse (Atgam) 40 mg/kg

For haploidentical:

* Busulfan 16 mg/kg \>5year - 20 mg/kg \<5year po
* Cyclophosphamide 200 mg/kg iv
* Fludarabine 160 mg/m\^2

Intervention Type DRUG

Graft-versus-host disease (GVHD) prophylaxis

* Cyclosporin A 1.5 mg/kg/day iv from -2, then 3 mg/kg/day iv (from +7 in peripheral blood stem cell transplant (PBSCT) and +11 in Bone marrow transplantation or Umbilical Cord Blood (UCB) transplantation) then 9 mg/kg/day po
* 10 mg/m\^2 iv day +1 then 6 mg/m\^ iv day +3 and +6 (Not for UCBT)

Intervention Type DRUG

Stem Cell Transplantation

Patients undergoing Hematopoietic Stem Cell Transplantation from one of below source:

1. Sibling full match
2. Other related full match
3. Sibling or other related with 1 mismatch antigen
4. Cord Blood
5. Haploidentical

Intervention Type PROCEDURE

Other Intervention Names

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Endoxan Antithymocyte globulin (ATG) rabbit : Thymoglobulin Antithymocyte globulin (ATG) horse : Atgam MTX HSCT

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of Mucopolysaccharidosis type 1, 6 and 7 confirm by leukocyte enzyme assay
* Age up to 8 year old
* Have suitable donor

Exclusion Criteria

* Creatinine clearance ≤ 40ml/min/1.73m\^2
* Bilirubin ≥ 3mg/dL
* SGPT ≥ 500 U/L
* Current severe infection
* Evidence of CNS involvement
* Morbidity such as blindness or deafness
Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tehran University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hematology-Oncology & SCT Research Center

Teharn, Tehran Province, Iran

Site Status RECRUITING

Countries

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Iran

Central Contacts

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Amir Ali Hamidieh, MD

Role: CONTACT

84902645 ext. +98 21

Facility Contacts

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Amir Ali Hamidieh, MD

Role: primary

84902645 ext. +9821

Other Identifiers

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HORCSCT-0906

Identifier Type: -

Identifier Source: org_study_id

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