Nonmyeloablative Allogeneic Transplant

NCT ID: NCT01272817

Last Updated: 2022-11-23

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

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-10-31

Study Completion Date

2015-10-31

Brief Summary

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Allogeneic transplant from a matched sibling for the treatment of a variety of illnesses including bone marrow failure states, leukemias, myelodysplastic or myeloproliferative syndromes, lymphoma, or myeloma using a nonmyeloablative preparative regimen.

Detailed Description

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Conditions

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Aplastic Anemia Paroxysmal Nocturnal Hemoglobinuria Acute Myelogenous Leukemia Acute Lymphocytic Leukemia Myelodysplastic Syndrome Chronic Myelogenous Leukemia Chronic Lymphocytic Leukemia Hodgkin's Lymphoma Non-Hodgkin's Lymphoma Mantle Cell Lymphoma Multiple Myeloma Waldenstrom Macroglobulinemia Breast Cancer Renal Cell Carcinoma Melanoma Sarcoma Ovarian Cancer Thymoma

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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Cladribine + melphalan

Cladribine + melphalan conditioning

Group Type OTHER

Nonmyeloablative Allogeneic Transplant

Intervention Type PROCEDURE

Cladribine 0.14 mg/kg/day for five days, melphalan 100 mg/m2 on one day

TLI

Total lymphoid irradiation conditioning

Group Type OTHER

Nonmyeloablative Allogeneic Transplant

Intervention Type PROCEDURE

Total lymphoid irradiation 100cGy/day times 10 days (Monday through Friday)

Interventions

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Nonmyeloablative Allogeneic Transplant

Cladribine 0.14 mg/kg/day for five days, melphalan 100 mg/m2 on one day

Intervention Type PROCEDURE

Nonmyeloablative Allogeneic Transplant

Total lymphoid irradiation 100cGy/day times 10 days (Monday through Friday)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age \> 55 years or
2. Age \< 55 and LVEF \< 45% or creatinine clearance \< 60 ml/min
3. Ability to cover the cost of the transplant, necessary medications, and transportation/housing.
4. Caregiver must be available while outpatient

Guidelines for Cladribine-Melphalan-based conditioning:

* Bone Marrow Failure States Severe Aplastic Anemia (relapsed following immunosuppressive therapy) Paroxysmal Nocturnal Hemoglobinuria (poor prognostic features or hemosiderosis)
* AML (first CR except for t(15;17), inv16, t(8,21); second CR; relapse failing second induction attempt)
* ALL (first CR with at least one poor prognostic feature; second or greater CR; relapse failing reinduction attempt)
* MDS (RAEB, RAEBiT, CMMoL)
* CML (chronic phase; accelerated phase; blast phase following reinduction attempt; 2nd chronic or accelerated phase following gleevec therapy
* Hodgkin's lymphoma (first or greater relapse)
* Non-Hodgkin's Lymphoma
* Aggressive Histology (includes T Cell NHL) Incomplete response to induction Second CR Sensitive or refractory relapse
* Indolent Histology Second or greater relapse
* Mantle Cell Lymphoma (any Stage - must have received induction chemotherapy)
* Multiple Myeloma (10% residual plasmacytosis following anthracycline-based chemotherapy or residual disease following autologous transplant)
* Waldenstrom Macroglobulinemia (must have failed either purine analogue-based chemotherapy (Fludara or 2CdA) or standard CVP therapy; hyperviscosity or cytopenias)

Guidelines for total lymphoid irradiation-based conditioning

* MDS (RA, RARS)
* CLL (Rai stage III or IV - must have received at least two different treatment regimens in the past)
* Breast Cancer (symptomatic metastatic disease, who have failed standard chemotherapy)
* Renal Cell Cancer (metastatic disease at multiple sites)
* Malignant Melanoma (metastatic disease at multiple sites)
* Sarcoma (all subtypes presently, unresectable metastatic disease)
* Ovarian Cancer (stage III or IV, platinum insensitive disease, i.e. progression within 6 months of initial platinum chemotherapy)
* Thymoma (unresectable disease)

Exclusion Criteria

1. Prior allogeneic stem cell or bone marrow transplant
2. Current or past history of invasive mycotic infection
3. Breast Feeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

72 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Scripps Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeffrey W. Andrey, M.D.

Role: PRINCIPAL_INVESTIGATOR

Scripps Health

Locations

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Scripps Green Hospital

La Jolla, California, United States

Site Status

Countries

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United States

Other Identifiers

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IRB#13-6255

Identifier Type: -

Identifier Source: org_study_id

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