At a glance
ClinicalIndex Comparison Record- ✓Hematologic malignancy, lymphoma, or HIV-associated malignancy in complete remission or very good partial remission
- ✓HAART initiated within one month of transplant with viral load decreased by ≥1.5 logs or <5000 copies/ml plasma (for malignancy patients)
- ✓CD4 count >100 cells/ul (for malignancy patients)
- ✓HIV-infected patients without malignancy must have failed HAART, treated with >1 regimen for ≥6 months total duration, with viral load <50 copies/ml and CD4 <100 cells/ul
- ✕Positive serology for Toxoplasma gondii with treatment or active infection
- ✕Other disease or organ dysfunction that would limit survival to less than 30 days
- ✕Medical history of noncompliance with HAART or medical therapy
- ✕Donor is HIV-positive
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Allogeneic Hematopoietic Stem Cell Transplantation for Induction of Mixed Hematopoietic Chimerism in Patients Infected With Human Immunodeficiency Virus-1 Using a Non-Marrow Ablative Conditioning Regimen Containing Total Body Irradiation in Combination With Post-Transplant Immunosuppression With Cyclosporine and Mycophenolate Mofetil
In Brief
A clinical study evaluating fludarabine phosphate, total-body irradiation, and 4 other interventions for Accelerated Phase Chronic Myelogenous Leukemia and 178 related conditions. Completed, enrolled 5 participants across 1 site.
Detailed Summary
This clinical trial studies the side effects and best dose of giving fludarabine and total-body irradiation (TBI) together followed by a donor stem cell transplant and cyclosporine and mycophenolate mofetil in treating human immunodeficiency virus (HIV)-positive patients with or without cancer. Giving low doses of chemotherapy, such as fludarabine, and TBI before a donor bone marrow or peripheral blood stem cell transplant helps stop the growth of cancer or abnormal cells and helps stop the patient's immune system from rejecting the donor's stem cells. The donated stem cells may replace the patient's immune cells 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 cyclosporine (CSP) and mycophenolate mofetil (MMF) after the transplant may stop this from happening.
Study Details
Timeline
Interventions
Given IV
Undergo TBI
Undergo allogeneic bone marrow or peripheral blood stem cell transplantation
Given IV or PO
Given IV or PO
Correlative studies