Status:
COMPLETED
Campath-1H + FK506 and Methylprednisolone for GVHD
Lead Sponsor:
Case Comprehensive Cancer Center
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Breast Cancer
Chronic Myeloproliferative Disorders
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Alemtuzumab, tacrolimus, and methylprednisolone may be an effective treatment for graft-versus-host disease caused by a donor stem cell transplant. PURPOSE: This phase II trial is studying...
Detailed Description
OBJECTIVES: Primary * Determine the 4-week rate of complete response in patients with severe acute graft-vs-host disease (GVHD) treated with alemtuzumab, tacrolimus, and methylprednisolone within 10...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Diagnosis of acute graft-vs-host disease (GVHD)
- Clinical grade C or D disease
- No grade C disease with single organ skin involvement
- Has undergone allogeneic stem cell transplantation within the past 100 days
- Absolute neutrophil count \> 500/mm\^3 (donor-derived \[\> 60% by peripheral blood lymphocyte chimerism analyses\])
- No development of GVHD after prior donor lymphocyte infusion
- Must have received prior prophylactic cyclosporine or tacrolimus at the onset of acute GVHD
- PATIENT CHARACTERISTICS:
- Age
- Over 18
- Performance status
- Not specified
- Life expectancy
- Not specified
- Hematopoietic
- See Disease Characteristics
- Hepatic
- No serologic evidence of active hepatitis B or C infection
- Renal
- Creatinine ≤ 3.5 mg/dL
- No requirement for dialysis
- Cardiovascular
- No requirement for vasopressors
- Pulmonary
- No requirement for a ventilator
- Other
- Not pregnant
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 6 months after completion of study treatment
- No known HIV positivity
- No active uncontrolled infection
- No other organ dysfunction
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- See Disease Characteristics
- Chemotherapy
- Not specified
- Endocrine therapy
- Not specified
- Radiotherapy
- Not specified
- Surgery
- Not specified
Exclusion
Key Trial Info
Start Date :
January 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2007
Estimated Enrollment :
34 Patients enrolled
Trial Details
Trial ID
NCT00109993
Start Date
January 1 2005
End Date
May 1 2007
Last Update
June 11 2010
Active Locations (6)
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1
Mt. Sinai Medical Center
New York, New York, United States, 10029
2
Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
Cleveland, Ohio, United States, 44106-7284
3
Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
Cleveland, Ohio, United States, 44195
4
Oregon Health Sciences University
Portland, Oregon, United States, 97239