HIV Infections Clinical Trial
Official title:
Allogeneic Hematopoietic Stem Cell Transplantation for Induction of Mixed Hematopoietic Chimerism in Patients Infected With Human Immunodeficiency Virus-1 Using a Non-Marrow Ablative Conditioning Regimen Containing Total Body Irradiation in Combination With Post-Transplant Immunosuppression With Cyclosporine and Mycophenolate Mofetil
OBJECTIVES:
I. Determine the safety of total body irradiation and post-transplant cyclosporine and
mycophenolate mofetil in high-risk patients with human immunodeficiency virus-1.
II. Determine whether this regimen results in stable mixed donor lymphocyte chimerism (5-95%
donor CD3) in this patient population.
III. Determine the kinetics of immune reconstruction following this treatment regimen in
this patient population.
IV. Determine the effect of this treatment regimen on viral load in this patient population.
PROTOCOL OUTLINE:
Patients receive oral or IV cyclosporine 2-3 times daily on Days -1 to 50. Patients undergo
total body irradiation followed by allogeneic peripheral blood stem cell or bone marrow
transplantation on Day 0 (assuming donor is available). Beginning within 6 hours of
transplantation, patients receive oral mycophenolate mofetil every 12 hours until Day 27.
Patients with an unstable level of chimerism may receive 1-2 donor lymphocyte infusions.
Patients are followed at Days 14, 28, 56, 80, 180, and 360.
;
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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