At a glance
ClinicalIndex Comparison Record- ✓Age 60 years or younger
- ✓Karnofsky performance status ≥70% or Lansky play score ≥70
- ✓Voluntary written informed consent from patient or legally authorized representative
- ✓Renal function: creatinine <2x ULN or creatinine clearance ≥40 ml/min/1.73m2
- ✕Chemotherapy-refractory large cell or high-grade NHL (progressive disease after >2 salvage regimens)
- ✕CML in blast crisis
- ✕Large cell lymphoma, mantle cell lymphoma, or Hodgkin disease progressing on salvage therapy
- ✕Progressive disease by imaging or biopsy (persistent PET activity alone without CT changes is not exclusionary)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Myeloablative Allogeneic Hematopoietic Cell Transplantation Using a Related or Unrelated Donor for the Treatment of Hematological Diseases
In Brief
A Phase 2 clinical trial evaluating HSCT with TBI Regimen and HSCT with Non-TBI Regimen for Acute Leukemia and 27 related conditions. Currently recruiting, targeting 300 participants across 1 site.
Detailed Summary
This is a Phase II study of allogeneic hematopoietic stem cell transplant (HCT) using a myeloablative preparative regimen (of either total body irradiation (TBI); or, fludarabine/busulfan for patients unable to receive further radiation). followed by a post-transplant graft-versus-host disease (GVHD) prophylaxis regimen of post-transplant cyclophosphamide (PTCy), tacrolimus (Tac), and mycophenolate mofetil (MMF).
Study Details
Timeline
Arms & Interventions
Interventions
Day -5 to -2: Total Body Irradiation Day 0: Hematopoietic Stem Cell Transplantation Day +3 to +4: Cyclophosphamide Day +5: Tacrolimus from day +5 until taper day +100 (day +60 for peds if no acute or chronic GVHD present) Day +5: Mycophenolate mofetil through day +35 or 7 days after engraftment, whichever day is later, if no acute GVHD
Day -5 to Day -2: Busulfan and Fludaribine Day 0: Hematopoietic Stem Cell Transplantation Day +3 to +4: Cyclophosphamide Day +5: Tacrolimus from day +5 until taper day +100 (day +60 for peds if no acute or chronic GVHD present) Day +5: Mycophenolate mofetil through day +35 or 7 days after engraftment, whichever day is later, if no acute GVHD