Hematologic Neoplasms Clinical Trial
Official title:
A Randomized Phase II Trial Comparing a Calcineurin Inhibitor-free Graft-versus-host Disease Prophylaxis Regimen With Post-transplantation Cyclophosphamide and Abatacept to Standard of Care
Verified date | April 2024 |
Source | University of California, San Diego |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to investigate whether the combination of cyclophosphamide and abatacept versus the treatment used in standard of care will reduce the incidence of moderate and severe chronic graft-versus-host disease (GVHD) following hematopoietic stem cell transplantation. GVHD occurs when the cells from your donor (the graft) see your body's cells (the host) as different and attack them.
Status | Active, not recruiting |
Enrollment | 43 |
Est. completion date | December 2027 |
Est. primary completion date | June 8, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - High risk hematologic malignancy justifying the need for an allogeneic hematopoetic stem cell transplantation: AML, ALL, CML in accelerated or blast phase, MDS/MPN, NHL, Hodgkin lymphoma, and multiple myeloma - Creatinine clearance > 40 - Adequate hepatic function - Normal cardiac function (EF > 50%) Exclusion Criteria: - Patients with hematologic malignancies for which transplant is not the only curative option, such as AML with good or intermediate cytogenetics or molecular markers in CR1 or CML in chronic phase - Inability to identify an 10/10 HLA-Matched Donor (related or unrelated) or a haploidentical donor - Active malignant disease relapse - Active, uncontrolled infection, uncontrolled cardiac angina, symptomatic congestive heart failure - Life expectancy <3 months - Pregnancy or lactation - Patients may not be receiving any other investigational agents in the last 28 days - Patients with chronic myeloid leukemia in first chronic phase |
Country | Name | City | State |
---|---|---|---|
United States | UC San Diego Moores Cancer Center | La Jolla | California |
Lead Sponsor | Collaborator |
---|---|
Dimitrios Tzachanis, MD PhD | Bristol-Myers Squibb |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | occurrence of moderate and severe chronic GVHD at one year post transplant | The occurrence of moderate and severe chronic GVHD at one year post Chronic GVHD will be diagnosed and staged according to the previously published and widely accepted National Institutes of Health consensus criteria | through study completion, an average of 1 year | |
Secondary | GVHD- and relapse- free survival by one year post transplant | GVHD- and relapse- free survival will be defined as the absence of acute GVHD Grade III or IV or moderate or severe chronic GVHD or relapse or non-relapse mortality by one year post transplant. Acute GVHD will be diagnosed and graded according to Glucksberg criteria | through study completion, an average of 1 year |
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