AML Clinical Trial
Official title:
Busulfan, Cyclophosphamide, and Melphalan Followed by Allogeneic Hematopoietic Cell Transplantation in Patients With Hematological Malignancies
This protocol using busulfan, cyclophosphamide and melphalan has been designed as conditioning therapy for patients receiving stem cell transplantation for acute leukemia or myelodysplastic syndrome (MDS). The hypothesis is that this new regimen will be well tolerated and will cure the patient.
Subjects will be admitted to the bone marrow transplant unit and put in isolation to reduce
exposure to infectious agents.
Prior to transplantation, they will receive BUSULFAN via the central venous line, four times
a day for four days, CYCLOPHOSPHAMIDE via the central venous line once a day for two days,
and MELPHALAN via the central venous line for one day. Busulfan, cyclophosphamide, and
melphalan are given to destroy the subject's cancer. As well, these drugs will destroy their
immune system to help ensure the new stem cells take and grow after transplantation.
On the day of transplantation, umbilical cord blood from the donor will be transfused via
venous line. These new cells will replace the subject's bone marrow.
After transplantation, the subjects will receive Cyclosporin A and either MMF or MTX
Isolation will be continued until adequate numbers of cells are present in the blood to fight
infection. Subjects will be discharged from the hospital when medically ready. They will be
expected to return for follow-up to the blood and marrow transplant clinic at specific dates
as determined by physicians.
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