Acute Myeloid Leukemia Clinical Trial
Official title:
Clofarabine Pre-conditioning Followed by Hematopoietic Stem Cell Transplant With Post-Transplant Cyclophosphamide for Non-remission Acute Myeloid Leukemia
Verified date | September 2023 |
Source | Milton S. Hershey Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The Investigators would like to study the incidence of complete remission (CR) at day +30 after Clofarabine followed by haploidentical transplant. The conditioning regimen used is Fludarabine, Busulfan (2 doses) or cyclophosphamide (2 doses) and Total Body Irradiation (TBI) with post transplant cyclophosphamide for patients with Acute Myeloid Leukemia (AML) who are not in remission prior to considering allogeneic transplant with haploidentical donors.
Status | Terminated |
Enrollment | 2 |
Est. completion date | November 7, 2022 |
Est. primary completion date | August 30, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 55 Years |
Eligibility | Inclusion Criteria: 1. Diagnostic criteria of AML, induction failure without having achieved remission after at least 2 attempts at induction chemotherapy, or relapsed after any complete remission (CR). 2. 18 to 75 years of age. 3. Planned or scheduled to receive an allogeneic HSCT from haploidentical related donors, matched and mismatched unrelated donors. 4. All organ function testing should be done within 28 days of study registration. - Performance status: Karnofsky = 70% (Appendix A). - Cardiac: LVEF = 50% by MUGA or echocardiogram. - Pulmonary: FEV1 and FVC = 50% predicted, DLCO (corrected for hemoglobin) = 50% of predicted. - Renal: Creatinine clearance (CrCl) = 60 mL/min/1.73 m2 - Hepatic: Serum bilirubin =1.5 x upper limit of normal (ULN); (AST)/(ALT) = 2.5 x ULN; Alkaline phosphatase = 2.5 x ULN. 5. Both men and women need to use an approved method of birth control and/or abstinence due to unknown risks to the fetus. Exclusion Criteria: 1. Acute promyelocytic leukemia (APL) 2. Known history of non-compliance with medication regimens, scheduled clinic visits, or self-care. 3. In the opinion of the investigator, no appropriate caregivers identified. 4. HIV1 (Human Immunodeficiency Virus-1) or HIV2 positive 5. Active Hepatitis B and Hepatitis C orepatitis positive serology including HBsAg, hepatitis B core antibody, and hepatitis C antibody. Hepatitis B surface antibody positive due to vaccination or natural immunity are permitted. 6. In the opinion of the physician investigator, uncontrolled medical or psychiatric disorders. 7. Uncontrolled infections requiring treatment within 14 days of registration. 8. Active central nervous system (CNS) leukemia. 9. Cord blood transplant excluded. 10. Prior allogeneic HSCT within last 6 months. 11. Patients with >= grade 2 acute GVHD. 12. Patients with >=moderate chronic GVHD. 13. Pregnant or Breastfeeding. Women of child bearing potential (WCBP) are required to have a negative serum or urine pregnancy test prior to initiation of conditioning regimen. 14. Haploidentical related donors who are positive for DSA = 5000 MFI by solid phase microarray method (Luminex). 15. Any patient with steroid dose more than 10 mg/day within a week of registration . 16. Autoimmune disorder requiring any active immunosuppression therapy. |
Country | Name | City | State |
---|---|---|---|
United States | Penn State Cancer Institute | Hershey | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Milton S. Hershey Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Complete Remission (CR) Rate at Day 30 Post HSCT | The CR rate at 30 days (Day +30) post stem cell transplant infusion | 30 days | |
Secondary | Non-relapse Related Mortality | Determine the rate of non-relapse related mortality at 100 days post transplant (Day +100) | 100 days | |
Secondary | Neutrophil Engraftment | Rates of engraftment, defined as the first day of Absolute Neutrophil Count (ANC) greater than 500 for the first of three consecutive days | 1 year | |
Secondary | Rate of Acute Graft-versus-host Disease (GVHD) | The rate of any grade (1-4) of acute GvHD as measured from day of transplantation to Day +100 using the Glucksberg criteria. | 100 days | |
Secondary | Severity of Acute Graft-versus-host Disease (GVHD) | The highest grade (1-4) of acute GvHD experienced by participants as measured from day of transplantation to Day +100 using the Glucksberg criteria | 100 days | |
Secondary | Rate of Chronic GVHD | The rate of any grade (1-4) of Chronic GvHD as measured from Day +100 to Year 1 post-transplantation using the Glucksberg criteria. | 1 year | |
Secondary | Severity of Chronic GVHD | The highest overall grade (1-4) of chronic GvHD experienced by participants as measured from Day +100 to Year 1 post-transplantation using the Glucksberg criteria | 1 year |
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