Cancer Clinical Trial
Official title:
Chemotherapy Toxicity Reduction Via Urea Cycle Support
Patients undergoing bone marrow transplantation (BMT) and peripheral blood stem cell
transplants (PBSCT) frequently develop organ dysfunctions, much of which may be initiated by
damage to the liver and to cells lining blood vessels.
We, the researchers at Vanderbilt University, propose to perform a randomized, prospective,
double-blind, placebo-controlled study of 144 patients undergoing allogeneic marrow
transplantation. The treatment is aimed at supporting hepatic urea cycle function in
patients receiving escalated dose chemotherapy/BMT. By so doing we hope to prevent
development of hepatic venoocclusive disease (HVOD) and acute lung injury (ALI), two morbid
complications of BMT. Patients will be randomized to receive oral citrulline, a urea cycle
amino acid intermediate, or placebo beginning before conditioning therapy and continuing
until 21 days after BMT. All patients will be followed for 100 days after study enrollment
with intensive data collection.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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