Status:

COMPLETED

Reduced Intensity Total Body Irradiation + Thymoglobulin Followed by Allogeneic PBSCT

Lead Sponsor:

Virginia Commonwealth University

Collaborating Sponsors:

Genzyme, a Sanofi Company

Conditions:

Non-Hodgkin's Lymphoma

Leukemia

Eligibility:

All Genders

40-70 years

Phase:

PHASE2

Brief Summary

One of two different doses of thymoglobulin will allow bone marrow engraftment with minimal Graft-versus-Host Disease and allow adequate immune response to allow the transplanted stem cells to replace...

Detailed Description

This randomized phase II trial studies how well giving low dose total-body irradiation (TBI) with anti-thymocyte globulin followed by donor peripheral blood stem cell transplant (PBSCT) works in treat...

Eligibility Criteria

Inclusion

  • Patients with hematological malignancies for which allogeneic stem cell transplantation indicated including non-Hodgkin lymphoma (NHL), multiple myeloma (MM), acute myeloid leukemia (AML), Hodgkin lymphoma (HD), chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), and myelodysplastic syndrome (MDS)
  • Patients with HLA compatible related or unrelated stem cell donor, willing and able to serve as an allogenic HSC donor. Unrelated donors have to be matched at HLA-A, B, C and DRB1 loci. A single locus mismatch will be tolerated in the event a more closely matched donor is not available.
  • Patients age \>/=40 to \</=70 with an ECOG performance status \< 2
  • Patients between 18 and 40 years of age will be eligible only if they have co-morbidities precluding conventional allogeneic transplantation with full intensity myeloablative conditioning
  • Adequate cardiac, pulmonary, renal and hepatic function for transplant
  • Negative serology for HIV
  • Negative serum pregnancy test
  • Patients who have received therapeutic radiation to a localized field will be eligible, provided critical structure tolerance doses have not been exceeded
  • Patients who have had prior myeloablative autologous transplant will be eligible

Exclusion

  • Evidence of uncontrolled viral, fungal, bacterial infection
  • Evidence of active meningeal or CNS disease
  • Prior therapy with rabbit ATG, prior treatment with equine ATG is allowed if more than 3 months ago
  • Breast feeding mothers are excluded

Key Trial Info

Start Date :

July 21 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 28 2017

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT00709592

Start Date

July 21 2008

End Date

June 28 2017

Last Update

November 9 2018

Active Locations (1)

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1

Virginia Commonwealth University/Massey Cancer Center

Richmond, Virginia, United States, 23298-0037