At a glance
ClinicalIndex Comparison Record- ✓Patient must be not eligible for conventional allogeneic hematopoietic cell transplantation (HCT) and must have disease expected to be stable for at least 100 days without chemotherapy
- ✓AML: must have <5% marrow blasts at time of transplant
- ✓ALL: must have <5% marrow blasts at time of transplant
- ✓CML: accepted beyond first chronic phase (CP1) if received previous myelosuppressive chemotherapy or HCT, and have <5% marrow blasts at time of transplant
- ✕Eligible for high priority curative autologous transplant
- ✕Presence of circulating leukemic blasts in peripheral blood for patients with AML, ALL, or CML
- ✕Life expectancy severely limited by diseases other than malignancy
- ✕Any current CNS involvement with disease refractory to intrathecal chemotherapy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Multi-Center Study of Nonmyeloablative Conditioning With TBI or Fludarabine/TBI for HLA-matched Related Hematopoietic Cell Transplantation for Treatment of Hematologic Malignancies With Post Grafting Immunosuppression With Tacrolimus and Mycophenolate Mofetil
In Brief
A Phase 2 clinical trial evaluating fludarabine phosphate, total-body irradiation, and 5 other interventions for Accelerated Phase Chronic Myelogenous Leukemia and 173 related conditions. Completed, enrolled 150 participants across 5 sites in 2 countries.
Detailed Summary
This phase II trial studies how well tacrolimus and mycophenolate mofetil works in preventing graft-versus-host disease in patients who have undergone total-body irradiation (TBI) with or without fludarabine phosphate followed by donor peripheral blood stem cell transplant for hematologic cancer. Giving low doses of chemotherapy, such as fludarabine phosphate, and TBI before a donor peripheral blood stem cell transplant helps stop the growth of cancer cells. It also stops 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 tacrolimus and mycophenolate mofetil after the transplant may stop this from happening.
Study Details
Timeline
Interventions
Given IV
Undergo radiotherapy
Given IV or PO
Given IV or PO
Undergo allogeneic peripheral blood stem cell transplant
Undergo allogeneic peripheral blood stem cell transplant
Correlative studies