At a glance
ClinicalIndex Comparison Record- ✓ALL in first or subsequent morphological remission (<5% marrow blasts)
- ✓AML in first or subsequent morphological remission (<5% marrow blasts)
- ✓Other acute leukemia or related neoplasm in first or subsequent morphological remission (<5% marrow blasts)
- ✓MDS with history of excess blasts (≥5%) and cytoreductive therapy within past 3 months
- ✕CNS involvement refractory to intrathecal chemotherapy and/or standard cranial-spinal radiation
- ✕Concurrent enrollment on other experimental GVHD prevention protocols
- ✕Weight ≥110 kg with HLA-matched related donor
- ✕Weight ≥110 kg with HLA-matched unrelated donor (or ≥90 kg requires PI discussion)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Randomized Controlled Trial Comparing GVHD-Reduction Strategies for Allogeneic Peripheral Blood Transplantation (PBSCT) for Patients With Acute Leukemia or Myelodysplastic Syndrome: Selective Depletion of CD45RA+ Naïve T Cells (TND) vs. Post-Transplantation Cyclophosphamide (PTCy)
In Brief
A Phase 2 clinical trial evaluating Total-Body Irradiation, Thiotepa, and 13 other interventions for Acute Leukemia and 4 related conditions. Currently recruiting, targeting 120 participants across 3 sites.
Signals
Detailed Summary
This phase II trial investigates two strategies and how well they work for the reduction of graft versus host disease in patients with acute leukemia or MDS in remission. Giving chemotherapy and total-body irradiation before a donor peripheral blood stem cell transplant helps stop the growth of cells in the bone marrow, including normal blood-forming cells (stem cells) and cancer cells. It may also stop the patient's immune system from rejecting the donor's stem cells. When the healthy stem cells from a donor are infused into the patient, they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. The donated stem cells may also replace the patient's immune cells and help destroy any remaining cancer cells.
Study Details
Timeline
Interventions
Undergo TBI
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Given IV
Undergo bone marrow aspiration/biopsy
Undergo ECHO
Undergo MUGA
Undergo blood sample collection