At a glance
ClinicalIndex Comparison Record- ✓Severe aplastic anemia with marrow cellularity <25% or 25–50% with <30% hematopoietic cells, OR ≥2 abnormal peripheral blood counts (reticulocyte <1%, platelet <20,000/mm³, neutrophil <500/mm³)
- ✓Histologically confirmed acute leukemia (AML or ALL) in first remission at high risk OR resistant/recurrent after chemotherapy
- ✓Chronic myeloid leukemia in chronic, accelerated, or blast phase
- ✓Lymphoproliferative or myeloproliferative disease (myelofibrosis, refractory anemia, RAEB, CMML, or transformed polycythemia vera/essential thrombocythemia)
- ✕Prior radiotherapy exceeding specified dose limits to mediastinum, heart, whole lungs, small bowel, kidneys, whole liver, cranial spinal, brain, or retina
- ✕Uncontrolled bacterial, viral, or fungal infection
- ✕HIV positive
- ✕Hepatitis B surface antigen positive
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Allogeneic Blood or Marrow Transplantation for Hematologic Malignancy and Aplastic Anemia
In Brief
A Phase 3 clinical trial evaluating anti-thymocyte globulin, busulfan, and 7 other interventions for Chronic Myeloproliferative Disorders and 7 related conditions. Completed, enrolled 361 participants across 1 site.
Detailed Summary
RATIONALE: Giving chemotherapy drugs and total-body irradiation before a donor stem cell helps stop the growth of cancer or abnormal cells. It may also stop the patient's immune system from rejecting the donor's stem cells. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. It is not yet known which combination chemotherapy regimen is most effective when given before a donor stem cell transplant in treating aplastic anemia or hematologic cancer. PURPOSE: This phase II/III trial is studying different combination chemotherapy regimens to compare how well they work when given before donor stem cell transplant in treating patients with aplastic anemia or hematologic cancer.
Study Details
Timeline
Interventions
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given twice daily for 3 days