Trial Outcomes & Findings for Propylene Glycol-Free Melphalan HCl (EVOMELA®) in Combination With Fludarabine and Total Body Irradiation Based Reduced Intensity Conditioning for Haploidentical Transplantation (NCT NCT03159702)

NCT ID: NCT03159702

Last Updated: 2026-01-27

Results Overview

Progression-free survival (PFS) is defined as the interval from the date of transplantation to the earlier of the following events: (1) the first documented objective disease progression; (2) death from any cause. Subjects without documented PD/death will be censored at the earliest of the of the following times: (1) the starting time of a new treatment other than the study treatment; (2) the last efficacy assessment date.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

43 participants

Primary outcome timeframe

1 year

Results posted on

2026-01-27

Participant Flow

Participant milestones

Participant milestones
Measure
MEL/FLU and Total-Body Irradiation (TBI)
For patients who are \< 60 years. * Melphalan: 140 mg/m2/day IV on Day: -6 * Fludarabine: 40 mg/ m2/day IV Days: -5 -4, -3, -2 (Adults: creatinine clearance (CrCl) may be estimated by the Cockcroft Formula: CrCl = \[(140-age) x weight (kg) x 0.85 (for women only)\]/ \[72 x creat (mg/dl)\].) * TBI: 200 cGy Day: -1. For patients who are ≥60 years and/or Hematopoietic Cell Transplant-Co-morbidity Index (HCT-CI) score of \>3 (at the discretion of treating physician will have an option to receive): * Melphalan: 70 mg/m2/day IV on Day -6. * Fludarabine: 40 mg/m2/day IV Days -5, -4, -3, -2. * TBI: 200 cGy; Days -1. Evomela: 140 mg/m\^2/day IV on Day -6 for patients who are \< 60 years of age. 70 mg/m\^2/day IV on Day -6 For patients who are ≥60 years or have a HCT-CI score of \>3 Fludarabine: 40 mg/ m\^2/day intravenous on Days: -5 -4, -3, -2 Total Body Irradiation: 200 cGy on Day: -1
Overall Study
STARTED
43
Overall Study
COMPLETED
43
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Propylene Glycol-Free Melphalan HCl (EVOMELA®) in Combination With Fludarabine and Total Body Irradiation Based Reduced Intensity Conditioning for Haploidentical Transplantation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MEL/FLU and Total-Body Irradiation (TBI)
n=43 Participants
For patients who are \< 60 years. * Melphalan: 140 mg/m2/day IV on Day: -6 * Fludarabine: 40 mg/ m2/day IV Days: -5 -4, -3, -2 (Adults: creatinine clearance (CrCl) may be estimated by the Cockcroft Formula: CrCl = \[(140-age) x weight (kg) x 0.85 (for women only)\]/ \[72 x creat (mg/dl)\].) * TBI: 200 cGy Day: -1. For patients who are ≥60 years and/or Hematopoietic Cell Transplant-Co-morbidity Index (HCT-CI) score of \>3 (at the discretion of treating physician will have an option to receive): * Melphalan: 70 mg/m2/day IV on Day -6. * Fludarabine: 40 mg/m2/day IV Days -5, -4, -3, -2. * TBI: 200 cGy; Days -1. Evomela: 140 mg/m\^2/day IV on Day -6 for patients who are \< 60 years of age. 70 mg/m\^2/day IV on Day -6 For patients who are ≥60 years or have a HCT-CI score of \>3 Fludarabine: 40 mg/ m\^2/day intravenous on Days: -5 -4, -3, -2 Total Body Irradiation: 200 cGy on Day: -1
Age, Categorical
<=18 years
0 Participants
n=25 Participants
Age, Categorical
Between 18 and 65 years
27 Participants
n=25 Participants
Age, Categorical
>=65 years
16 Participants
n=25 Participants
Sex: Female, Male
Female
14 Participants
n=25 Participants
Sex: Female, Male
Male
29 Participants
n=25 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=25 Participants
Race (NIH/OMB)
Asian
0 Participants
n=25 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=25 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=25 Participants
Race (NIH/OMB)
White
36 Participants
n=25 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=25 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=25 Participants
Region of Enrollment
United States
43 participants
n=25 Participants

PRIMARY outcome

Timeframe: 1 year

Progression-free survival (PFS) is defined as the interval from the date of transplantation to the earlier of the following events: (1) the first documented objective disease progression; (2) death from any cause. Subjects without documented PD/death will be censored at the earliest of the of the following times: (1) the starting time of a new treatment other than the study treatment; (2) the last efficacy assessment date.

Outcome measures

Outcome measures
Measure
MEL/FLU and Total-Body Irradiation (TBI)
n=43 Participants
For patients who are \< 60 years. * Melphalan: 140 mg/m2/day IV on Day: -6 * Fludarabine: 40 mg/ m2/day IV Days: -5 -4, -3, -2 (Adults: creatinine clearance (CrCl) may be estimated by the Cockcroft Formula: CrCl = \[(140-age) x weight (kg) x 0.85 (for women only)\]/ \[72 x creat (mg/dl)\].) * TBI: 200 cGy Day: -1. For patients who are ≥60 years and/or Hematopoietic Cell Transplant-Co-morbidity Index (HCT-CI) score of \>3 (at the discretion of treating physician will have an option to receive): * Melphalan: 70 mg/m2/day IV on Day -6. * Fludarabine: 40 mg/m2/day IV Days -5, -4, -3, -2. * TBI: 200 cGy; Days -1. Evomela: 140 mg/m\^2/day IV on Day -6 for patients who are \< 60 years of age. 70 mg/m\^2/day IV on Day -6 For patients who are ≥60 years or have a HCT-CI score of \>3 Fludarabine: 40 mg/ m\^2/day intravenous on Days: -5 -4, -3, -2 Total Body Irradiation: 200 cGy on Day: -1 Haploidentical Hematopoietic Cell Transplantation: This is a procedure that uses healthy blood-forming cells from a half-matched donor, typically a family member, to replace a patient's unhealthy ones.
Progression-free Survival (PFS) of Participants With Hematological Malignancies Undergoing Treatment.
17 Participants

PRIMARY outcome

Timeframe: 2 Years

An SAE is defined as any untoward medical occurrence at any dose, including death, life threatening, hospitalization, disability/incapacity, medically important event. The measure of this outcome is the number of participants with SAEs.

Outcome measures

Outcome measures
Measure
MEL/FLU and Total-Body Irradiation (TBI)
n=43 Participants
For patients who are \< 60 years. * Melphalan: 140 mg/m2/day IV on Day: -6 * Fludarabine: 40 mg/ m2/day IV Days: -5 -4, -3, -2 (Adults: creatinine clearance (CrCl) may be estimated by the Cockcroft Formula: CrCl = \[(140-age) x weight (kg) x 0.85 (for women only)\]/ \[72 x creat (mg/dl)\].) * TBI: 200 cGy Day: -1. For patients who are ≥60 years and/or Hematopoietic Cell Transplant-Co-morbidity Index (HCT-CI) score of \>3 (at the discretion of treating physician will have an option to receive): * Melphalan: 70 mg/m2/day IV on Day -6. * Fludarabine: 40 mg/m2/day IV Days -5, -4, -3, -2. * TBI: 200 cGy; Days -1. Evomela: 140 mg/m\^2/day IV on Day -6 for patients who are \< 60 years of age. 70 mg/m\^2/day IV on Day -6 For patients who are ≥60 years or have a HCT-CI score of \>3 Fludarabine: 40 mg/ m\^2/day intravenous on Days: -5 -4, -3, -2 Total Body Irradiation: 200 cGy on Day: -1 Haploidentical Hematopoietic Cell Transplantation: This is a procedure that uses healthy blood-forming cells from a half-matched donor, typically a family member, to replace a patient's unhealthy ones.
Serious Adverse Events (SAE).
12 Participants

SECONDARY outcome

Timeframe: 1 Year

This is the number of participants expiring without recurrent or progressive disease after transplantation.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 Year and 2 Year

The number of participants still alive at one year and 2 years.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 100 and 1 Year

The number of participants who relapse following reduced-intensity conditioning haploidentical transplantation at Day 100 and 1 Year.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 30

The average of the number of days that it takes for neutrophil recovery from reduced-intensity conditioning haploidentical transplantation. Neutrophil recovery means absolute neutrophil count of 0.5x10\^3 cells/uL.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 30

The average of the number of days that it takes for platelet recovery from reduced-intensity conditioning haploidentical transplantation. Platelet recovery means absolute neutrophil count of 50x10\^3 cells/uL.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Days 100 and 180

The number of participants with graft-versus-host disease using the Center for International Bone Marrow Transplant Research criteria.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 Year

The number of participants with chronic GVHD at one-year post transplantation using the Center for International Bone Marrow Transplant Research criteria.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 30

Number of subjects whose grafts failed to implant.

Outcome measures

Outcome data not reported

Adverse Events

MEL/FLU and Total-Body Irradiation (TBI)

Serious events: 12 serious events
Other events: 43 other events
Deaths: 18 deaths

Serious adverse events

Serious adverse events
Measure
MEL/FLU and Total-Body Irradiation (TBI)
n=43 participants at risk
For patients who are \< 60 years. * Melphalan: 140 mg/m2/day IV on Day: -6 * Fludarabine: 40 mg/ m2/day IV Days: -5 -4, -3, -2 (Adults: creatinine clearance (CrCl) may be estimated by the Cockcroft Formula: CrCl = \[(140-age) x weight (kg) x 0.85 (for women only)\]/ \[72 x creat (mg/dl)\].) * TBI: 200 cGy Day: -1. For patients who are ≥60 years and/or Hematopoietic Cell Transplant-Co-morbidity Index (HCT-CI) score of \>3 (at the discretion of treating physician will have an option to receive): * Melphalan: 70 mg/m2/day IV on Day -6. * Fludarabine: 40 mg/m2/day IV Days -5, -4, -3, -2. * TBI: 200 cGy; Days -1. Evomela: 140 mg/m\^2/day IV on Day -6 for patients who are \< 60 years of age. 70 mg/m\^2/day IV on Day -6 For patients who are ≥60 years or have a HCT-CI score of \>3 Fludarabine: 40 mg/ m\^2/day intravenous on Days: -5 -4, -3, -2 Total Body Irradiation: 200 cGy on Day: -1
Infections and infestations
CMV Viremia
2.3%
1/43 • Number of events 1 • 2 Years
Infections and infestations
HHVS Virus
2.3%
1/43 • Number of events 1 • 2 Years
Blood and lymphatic system disorders
Febrile neutropenia
4.7%
2/43 • Number of events 2 • 2 Years
Immune system disorders
Cytokine release syndrome
4.7%
2/43 • Number of events 2 • 2 Years
Infections and infestations
Upper respiratory infection
2.3%
1/43 • Number of events 1 • 2 Years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervical Mass
2.3%
1/43 • Number of events 1 • 2 Years
Infections and infestations
Sepsis
7.0%
3/43 • Number of events 3 • 2 Years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polys) - Other
7.0%
3/43 • Number of events 3 • 2 Years
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
2.3%
1/43 • Number of events 1 • 2 Years
Cardiac disorders
Pericardial effusion
2.3%
1/43 • Number of events 1 • 2 Years
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.3%
1/43 • Number of events 1 • 2 Years
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
4.7%
2/43 • Number of events 2 • 2 Years
Vascular disorders
Hypotension
4.7%
2/43 • Number of events 2 • 2 Years
Gastrointestinal disorders
Diarrhea
2.3%
1/43 • Number of events 1 • 2 Years
General disorders
Fever
4.7%
2/43 • Number of events 2 • 2 Years
Gastrointestinal disorders
Typhlitis
2.3%
1/43 • Number of events 1 • 2 Years
Nervous system disorders
Altered mental status
4.7%
2/43 • Number of events 2 • 2 Years
Renal and urinary disorders
Acute kidney injury
4.7%
2/43 • Number of events 2 • 2 Years
Respiratory, thoracic and mediastinal disorders
Tachypnea
2.3%
1/43 • Number of events 1 • 2 Years
Vascular disorders
Thromboembolic event
2.3%
1/43 • Number of events 1 • 2 Years
Cardiac disorders
Atrial fibrillation
2.3%
1/43 • Number of events 1 • 2 Years
Gastrointestinal disorders
Mucositis oral
2.3%
1/43 • Number of events 1 • 2 Years
Gastrointestinal disorders
Blood in stool
2.3%
1/43 • Number of events 1 • 2 Years
Investigations
Platelet count decreased
2.3%
1/43 • Number of events 1 • 2 Years

Other adverse events

Other adverse events
Measure
MEL/FLU and Total-Body Irradiation (TBI)
n=43 participants at risk
For patients who are \< 60 years. * Melphalan: 140 mg/m2/day IV on Day: -6 * Fludarabine: 40 mg/ m2/day IV Days: -5 -4, -3, -2 (Adults: creatinine clearance (CrCl) may be estimated by the Cockcroft Formula: CrCl = \[(140-age) x weight (kg) x 0.85 (for women only)\]/ \[72 x creat (mg/dl)\].) * TBI: 200 cGy Day: -1. For patients who are ≥60 years and/or Hematopoietic Cell Transplant-Co-morbidity Index (HCT-CI) score of \>3 (at the discretion of treating physician will have an option to receive): * Melphalan: 70 mg/m2/day IV on Day -6. * Fludarabine: 40 mg/m2/day IV Days -5, -4, -3, -2. * TBI: 200 cGy; Days -1. Evomela: 140 mg/m\^2/day IV on Day -6 for patients who are \< 60 years of age. 70 mg/m\^2/day IV on Day -6 For patients who are ≥60 years or have a HCT-CI score of \>3 Fludarabine: 40 mg/ m\^2/day intravenous on Days: -5 -4, -3, -2 Total Body Irradiation: 200 cGy on Day: -1
General disorders
Chills
27.9%
12/43 • Number of events 18 • 2 Years
Gastrointestinal disorders
Constipation
34.9%
15/43 • Number of events 18 • 2 Years
Respiratory, thoracic and mediastinal disorders
Cough
16.3%
7/43 • Number of events 10 • 2 Years
Investigations
Creatinine increased
41.9%
18/43 • Number of events 37 • 2 Years
Gastrointestinal disorders
Diarrhea
88.4%
38/43 • Number of events 86 • 2 Years
Nervous system disorders
Dysgeusia
11.6%
5/43 • Number of events 8 • 2 Years
Gastrointestinal disorders
Dyspepsia
18.6%
8/43 • Number of events 8 • 2 Years
Gastrointestinal disorders
Dysphagia
16.3%
7/43 • Number of events 9 • 2 Years
Respiratory, thoracic and mediastinal disorders
Dyspnea
41.9%
18/43 • Number of events 31 • 2 Years
General disorders
Edema limbs
46.5%
20/43 • Number of events 28 • 2 Years
Investigations
Electrocardiogram QT corrected interval prolonged
11.6%
5/43 • Number of events 10 • 2 Years
Respiratory, thoracic and mediastinal disorders
Epistaxis
25.6%
11/43 • Number of events 12 • 2 Years
General disorders
Fatigue
65.1%
28/43 • Number of events 55 • 2 Years
Blood and lymphatic system disorders
Febrile neutropenia
58.1%
25/43 • Number of events 32 • 2 Years
Gastrointestinal disorders
Fecal incontinence
30.2%
13/43 • Number of events 20 • 2 Years
General disorders
Fever
51.2%
22/43 • Number of events 37 • 2 Years
Vascular disorders
Flushing
14.0%
6/43 • Number of events 7 • 2 Years
Gastrointestinal disorders
Gastroesophageal reflux disease
14.0%
6/43 • Number of events 9 • 2 Years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
18.6%
8/43 • Number of events 9 • 2 Years
Psychiatric disorders
Hallucinations
9.3%
4/43 • Number of events 4 • 2 Years
Nervous system disorders
Headache
46.5%
20/43 • Number of events 38 • 2 Years
Renal and urinary disorders
Hematuria
27.9%
12/43 • Number of events 15 • 2 Years
Gastrointestinal disorders
Hemorrhoids
25.6%
11/43 • Number of events 11 • 2 Years
Respiratory, thoracic and mediastinal disorders
Hiccups
9.3%
4/43 • Number of events 4 • 2 Years
Metabolism and nutrition disorders
Hyperglycemia
30.2%
13/43 • Number of events 23 • 2 Years
Metabolism and nutrition disorders
Hyperkalemia
23.3%
10/43 • Number of events 21 • 2 Years
Vascular disorders
Hypertension
48.8%
21/43 • Number of events 61 • 2 Years
Metabolism and nutrition disorders
Hypertriglyceridemia
14.0%
6/43 • Number of events 12 • 2 Years
Metabolism and nutrition disorders
Hypoalbuminemia
55.8%
24/43 • Number of events 47 • 2 Years
Metabolism and nutrition disorders
Hypocalcemia
60.5%
26/43 • Number of events 70 • 2 Years
Metabolism and nutrition disorders
Hypokalemia
62.8%
27/43 • Number of events 71 • 2 Years
Metabolism and nutrition disorders
Hypomagnesemia
69.8%
30/43 • Number of events 49 • 2 Years
Metabolism and nutrition disorders
Hyponatremia
53.5%
23/43 • Number of events 54 • 2 Years
Metabolism and nutrition disorders
Hypophosphatemia
53.5%
23/43 • Number of events 46 • 2 Years
Vascular disorders
Hypotension
44.2%
19/43 • Number of events 54 • 2 Years
Respiratory, thoracic and mediastinal disorders
Hypoxia
18.6%
8/43 • Number of events 14 • 2 Years
Psychiatric disorders
Insomnia
27.9%
12/43 • Number of events 20 • 2 Years
Investigations
Lymphocyte count decreased
69.8%
30/43 • Number of events 66 • 2 Years
Gastrointestinal disorders
Mucositis oral
39.5%
17/43 • Number of events 23 • 2 Years
Respiratory, thoracic and mediastinal disorders
Nasal congestion
14.0%
6/43 • Number of events 8 • 2 Years
Gastrointestinal disorders
Nausea
86.0%
37/43 • Number of events 72 • 2 Years
Investigations
Neutrophil count decreased
72.1%
31/43 • Number of events 107 • 2 Years
General disorders
Non-cardiac chest pain
11.6%
5/43 • Number of events 7 • 2 Years
Musculoskeletal and connective tissue disorders
Pain in extremity
16.3%
7/43 • Number of events 10 • 2 Years
Cardiac disorders
Pericardial effusion
9.3%
4/43 • Number of events 5 • 2 Years
Investigations
Platelet count decreased
81.4%
35/43 • Number of events 167 • 2 Years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
11.6%
5/43 • Number of events 7 • 2 Years
Respiratory, thoracic and mediastinal disorders
Productive cough
9.3%
4/43 • Number of events 7 • 2 Years
Renal and urinary disorders
Proteinuria
9.3%
4/43 • Number of events 13 • 2 Years
Skin and subcutaneous tissue disorders
Rash maculo-papular
30.2%
13/43 • Number of events 18 • 2 Years
Renal and urinary disorders
Dysuria
9.3%
4/43 • Number of events 5 • 2 Years
Respiratory, thoracic and mediastinal disorders
Respiratory failure
9.3%
4/43 • Number of events 6 • 2 Years
Cardiac disorders
Sinus tachycardia
39.5%
17/43 • Number of events 35 • 2 Years
Respiratory, thoracic and mediastinal disorders
Sore throat
20.9%
9/43 • Number of events 16 • 2 Years
Nervous system disorders
Tremor
14.0%
6/43 • Number of events 9 • 2 Years
Renal and urinary disorders
Urinary frequency
27.9%
12/43 • Number of events 18 • 2 Years
Renal and urinary disorders
Urinary incontinence
25.6%
11/43 • Number of events 13 • 2 Years
Renal and urinary disorders
Urinary urgency
14.0%
6/43 • Number of events 8 • 2 Years
Gastrointestinal disorders
Vomiting
44.2%
19/43 • Number of events 36 • 2 Years
Investigations
Weight gain
9.3%
4/43 • Number of events 11 • 2 Years
Investigations
Weight loss
16.3%
7/43 • Number of events 7 • 2 Years
Respiratory, thoracic and mediastinal disorders
Wheezing
16.3%
7/43 • Number of events 11 • 2 Years
Investigations
White blood cell decreased
65.1%
28/43 • Number of events 107 • 2 Years
Gastrointestinal disorders
Abdominal pain
39.5%
17/43 • Number of events 33 • 2 Years
Renal and urinary disorders
Acute kidney injury
16.3%
7/43 • Number of events 16 • 2 Years
Investigations
Alanine aminotransferase increased
18.6%
8/43 • Number of events 16 • 2 Years
Investigations
Alkaline phosphatase increased
9.3%
4/43 • Number of events 13 • 2 Years
Gastrointestinal disorders
Anal pain
11.6%
5/43 • Number of events 6 • 2 Years
Blood and lymphatic system disorders
Anemia
72.1%
31/43 • Number of events 87 • 2 Years
Metabolism and nutrition disorders
Anorexia
46.5%
20/43 • Number of events 42 • 2 Years
Investigations
Aspartate aminotransferase increased
18.6%
8/43 • Number of events 18 • 2 Years
Musculoskeletal and connective tissue disorders
Back pain
20.9%
9/43 • Number of events 9 • 2 Years
Renal and urinary disorders
Bladder spasm
14.0%
6/43 • Number of events 6 • 2 Years

Additional Information

Mehdi Hamadani, MD

Medical College of Wisconsin

Phone: 414-805-4600

Results disclosure agreements

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