NCT00943319 · REGISTRY CONDITION SEARCH
Busulfan-fludarabine Conditioning and T-cell Depleted Allogeneic Stem Cell Transplantation for Patients With Advanced Hematologic Malignancies
Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.
- Phase
- PHASE1, PHASE2
- Status at capture
- COMPLETED
- Registry last update
- 2019-02-04
The purpose of this study is: 1. To establish the maximally tolerated dose (MTD) of intravenous busulfan (Busulfan®) in combination with fludarabine as conditioning regimen for transplantation with in-vivo T-cell depletion. 2. To evaluate disease free and overall survival after this conditioning regimen in patients with advanced acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS). 3. To evaluate potential pharmacogenomic determinants of toxicity of this regimen. 4. To evaluate potential pharmacogenomic determinants of efficacy of this regimen.
Open the original ClinicalTrials.gov record → · Download preserved record
What did the study report?
Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.
Who could take part
- eligibility Criteria
- Inclusion Criteria: Phase I portion: * Relapsed or refractory acute myelogenous or lymphoid leukemia. * Chronic myelogenous leukemia in accelerated phase or blast-crisis. * Recurrent or refractory malignant lymphoma or Hodgkin's disease * Recurrent or refractory multiple myeloma. * Chronic lymphocytic leukemia, relapsed or with poor prognostic features. * Myeloproliferative disorder (polycythemia vera, myelofibrosis) with transformation * Myelodysplastic syndromes with more than 5% blasts. Phase II portion: * AML with active disease or beyond CR2. * MDS with more than 5% blasts. Exclusion Criteria: * Clinical progression. Such patients may be treated on other treatment protocols or at the investigator's discretion. Such patients will continue to be monitored for survival and, may be asked to continue to provide specimens for studies of minimal residual disease and immune reconstitution as other treatments are recommended.
- healthy Volunteers
- false
- minimum Age
- 18 Years
- sex
- ALL
- std Ages
- ADULT
- OLDER_ADULT
Treatment arms and interventions
- arm Groups
- description
- Intravenous busulfan (Busulfan®) in combination with fludarabine
- intervention Names
- Drug: Busulfan
- Drug: Fludarabine
- Drug: Campath
- Procedure: Stem Cell Transplant
- label
- Busulfan and fludarabine
- type
- EXPERIMENTAL
- interventions
- arm Group Labels
- Busulfan and fludarabine
- description
- Daily intravenous dosing to target AVC
- name
- Busulfan
- type
- DRUG
- arm Group Labels
- Busulfan and fludarabine
- description
- Fludarabine dosing will be based on actual body weight. Fludarabine will be infused over 30 minutes before busulfan treatment dose.
- name
- Fludarabine
- type
- DRUG
- arm Group Labels
- Busulfan and fludarabine
- description
- All patients will receive premedication for Campath (daily doses of 20 mg are repeated for up to five times).
- name
- Campath
- type
- DRUG
- arm Group Labels
- Busulfan and fludarabine
- description
- Infusion of bone marrow and donors(related/ unrelated).
- name
- Stem Cell Transplant
- type
- PROCEDURE
Study design
- allocation
- NA
- intervention Model
- SINGLE_GROUP
- masking Info
- masking
- NONE
- primary Purpose
- TREATMENT
Enrollment
- count
- 50
- type
- ACTUAL
Registered outcome plans (not posted results)
- primary Outcomes
- description
- Maximally tolerated area under the curve of intravenous busulfan (Busulfan®) in combination with fludarabine as conditioning regimen for transplantation with in-vivo T-cell depletion. The number reported will be an Area Under the Curve (AUC) measure reported in µmol-min/L.
- measure
- Maximum Tolerated Dose
- time Frame
- 5 years
- secondary Outcomes
- description
- Overall Survival measured as median survival in days
- measure
- Overall Survival
- time Frame
- 5 years
- description
- Disease Free Survival measured by median survival time in days
- measure
- Disease Free Survival
- time Frame
- 5 years
Full study description
- brief Summary
- The purpose of this study is: 1. To establish the maximally tolerated dose (MTD) of intravenous busulfan (Busulfan®) in combination with fludarabine as conditioning regimen for transplantation with in-vivo T-cell depletion. 2. To evaluate disease free and overall survival after this conditioning regimen in patients with advanced acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS). 3. To evaluate potential pharmacogenomic determinants of toxicity of this regimen. 4. To evaluate potential pharmacogenomic determinants of efficacy of this regimen.
Source references
- references
- citation
- O'Donnell PH, Artz AS, Undevia SD, Pai RK, Del Cerro P, Horowitz S, Godley LA, Hart J, Innocenti F, Larson RA, Odenike OM, Stock W, Van Besien K. Phase I study of dose-escalated busulfan with fludarabine and alemtuzumab as conditioning for allogeneic hematopoietic stem cell transplant: reduced clearance at high doses and occurrence of late sinusoidal obstruction syndrome/veno-occlusive disease. Leuk Lymphoma. 2010 Dec;51(12):2240-9. doi: 10.3109/10428194.2010.520773. Epub 2010 Oct 4.
- pmid
- 20919852
- type
- DERIVED
Source notices and limitations
Discovery and provenance
- release id
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- edge id
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- query cond
- Plasma Cell Neoplasms
- query disease state id
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- source file
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- source kind
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- source string sha256
- 51339193a18a8279efe251ee3720bdf96f42a22945bd8be57057b21496a931ad
Preserved source evidence · Not medical advice
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