Leukemia, Lymphoblastic, Acute Clinical Trial
Official title:
Myeloablative Hematopoietic Progenitor Cell Transplantation (HPCT) for Pediatric Malignancies
The purpose of this study is to show that myeloablative hematopoietic progenitor cell transplantation (HPCT) continues to offer acceptable disease-free survival for select patients requiring HPCT.
Status | Recruiting |
Enrollment | 200 |
Est. completion date | January 2020 |
Est. primary completion date | January 2020 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 21 Years |
Eligibility |
Inclusion Criteria: - Malignant Disease - Chronic myleogenous leukemia in chronic or accelerated phase - Acute lymphoblastic leukemia (ALL) - First remission high-risk ALL (Ph+, t( 4-11) infants). - Second remission ALL, after a short first remission (<36 mos from Dx). - 3rd or greater remission ALL. - Acute myelogenous leukemia (AML) - First remission high risk acute nonlymphoblastic (ANLL) (as defined by cytogenetics), if a matched sibling donor is available. - Initial partial remission AML (<20% blasts in the bone marrow). - AML that is refractory to two cycles of induction therapy. - Second or greater remission AML - Myelodysplastic/Myeloproliferative Disease - Juvenile Myelomonocytic Leukemia (JMML) - Myelosplastic syndrome and/or pre-leukemia at any stage - Lymphoma - Relapsed lymphoma with residual disease that appears to be chemo-sensitive and non-bulky (<5 cm at largest diameter) - Venous Access: Three lumens of central vascular access will be required for all patients entered on protocol due to the need for a dedicated line for continuous infusion cyclosporine. - Informed Consent: The patient and/or the patient's legally authorized guardian must acknowledge in writing that consent to become a study subject has been obtained in accordance with the institutional policies approved by the U.S. Department of Health and Human Services. - Patient organ function requirements: - Adequate renal function: Serum Creatinine <~1.5 x normal, or Creatinine clearance of 70 mL/min/1.73 mE2 or an equivalent GFR as determined by the institutional normal range - Adequate liver function: Total bilirubin <1.5 x normal; and SGOT (AST) or SGPT (ALT) <~2.5 x normal - Adequate cardiac function: Shortening fraction of >/=27% by echocardiogram - Adequate pulmonary function: FEV1/FVC >/=60% by pulmonary function test; for children who are uncooperative, no evidence of dysnpea at rest, or exercise intolerance, and must have a pulse oximetry >94% in room air - Performance status: Lansky for children </= 16 years >/= 60; Karnofsky status for those > 16 years of age >/= 70 - Effective Contraceptive Use: Women of childbearing potential and sexually active males should use effective contraception while on study. Exclusion Criteria: - Patients who are pregnant or lactating - Inability to find a suitable donor for the patient - Patient is HIV-positive - Patient has active Hepatitis B - Disease progression or relapse prior to HPC infusion |
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Children's Memorial Hospital | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Ann & Robert H Lurie Children's Hospital of Chicago |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Evaluate the morbidity and mortality of hematopoietic progenitor cell transplantation (HPCT) at Children's Memorial Hospital. | To study end | Yes | |
Secondary | Evaluate the effectiveness of graft versus host disease prevention with a combination of anti-thymocyte globulin, continuous infusion cyclosporine, and short course methotrexate for transplants. | To study end | Yes | |
Secondary | Determine the toxicity of a single conditioning regimen consisting of total body irradiation, etoposide, and Cyclophosphamide for patients with transplant eligible lymphoid malignant conditions or myeloid malignant conditions receiving cord blood units. | To study end | Yes | |
Secondary | Determine the toxicity of a single conditioning regimen consisting of Busulfan and Cyclophosphamide for patients with transplant eligible myeloid malignant conditions who are not receiving cord blood units. | To study end | Yes |
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