At a glance
ClinicalIndex Comparison Record- ✓One of the following hematologic malignancies: AML, MDS, ALL, CML, NHL, HD, CLL, or chronic eosinophilic leukemia
- ✓Two CB units available, matched at 4, 5, or 6/6 HLA class I and II antigens, each with ≥1E7 total nucleated cells/kg recipient body weight
- ✓Karnofsky performance score ≥60% (age ≥12 years) or Lansky scale (age <12 years) for myeloablative regimens; ECOG PS <3 or Karnofsky ≥60% for non-myeloablative
- ✓Age >1 month and ≤60 years for myeloablative therapy (Regimen 1); ≤80 years for non-myeloablative (Regimen 2); ≤50 years for VP16-TBI (Regimen 3)
- ✕HIV positive
- ✕Pregnancy
- ✕Serious medical condition
- ✕Malignant cells in CSF (positive lumbar puncture) or documented metastatic parenchymal disease
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Randomized Trial of Unmanipulated Versus Expanded Cord Blood
In Brief
A Phase 2 clinical trial evaluating Expanded allogeneic cord blood (CB), One Unmanipulated and One Expanded Cord Blood Unit, and 7 other interventions for Leukemia, Lymphocytic, Acute and 3 related conditions. Completed, enrolled 110 participants across 1 site.
Detailed Summary
The goal of this clinical research study is to learn if combining cord blood units to make the cells "take" faster in recipients will help to improve the results of cord blood transplants.
Study Details
Timeline
Interventions
Transplantation of Two Unmanipulated Cord Blood Units.
Transplantation of One Unmanipulated and One Expanded Cord Blood Unit.
375 mg/m2 by vein on Day - 9 for patients with CD20 + malignancies.
140 mg/m2 by vein on Day -8.
5 mg/Kg by vein on Day -7.
40 mg/m2 by vein on Days -6 to -3.
50 mg/kg by vein on Day -6.
10 mg/kg by vein before the 1st dose of Cyclophosphamide, then 10 mg/kg every 4 hours for four more doses (total of 50 mg/Kg).
Total body irradiation (TBI) given on Day -1 at 2 Gy.