Conditioning Treatment With Umbilical Cord Blood Transplant for Hematologic Malignancies

NCT ID: NCT01622556

Last Updated: 2014-02-11

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2017-01-31

Brief Summary

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This is a phase II study to assess the day 180 event free and overall survival after administration of a specified combination of fludarabine, busulfan, Total Body Irradiation (TBI), and thymoglobulin reduced intensity conditioning and 2 unit UCB stem cell transplant in a single institution setting in patients with hematologic malignancies for whom allogeneic transplantation is indicated.

Detailed Description

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Conditions

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Hematologic Malignancies

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Reduced Intensity Conditioning with UCB Transplant

Group Type EXPERIMENTAL

Fludarabine

Intervention Type DRUG

35 mg/m2 IV/day x 5 days

Busulfan

Intervention Type DRUG

.8 mg/kg IV Q6h x 8 doses

Thymoglobulin

Intervention Type DRUG

1.5 mg/kg/day x 3 days

Total Body Irradiation

Intervention Type RADIATION

150 cGy for 2 days

Umbilical Cord Blood

Intervention Type BIOLOGICAL

Two partially HLA-matched UCB units. Each unit must match at a minimum of 4 of 6 at HLA-A, -B, -DRB1 loci with the recipient.

Interventions

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Fludarabine

35 mg/m2 IV/day x 5 days

Intervention Type DRUG

Busulfan

.8 mg/kg IV Q6h x 8 doses

Intervention Type DRUG

Thymoglobulin

1.5 mg/kg/day x 3 days

Intervention Type DRUG

Total Body Irradiation

150 cGy for 2 days

Intervention Type RADIATION

Umbilical Cord Blood

Two partially HLA-matched UCB units. Each unit must match at a minimum of 4 of 6 at HLA-A, -B, -DRB1 loci with the recipient.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

Subjects 18-70 years old. ECOG 0-2

Patients must have a diagnosis of one of the following:

* Chronic Myeloid Leukemia
* Acute Myeloid Leukemia
* Acute Lymphoblastic Leukemia
* Hodgkin's Disease
* Non-Hodgkins Lymphoma
* Myelodysplastic Syndromes
* Myeloproliferative Disorder

Patients must have adequate visceral organ function

* Patients must furnish written informed consent and HIPAA authorization for release of personal health information.
* Patients must be able to understand the requirements of the study, abide by the study restrictions, and agree to return for the required assessments.

Exclusion Criteria

* Patients who have a histocompatible sibling-matched donor age 18 to 65 years in good health who is willing to donate stem cells are ineligible.
* Patients who are pregnant are ineligible.
* Patients are ineligible if they have received cumulative chemotherapy doses in excess of: carmustine (BCNU) 400 mg/m2, and/or a cumulative anthracycline exposure in excess of 550 mg/m2 doxorubicin (Adriamycin®) unless gated-pool radionuclide cardiac scan shows greater than/equal to 45% ejection fraction.

Patients who are HIV or HTLV-I, -II antibody sero-positive are ineligible.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Virginia

OTHER

Sponsor Role lead

Responsible Party

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Amer Beitinjaneh, MD

Assistant Professor of Medicine, Medical Director Stem Cell Transplant Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amer M Beitinjaneh, MD

Role: PRINCIPAL_INVESTIGATOR

University of Virginia

Locations

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University of Virginia

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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15954 UCB-2011

Identifier Type: -

Identifier Source: org_study_id

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