CLARA: Total Body Irradiation and Cladribine Before Allogeneic Hematopoietic Cell Transplantation in Patients With AML (Acute Myeloid Leukemia) and Myelodysplastic Syndromes
Study Details
Study Description
Brief Summary
A single center, prospective, one arm clinical study to assess the tolerance and effectiveness of total body irradiation and cladribine in adult patients diagnosed with AML( acute myeloid leukemia) and myelodysplastic syndromes.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Cladribine
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Drug: Cladribine
The conditioning regimen used will be cladribine-based at a dose of 5 mg / m2 for 5 days (iv.) and total body irradiation at a total dose of 12 Gy in three fractions.
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Outcome Measures
Primary Outcome Measures
- The probability of progression-free survival in 24 month follow up [24 month follow up]
Secondary Outcome Measures
- Frequency of adverse events [24 month follow up]
- 24-month overall survival probability [24 month follow up]
- Disease recurrence probability. [24 month follow up]
- Mortality unrelated with disease recurrence [24 month follow up]
- Likelihood of acute and chronic graft-versus-host disease [24 month follow up]
- Time of neutrophil and platelet implantation [24 month follow up]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age between 18 and 60 years (inclusive).
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Patient is a candidate for allogeneic hematopoietic cell transplantation due to acute myeloid leukemia(intermediate or high risk acute myeloid leukemia in complete remission, low risk with positive Minimal residual disease) or high risk myelodysplastic syndrome.
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Demonstration of chemosensitivity in the case of treatment regimens with cladribine in induction therapy.
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Patient signed informed consent form prior to any study related screening procedures are performed.
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Patient has Eastern Cooperative Oncology Group performance status score of 0 or 1.
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Patient is a candidate for allogeneic hematopoietic cell transplantation from sibling or unrelated donor (full matched or 9/10 mismatched) or from haploidentical donor.
Exclusion Criteria:
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Has received more than 1 allogeneic hematopoietic cell transplantation.
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Presence of active uncontrolled infection (i.e. sepsis, new symptoms, worsening physical signs or radiographic findings attributable to infection).
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Known active human immunodeficiency virus, hepatitis B virus or hepatitis C virus infection (positive polymerase chain reaction test) or risk of hepatitis B virus reactivation (Hepatitis B surface antigen positive).
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Presence of active disease in acute myeloid leukemia patients.
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History or current diagnosis for uncontrolled or significant cardiac or pulmonary disease.
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Presence of severe renal or liver dysfunction (creatinine, alanine aminotransferase,aspartate aminotransferase or bilirubin concentration > 3.0 upper limit of normal
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Currently pregnancy or breast feeding.
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Treatment of any other investigational agent in the same time as this study.
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Known allergies, hypersensitivity, or intolerance to cladribine or similar compounds.
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Women of childbearing potential who do not agree to use two effective methods of contraception.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Klinika Transplantacji Szpiku i Onkohematologii Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy, Oddział w Gliwicach | Gliwice | Poland | 44-101 |
Sponsors and Collaborators
- Maria Sklodowska-Curie National Research Institute of Oncology
- KCRI
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 20-NIO-0001