Status:

RECRUITING

Risk-ADAPTed Conditioning Regimen for Allogeneic Hematopoietic Stem Cell Transplantation

Lead Sponsor:

University of California, Irvine

Conditions:

Allogeneic Hematopoietic Stem Cell Transplantation

Allogeneic Stem Cell Transplantation

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

This is a prospective, single-arm, phase II study. Patients will be treated with an allogeneic stem cell transplantation (AHSCT) using fludarabine, melphalan and total body irradiation (TBI) condition...

Detailed Description

Eligible patients will receive an allogeneic stem cell transplantation using a combination of fludarabine, melphalan and total body irradiation (TBI) conditioning regimen and post-transplant high dose...

Eligibility Criteria

Inclusion

  • Male or female aged 18-70 years
  • Diagnosis of AML, ALL, MDS, CML, NHL, HD, CLL requiring AHSCT
  • Has an HLA-matched related (MRD), HLA-matched unrelated (MUD), haploidentical (HAPLO) or 1-Ag mismatched unrelated donor (MMUD)
  • Karnofsky performance \>70%
  • Adequate major organ system function as demonstrated by:
  • Serum creatinine clearance equal or more than 50 ml/min (calculated with Cockroft-Gault formula).
  • Bilirubin equal or less than 1.5 mg/dl except for Gilbert's disease. ALT or AST equal or less than 200 IU/ml for adults. Conjugated (direct) bilirubin less than 2x upper limit of normal.
  • Left ventricular ejection fraction equal or greater than 40%.
  • Diffusing capacity for carbon monoxide (DLCO) equal or greater than 50% predicted corrected for hemoglobin.
  • Ability to understand and the willingness to sign a written informed consent. a. Both men and women and members of all races and ethnic groups are eligible for this trial. Non-English speaking, deaf, hard of hearing and illiterate individuals are eligible for this trial.

Exclusion

  • Inability to comply with medical recommendations or follow-up
  • Pregnancy
  • Active/uncontrolled bacterial or viral infection (PI is the final arbiter of this criterion.)
  • Has active CNS or ocular disease involvement within 3 months
  • Patients with primary CNS lymphoma
  • Patients who require modifications of the conditional regimen

Key Trial Info

Start Date :

September 11 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2027

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06028828

Start Date

September 11 2023

End Date

September 1 2027

Last Update

March 15 2024

Active Locations (1)

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1

Chao Family Comprehensive Cancer Center, University of California Irvine

Orange, California, United States, 92868