Cord Blood Transplantation for Patients With Cancer

NCT ID: NCT01359254

Last Updated: 2015-04-30

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2012-06-30

Brief Summary

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The primary objective of this study is to assess the rate of engraftment with combined haploidentical-cord blood transplantation in patients with pre-existing donor specific antibodies and in those with active disease.

Detailed Description

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Primary Objective

\- To assess the rate of engraftment with combined haploidentical-cord blood transplantation in patients with pre-existing donor specific anti-HLA antibodies and in those with active disease

Secondary Objectives

* To determine the long term fate of the haplo transplant and the cord blood transplant in this setting.
* To describe the incidence and severity of acute and chronic GVHD.

Conditions

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Hematological Disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conditioning Regimen I

Arm I contains fludarabine, melphalan, and antithymocyte globulin (ATG)

Group Type EXPERIMENTAL

Melphalan

Intervention Type DRUG

Melphalan is given daily for 2 days, overlapping with the completion of fludarabine.

Fludarabine

Intervention Type DRUG

Fludarabine is given through the vein daily for 5 days.

Antithymocyte Globulin (ATG)

Intervention Type DRUG

ATG is given every other day for 4 days.

Conditioning Regimen II

Arm II contains fludarabine, busulfan, antithymocyte globulin (ATG), and total body irradiation (TBI).

Group Type EXPERIMENTAL

Fludarabine

Intervention Type DRUG

Fludarabine is given through the vein daily for 5 days.

Antithymocyte Globulin (ATG)

Intervention Type DRUG

ATG is given every other day for 4 days.

Busulfan

Intervention Type DRUG

Busulfan is given daily for 4 days.

Total Body Irradiation (TBI)

Intervention Type DRUG

TBI is given twice on the last day.

Interventions

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Melphalan

Melphalan is given daily for 2 days, overlapping with the completion of fludarabine.

Intervention Type DRUG

Fludarabine

Fludarabine is given through the vein daily for 5 days.

Intervention Type DRUG

Antithymocyte Globulin (ATG)

ATG is given every other day for 4 days.

Intervention Type DRUG

Busulfan

Busulfan is given daily for 4 days.

Intervention Type DRUG

Total Body Irradiation (TBI)

TBI is given twice on the last day.

Intervention Type DRUG

Other Intervention Names

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Alkeran Sarcolysin fludarabine phosphate Fludara Myleran Busulfex IV

Eligibility Criteria

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Inclusion Criteria

* Relapsed or refractory acute leukemia (myeloid or lymphoid)
* Acute leukemia in first remission at high-risk for recurrence
* Chronic myelogenous leukemia in accelerated phase or blast-crisis
* Chronic myelogenous leukemia in chronic phase
* Recurrent or refractory malignant lymphoma or Hodgkin lymphoma
* Chronic lymphocytic leukemia, relapsed or with poor prognostic features
* Multiple myeloma
* Myelodysplastic syndrome
* Chronic myeloproliferative disease
* Hemoglobinopathies
* Aplastic anemia

Exclusion Criteria

* Zubrod performance status \> 2
* Life expectancy is severely limited by concomitant illness
* Patients with severely decreased LVEF or impaired pulmonary function tests
* Estimated Creatinine Clearance \<50 ml/min
* Serum bilirubin\> 2.0 mg/dl or SGPT \>3 x upper limit of normal
* Evidence of chronic active hepatitis or cirrhosis
* HIV-positive
* Patient is pregnant
* Patient or guardian not able to sign informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Chicago

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrew Artz, MD

Role: PRINCIPAL_INVESTIGATOR

University of Chicago

Locations

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University of Chicago

Chicago, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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10-020-B

Identifier Type: -

Identifier Source: org_study_id

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