Trial Outcomes & Findings for Gemcitabine Hydrochloride, Clofarabine, and Busulfan Before Donor Stem Cell Transplant in Treating Patients With Refractory B-Cell or T-Cell Non-Hodgkin Lymphoma or Hodgkin Lymphoma (NCT NCT01701986)

NCT ID: NCT01701986

Last Updated: 2025-02-28

Results Overview

Dose limiting toxicity is defined as number of participants experienced grade 3-4 mucositis lasting for more than 3 days at peak severity, grade 3-4 skin toxicity lasting for more than 3 days at peak severity, occurring within 30 days from transplant, or grade 4 nonhematological/noninfectious toxicity.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

64 participants

Primary outcome timeframe

Within 30 days of transplant

Results posted on

2025-02-28

Participant Flow

All participants were registered in MD Anderson Cancer Center

Participant milestones

Participant milestones
Measure
Cohort 1_475mgm2
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Overall Study
STARTED
8
24
32
Overall Study
COMPLETED
8
24
32
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gemcitabine Hydrochloride, Clofarabine, and Busulfan Before Donor Stem Cell Transplant in Treating Patients With Refractory B-Cell or T-Cell Non-Hodgkin Lymphoma or Hodgkin Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1_475mgm2
n=8 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Total
n=64 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
23 Participants
n=7 Participants
32 Participants
n=5 Participants
63 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
10 Participants
n=7 Participants
9 Participants
n=5 Participants
21 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants
43 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
15 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
19 Participants
n=7 Participants
23 Participants
n=5 Participants
49 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
24 participants
n=7 Participants
32 participants
n=5 Participants
64 participants
n=4 Participants

PRIMARY outcome

Timeframe: Within 30 days of transplant

Dose limiting toxicity is defined as number of participants experienced grade 3-4 mucositis lasting for more than 3 days at peak severity, grade 3-4 skin toxicity lasting for more than 3 days at peak severity, occurring within 30 days from transplant, or grade 4 nonhematological/noninfectious toxicity.

Outcome measures

Outcome measures
Measure
Cohort 1_475mgm2
n=8 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Optimal Dose of Gemcitabine Hydrochloride Determined by Dose Limiting Toxicity
Mucositis
0 Participants
6 Participants
20 Participants
Optimal Dose of Gemcitabine Hydrochloride Determined by Dose Limiting Toxicity
Skin
0 Participants
0 Participants
0 Participants
Optimal Dose of Gemcitabine Hydrochloride Determined by Dose Limiting Toxicity
Nonhematological/noninfectious toxicity
3 Participants
6 Participants
10 Participants

PRIMARY outcome

Timeframe: 100 days post transplant

Number of participants that are alive, engrafted, without grade 3-4 GVHD within 100 days post transplant.

Outcome measures

Outcome measures
Measure
Cohort 1_475mgm2
n=8 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Number of Participants That Had 100 Day Success Rate Post Transplant
6 Participants
17 Participants
21 Participants

SECONDARY outcome

Timeframe: Up to 5 years

Number of participants that are still alive 5 years post transplant.

Outcome measures

Outcome measures
Measure
Cohort 1_475mgm2
n=8 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Overall Survival
2 Participants
8 Participants
14 Participants

SECONDARY outcome

Timeframe: Up to 100 days post-transplant

Number of participants that expired from transplant other than disease relapse within the first 100 days post transplant.

Outcome measures

Outcome measures
Measure
Cohort 1_475mgm2
n=8 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 Participants
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Treatment Related Mortality
2 Participants
1 Participants
3 Participants

Adverse Events

Cohort 1_475mgm2

Serious events: 2 serious events
Other events: 8 other events
Deaths: 6 deaths

Cohort 2_675mgm2

Serious events: 2 serious events
Other events: 24 other events
Deaths: 16 deaths

Cohort 3_975mgm2

Serious events: 9 serious events
Other events: 32 other events
Deaths: 18 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1_475mgm2
n=8 participants at risk
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 participants at risk
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 participants at risk
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Investigations
ALT increased
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Investigations
AST increased
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
9.4%
3/32 • Number of events 3 • 5 years
Infections and infestations
Bacterial
12.5%
1/8 • Number of events 1 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
28.1%
9/32 • Number of events 9 • 5 years
Blood and lymphatic system disorders
BL OTH
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Blood and lymphatic system disorders
Bleeding (no GI no PUL)
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Respiratory, thoracic and mediastinal disorders
Broncholitis obliterans
0.00%
0/8 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
0.00%
0/32 • 5 years
Investigations
Creatinine increased
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Gastrointestinal disorders
Diarrhea
0.00%
0/8 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
21.9%
7/32 • Number of events 7 • 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Infections and infestations
Fungal
25.0%
2/8 • Number of events 2 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
0.00%
0/32 • 5 years
Gastrointestinal disorders
GI OTH
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Renal and urinary disorders
Hemorrhagic Cystitis
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Vascular disorders
Hypotension
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Low granulocyte
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Investigations
Low platelet
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
12.5%
4/32 • Number of events 4 • 5 years
General disorders
Other
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/8 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Primary graft failure
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Skin and subcutaneous tissue disorders
Rash
25.0%
2/8 • Number of events 2 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Blood and lymphatic system disorders
Secondary graft failure
12.5%
1/8 • Number of events 1 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
General disorders
Sepsis like syndrome
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Vascular disorders
Thromboembolic event
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Infections and infestations
Viral
25.0%
2/8 • Number of events 2 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
12.5%
4/32 • Number of events 4 • 5 years

Other adverse events

Other adverse events
Measure
Cohort 1_475mgm2
n=8 participants at risk
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 2_675mgm2
n=24 participants at risk
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Cohort 3_975mgm2
n=32 participants at risk
PREPARATIVE REGIMEN: Patients receive gemcitabine hydrochloride IV over 40-180 minutes on days -6 and -4, clofarabine IV over 1 hour on days -6 to -3, and busulfan IV over 3 hours on days -6 to -3. Patients with matched unrelated donors also receive antithymocyte globulin IV on days -3 to -1 and patients with CD20-positive disease also receive rituximab IV on days -14, -7, 1, and 8. TRANSPLANT: Patients undergo allogeneic BMT or PBSCT on day 0. GVHD PROPHYLAXIS: Patients receive tacrolimus IV continuously over 24 hours or PO beginning on day -2 for up to 6 months and mycophenolate mofetil IV over 2 hours or PO TID beginning day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BMT Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic BMT or PBSCT Anti-Thymocyte Globulin: Given IV Busulfan: Given IV Clofarabine: Given IV Gemcitabine Hydrochloride: Given IV Mycophenolate Mofetil: Given IV then PO Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSCT Pharmacological Study: Correlative studies Rituximab: Given IV Tacrolimus: Given IV then PO
Gastrointestinal disorders
Abdominal pain
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Investigations
ALK increased
12.5%
1/8 • Number of events 1 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
34.4%
11/32 • Number of events 11 • 5 years
Investigations
ALT increased
87.5%
7/8 • Number of events 7 • 5 years
66.7%
16/24 • Number of events 16 • 5 years
100.0%
32/32 • Number of events 34 • 5 years
Investigations
Anemia
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Metabolism and nutrition disorders
Anorexia
0.00%
0/8 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Psychiatric disorders
Anxiety
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Gastrointestinal disorders
Ascitis
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Investigations
AST increased
0.00%
0/8 • 5 years
16.7%
4/24 • Number of events 4 • 5 years
53.1%
17/32 • Number of events 17 • 5 years
Infections and infestations
Bacterial
87.5%
7/8 • Number of events 7 • 5 years
100.0%
24/24 • Number of events 31 • 5 years
100.0%
32/32 • Number of events 46 • 5 years
Blood and lymphatic system disorders
Bleeding (no GI no PUL)
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Broncholitis obliterans
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Cardiac disorders
Chest pain
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Skin and subcutaneous tissue disorders
Chronic GVHD
0.00%
0/8 • 5 years
12.5%
3/24 • Number of events 3 • 5 years
0.00%
0/32 • 5 years
Psychiatric disorders
Confusion
12.5%
1/8 • Number of events 1 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
9.4%
3/32 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Investigations
Creatinine increased
12.5%
1/8 • Number of events 1 • 5 years
20.8%
5/24 • Number of events 5 • 5 years
37.5%
12/32 • Number of events 12 • 5 years
Renal and urinary disorders
Cystitis noninfective
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Gastrointestinal disorders
Diarrhea
50.0%
4/8 • Number of events 4 • 5 years
62.5%
15/24 • Number of events 15 • 5 years
87.5%
28/32 • Number of events 28 • 5 years
Eye disorders
Dry eye
37.5%
3/8 • Number of events 3 • 5 years
12.5%
3/24 • Number of events 3 • 5 years
0.00%
0/32 • 5 years
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Cardiac disorders
Dysrhythmia
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
12.5%
4/32 • Number of events 4 • 5 years
Cardiac disorders
Ejection fraction decreased
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
Nervous system disorders
Encephalopathy
12.5%
1/8 • Number of events 1 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
General disorders
Fatigue
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Blood and lymphatic system disorders
Febrile neutropenia
50.0%
4/8 • Number of events 4 • 5 years
66.7%
16/24 • Number of events 16 • 5 years
75.0%
24/32 • Number of events 24 • 5 years
General disorders
Fever
37.5%
3/8 • Number of events 3 • 5 years
33.3%
8/24 • Number of events 8 • 5 years
34.4%
11/32 • Number of events 11 • 5 years
General disorders
Flu like syndrome
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
0.00%
0/32 • 5 years
General disorders
Fluid overload
62.5%
5/8 • Number of events 5 • 5 years
54.2%
13/24 • Number of events 13 • 5 years
68.8%
22/32 • Number of events 22 • 5 years
Infections and infestations
Fungal
12.5%
1/8 • Number of events 1 • 5 years
25.0%
6/24 • Number of events 6 • 5 years
9.4%
3/32 • Number of events 3 • 5 years
Gastrointestinal disorders
Gastrointestinal bleeding
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Gastrointestinal disorders
GI OTH
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Gastrointestinal disorders
GI ULC
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Investigations
Haptoglobin
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Nervous system disorders
Headache
0.00%
0/8 • 5 years
12.5%
3/24 • Number of events 3 • 5 years
18.8%
6/32 • Number of events 6 • 5 years
Renal and urinary disorders
Hemorrhagic Cystitis
0.00%
0/8 • 5 years
20.8%
5/24 • Number of events 5 • 5 years
34.4%
11/32 • Number of events 11 • 5 years
Gastrointestinal disorders
Hemorrhoids
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Hiccups
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Hepatobiliary disorders
HP OTH
0.00%
0/8 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
0.00%
0/32 • 5 years
Blood and lymphatic system disorders
HSCT related microangiopathy (TA-TMA)
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Vascular disorders
Hypertension
12.5%
1/8 • Number of events 1 • 5 years
25.0%
6/24 • Number of events 6 • 5 years
21.9%
7/32 • Number of events 7 • 5 years
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Vascular disorders
Hypotension
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
9.4%
3/32 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Investigations
LDH increased
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Blood and lymphatic system disorders
Low granulocyte
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Investigations
Low platelet
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Gastrointestinal disorders
Lower Gl track obstruction
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Gastrointestinal disorders
Nausea
75.0%
6/8 • Number of events 6 • 5 years
100.0%
24/24 • Number of events 31 • 5 years
100.0%
32/32 • Number of events 52 • 5 years
Eye disorders
Ocular GvHD
0.00%
0/8 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Gastrointestinal disorders
Oral GvHD
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
6.2%
2/32 • Number of events 2 • 5 years
Gastrointestinal disorders
Oral mucositis
100.0%
8/8 • Number of events 8 • 5 years
100.0%
24/24 • Number of events 26 • 5 years
100.0%
32/32 • Number of events 34 • 5 years
General disorders
Other
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
9.4%
3/32 • Number of events 3 • 5 years
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia
12.5%
1/8 • Number of events 1 • 5 years
8.3%
2/24 • Number of events 2 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Infections and infestations
Parasite
12.5%
1/8 • Number of events 1 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Cardiac disorders
Pericardial effusion
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
12.5%
1/8 • Number of events 1 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
25.0%
2/8 • Number of events 2 • 5 years
33.3%
8/24 • Number of events 8 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Nervous system disorders
PRES
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
PU OTH
0.00%
0/8 • 5 years
4.2%
1/24 • Number of events 1 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Skin and subcutaneous tissue disorders
Rash
100.0%
8/8 • Number of events 8 • 5 years
70.8%
17/24 • Number of events 17 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Blood and lymphatic system disorders
Schistocytes
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Immune system disorders
Serum sickness
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Investigations
T bilirubin increased
75.0%
6/8 • Number of events 6 • 5 years
62.5%
15/24 • Number of events 15 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Vascular disorders
Thromboembolic event
12.5%
1/8 • Number of events 1 • 5 years
12.5%
3/24 • Number of events 3 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Nervous system disorders
Tremor
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
15.6%
5/32 • Number of events 5 • 5 years
Infections and infestations
Viral
87.5%
7/8 • Number of events 7 • 5 years
100.0%
24/24 • Number of events 34 • 5 years
100.0%
32/32 • Number of events 45 • 5 years
Hepatobiliary disorders
VOD
12.5%
1/8 • Number of events 1 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years
Gastrointestinal disorders
Vomiting
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
3.1%
1/32 • Number of events 1 • 5 years
Investigations
Wbc decreased
0.00%
0/8 • 5 years
0.00%
0/24 • 5 years
0.00%
0/32 • 5 years

Additional Information

Dr. Yago Nieto, MD, PhD/ Stem Cell Transplantation Department

University of Texas MD Anderson Cancer Center

Phone: 713-792-8750

Results disclosure agreements

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