Flu-Mel: Using Fludarabine and Melphalan Conditioning Regimen for CLL,Lymphoma,Multiple Myeloma
Study Details
Study Description
Brief Summary
Allogeneic Non-Myeloablative Stem Cell Transplantation Using Fludarabine and Melphalan Conditioning Regimen for Chronic Lymphocytic Leukemia, Lymphoma, and Multiple Myeloma
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
Treatment plan
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Conditioning chemotherapy before infusion of allogeneic stem cells will include fludarabine 30 mg/m2/day for 5 consecutive days (days -6 to -2) and melphalan 100 mg/m2 at day -2.
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Fludarabine and Melphalan will be infused intravenously over 30 minutes in D5W 100 mL.
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Melphalan will be administered following the completion of Fludarabine infusion at day -2.
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In case of unrelated donor HCT, thymoglobuline 3 mg/kg in N/S 500 mL (less than 0.5 mg/mL) or lymphoglobuline 15 mg/kg in N/S 500 mL (less than 2 mg/mL) IV qd on days -4, -3 and -2. Infuse over 4 hrs. Premedicate with Avil 45.5 mg IVP and Tylenol 600 mg po. Methylprednisolone 2 mg/kg in D5W 100 ml will be given IV over 30 minutes before thymoglobulin (or lymphoglobuline) on days -4 to -2.
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Before the administration of melphalan, prehydration will be done intravenously with 0.9% NS 1L over 3 hours.
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30 minutes before melphalan infusion, premedication with dexamethasone 10 mg and ativan 1 mg i.v. push will be given. Appropriate antiemetics such as ondansetron 8 mg i.v. push every 4-6 hours and ativan 1-2 mg i.v. push every 4-6 hours will be administered.
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Hydration with 0.9% NS at 80 mL/hour will be administered for at least 7 days. Appropriate amount of KCl should be mixed.
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GVHD prophylaxis will include cyclosporine A (CSA) and methotrexate.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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No Intervention: Flu-Mel Conditioning chemotherapy before infusion of allogeneic stem cells will include fludarabine 30 mg/m2/day for 5 consecutive days (days -6 to -2) and melphalan 100 mg/m2 at day -2. |
Drug: Flu-Mel
Fludarabine and Melphalan will be infused intravenously over 30 minutes in D5W 100 mL.
Melphalan will be administered following the completion of Fludarabine infusion at day -2.
Other Names:
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Outcome Measures
Primary Outcome Measures
- To evaluate engraftment, chimerism, toxicity, incidence of acute graft-versus-host disease (GVHD), and day 100 treatment-related mortality (TRM) [9years]
-To evaluate engraftment, chimerism, toxicity, incidence of acute graft-versus-host disease (GVHD), and day 100 treatment-related mortality (TRM) following allogeneic nonmyeloablative stem cell transplantation using fludarabine and melphalan conditioning regimen in patients with chronic lymphocytic leukemia (CLL), lymphoma, and multiple myeloma.
Secondary Outcome Measures
- include tumor response, incidence of chronic GVHD, and immune reconstitution. [9years]
-The secondary objectives include tumor response, incidence of chronic GVHD, and immune reconstitution.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients must be 15 years of age or older and 65 years of age or younger
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Patients with CLL, lymphoma, or multiple myeloma will be included in this study
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No prior anti-cancer treatment should be done within 30 days.
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Informed consent should be given.
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Patients should have an HLA-identical or single HLA-locus mismatched donor.
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Karnofsky performance scale should be 50 or over (see Appendix I).
Exclusion Criteria:
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Patients must not have a psychiatric disorder or mental deficiency severe as to make compliance with the stem cell transplant treatment unlike, and making informed consent impossible.
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Patients with high serum creatinine level will be excluded.
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Patients should have uncontrolled infection.
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No major anticipated illness or organ failure incompatible with survival from stem cell transplant.
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Serum bilirubin less than or equal to 4.0 mg/dL.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Asan Medical Center | Seoul | Korea, Republic of | 138-736 |
Sponsors and Collaborators
- Cooperative Study Group A for Hematology
Investigators
- Principal Investigator: Je-Hwan Lee, Doctor, COSAH
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- C-001