At a glance
ClinicalIndex Comparison Record- ✓Cytologically proven myelodysplastic syndrome (RA, RA with ringed sideroblasts, RA with excess blasts, or CMML)
- ✓IPSS score ≥0.5 OR red cell transfusion dependence (≥2 units/month for ≥6 months)
- ✓HLA-matched donor available (related or unrelated; related 5/6 or 6/6 loci, unrelated at all loci or single mismatch)
- ✓<20% blasts on bone marrow study within 1 month of study entry
- ✕Prior myeloablative or nonmyeloablative allogeneic transplantation for MDS or AML
- ✕Pregnant or nursing
- ✕Active ongoing infection
- ✕Other medical condition that would reduce life expectancy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Study of Reduced Intensity Allogeneic Bone Marrow Transplant for the Treatment of Myelodysplastic Syndromes
In Brief
A Phase 2 clinical trial evaluating Cyclosporine, Methotrexate, and 6 other interventions for Leukemia and 2 related conditions. Completed, enrolled 17 participants across 6 sites.
Detailed Summary
RATIONALE: Photopheresis treats the patient's blood with drugs and ultraviolet light outside the body and kills the white blood cells. Giving photopheresis, pentostatin, and radiation therapy before a donor bone marrow or stem cell transplant helps stop the patient's immune system from rejecting the donor's stem cells. The donated stem cells may replace the patient's immune system and help destroy any remaining cancer cells (graft-versus-tumor effect). Sometimes the transplanted cells from a donor can also make an immune response against the body's normal cells. Giving pentostatin before transplant and cyclosporine or mycophenolate mofetil after transplant may stop this from happening. PURPOSE: This phase II trial is studying how well giving pentostatin together with photopheresis and total-body irradiation work before donor bone marrow transplant in treating patients with myelodysplastic syndromes.
Study Details
Timeline
Interventions
Immunosuppressant
Antimetabolite
Psoralens
an antibiotic with immunosuppressamt properties isolated from Penicillium spp
Purine analogue
Unmanipulated allogeneic bone marrow
G-CSF mobilized peripheral blood stem cell
a total of 600 cGy given in 3 200 cGy fractionated doses