Status:

COMPLETED

Donor Natural Killer Cells After Donor Stem Cell Transplant in Treating Patients With Advanced Cancer

Lead Sponsor:

Asan Medical Center

Collaborating Sponsors:

Korea Research Institute of Bioscience & Biotechnology

Conditions:

Brain and Central Nervous System Tumors

Chronic Myeloproliferative Disorders

Eligibility:

All Genders

15-75 years

Phase:

PHASE1

PHASE2

Brief Summary

RATIONALE: Giving an infusion of natural killer cells from a donor after a donor stem cell transplant may help kill any remaining cancer cells after the transplant. PURPOSE: This phase I/II trial is ...

Detailed Description

OBJECTIVES: Primary * To assess the safety of donor natural killer (NK) cell infusion after HLA-mismatched/haploidentical allogeneic hematopoietic stem cell transplantation from a familial donor in ...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of a malignant disorder (hematologic malignancies or solid tumors)
  • Advanced disease
  • Has undergone prior allogeneic hematopoietic stem cell transplantation (HSCT) from an HLA-mismatched/haploidentical familial donor
  • Progressive or recurrent disease, as defined by any of the following (phase II):
  • Peripheral blood blast \> 20% with bone marrow aspirate showing \> 5% leukemic cells (in patients with acute leukemia)
  • Detection of metaphases in the marrow with the same clonal cytogenetic abnormalities as identified before HSCT (or by FISH markers, if appropriate) (in patients with acute leukemia or high-risk myelodysplastic syndromes \[MDS\])
  • Persistent cytopenia with bone marrow aspirate showing various degrees of dysplasia involving ≥ 1 cell lineage (in patients with high-risk MDS)
  • Enlargement of pre-existing measurable lesions by 20% according to RECIST criteria (in patients with solid tumors or lymphoma)
  • Appearance of new metastatic lesions, including pleural effusion or ascites, radiologically typical for metastases or confirmed as such by cytology (in patients with solid tumors or lymphoma)
  • Measurable disease (phase II)
  • PATIENT CHARACTERISTICS:
  • Karnofsky performance status 70-100%
  • Total bilirubin \< 3.0 mg/dL
  • AST \< 5 times upper limit of normal
  • Creatinine \< 3 mg/dL
  • Not pregnant or nursing
  • No clinically evident cardiac or pulmonary failure
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics

Exclusion

    Key Trial Info

    Start Date :

    January 1 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 1 2013

    Estimated Enrollment :

    47 Patients enrolled

    Trial Details

    Trial ID

    NCT00823524

    Start Date

    January 1 2009

    End Date

    February 1 2013

    Last Update

    February 20 2013

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    University of Ulsan, Asan Medical Center

    Seoul, South Korea, 138-736