Status:

COMPLETED

Non-myeloablative Allogeneic Transplantation for the Treatment of Multiple Myeloma

Lead Sponsor:

Wen-Kai Weng

Conditions:

Blood Cancer

Multiple Myeloma

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

Mixed chimerism transplantation is an approach to allogeneic transplants that attempts to decrease regimen-related toxicity by using non-myeloablative preparatory regimens; establish mixed chimerism u...

Detailed Description

Participants are mobilized with cyclophosphamide 4 g/m2 and filgrastim 10 µg/kg/day for peripheral blood progenitor cell (PBPC) collection by apheresis. Transplant conditioning is high-dose melphalan ...

Eligibility Criteria

Inclusion

  • PATIENT INCLUSION CRITERIA
  • Multiple myeloma, early Stage II-III or relapsed / progression after initial treatment of Stage I disease
  • Patient has HLA-identical sibling donor
  • Age ≤ 70 years
  • No prior therapy which would preclude the use of low-dose total body irradiation
  • Pathology review and diagnosis confirmation by Stanford University Medical Center
  • Karnofsky performance status (KPS) \> 70%
  • DLCO ≥ 60% predicted
  • ALT and AST \< 2 x upper limit of normal (ULN)
  • Total bilirubin \< 2 mg/dL
  • Serum creatinine \< 2.0, or 24-hour creatinine clearance ≥ 60 mL/min
  • HIV-negative
  • Signed informed consent document
  • PATIENT EXCLUSION CRITERIA
  • Smoldering multiple myeloma; monoclonal gammopathy of unknown significance; or primary amyloidosis
  • Severe psychological or medical illness
  • Prior allogeneic hematopoietic cell transplantation
  • Pregnant or lactating
  • ALLOGENEIC DONOR INCLUSION CRITERIA
  • Age ≥ 17
  • HIV-seronegative
  • Signed informed consent document
  • ALLOGENEIC DONOR EXCLUSION CRITERIA
  • Serious medical or psychological illness
  • Pregnant or lactating
  • Prior malignancies within the last 5 years, except for non-melanoma skin cancers

Exclusion

    Key Trial Info

    Start Date :

    August 1 2000

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    April 1 2010

    Estimated Enrollment :

    63 Patients enrolled

    Trial Details

    Trial ID

    NCT00185614

    Start Date

    August 1 2000

    End Date

    April 1 2010

    Last Update

    January 18 2018

    Active Locations (1)

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    1

    Stanford University School of Medicine

    Stanford, California, United States, 94305