At a glance
ClinicalIndex Comparison Record- ✓Age 21-70 years (1-21 years eligible if ineligible for BMT CTN #0501)
- ✓HLA haploidentical donor (5/10 minimum match, with identity on at least one allele of each HLA-A, -B, -Cw, -DRB1, -DQB1)
- ✓Recent cytotoxic chemotherapy within 3 months of consent
- ✓Acute leukemias in second or subsequent complete remission (CR)
- ✕Has HLA-matched related donor or 7-8/8 allele matched related donor
- ✕Prior allogeneic hematopoietic stem cell transplant
- ✕Autologous hematopoietic stem cell transplant within 3 months before study entry
- ✕HIV infection or known HIV positive serology
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Multi-Center, Phase II Trial of Nonmyeloablative Conditioning (NST) and Transplantation of Partially HLA-Mismatched Bone Marrow From Related Donors for Patients With Hematologic Malignancies (BMT CTN #0603)
In Brief
A Phase 2 clinical trial evaluating Haploidentical Bone Marrow Transplantation and GVHD prophylaxis for Precursor B-Cell Lymphoblastic Leukemia-Lymphoma and 5 related conditions. Completed, enrolled 55 participants across 17 sites.
Detailed Summary
Bone marrow transplants are one treatment option for people with leukemia or lymphoma. Family members or unrelated donors with a similar type of bone marrow usually donate their bone marrow to the transplant patients. This study will evaluate the effectiveness of a new type of bone marrow transplant-one that uses lower doses of chemotherapy and bone marrow donated from family members with only partially matched bone marrow-in people with leukemia or lymphoma.
Study Details
Timeline
Interventions
The transplant preparative regimen is listed below. The - sign is the number of days before the transplant. * Fludarabine: 30 mg/m2 intravenously (IV) on Days -6, -5, -4, -3, and -2 * Cyclophosphamide (Cy): 14.5 mg/kg IV on Days -6 and -5 * Total body irradiation (TBI): 200 centigray (cGy) on Day -1 Day 0 is the day of the infusion of non-T-cell depleted bone marrow. The bone marrow will be obtained from haploidentical related donor.
The GVHD prophylaxis regimen will consist of the following: * Cy: 50 mg/kg IV on Days 3 and 4 * Tacrolimus: (IV or orally) beginning on Day 5 with dose adjusted to maintain a level of 5 to 15 mg/mL * Mycophenolate mofetil (MMF): 15 mg/kg orally three times a day (TID) beginning on Day 5; maximum dose will be 1 g orally TID * Granulocyte-colony stimulating factor (G-CSF) 5 mcg/kg/day beginning on Day 5 until absolute neutrophil count (ANC) is greater than or equal to 1,000/mm\^3 for 3 consecutive days