CD8 DLI for Patients With Relapse or Residual Disease Following Allogeneic Stem Cell Transplantation
Study Details
Study Description
Brief Summary
Primary Objectives:
To evaluate response rates of acute or chronic Graft-versus-host disease (GVHD) following CD8 depleted DLI (Depleted Donor Lymphocyte Infusions) in patients with Chronic myelomonocytic leukemia (CMML), chronic lymphoid leukemia (CLL), Non-Hodgkin's lymphoma (NLM), Multiple Myeloma (MM) and Hodgkin's Lymphoma (HD).
Secondary Objectives:
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To evaluate safety and treatment related mortality after CD8 depleted DLI.
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To evaluate the time to onset of GVHD following DLI and response to GVHD treatment.
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To evaluate the incidence and timing of pancytopenia following DLI.
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To evaluate disease-free survival, overall survival and relapse rates in three cohorts of patients; early relapse CML, late relapse CML and lymphoproliferative disorders (HD, CLL, NHL and MM).
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To evaluate the need and efficacy of second or subsequent CD8 depleted donor lymphocyte infusions.
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To evaluate the number of apheresis procedures needed to collect appropriate doses of CD4+ cells.
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: CD8 DLI CD8 depleted DLI (Depleted Donor Lymphocyte Infusions) |
Biological: CD8 Depleted Donor Lymphocyte
|
Outcome Measures
Primary Outcome Measures
- Patient Response Rates of Acute or Chronic GVHD [2 years]
Eligibility Criteria
Criteria
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Patients of any age who have previously undergone allogeneic hematopoietic transplantation and have evidence of donor cell engraftment (>20% donor cell within three months of study entry)
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Expected survival >4 weeks
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CML patients with molecular, cytogenetic or hematologic relapse following allogeneic transplantation
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Molecular relapse- patients are eligible if bcr/abl is detectable at any time after day 180 post-allogeneic transplantation or if a negative bcr/abl PCR test was documented post-transplantation and the bcr/abl test is now positive by consecutive PCR determinations at least 4 weeks apart.
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Cytogenetic relapse-patients are eligible if standard cytogenetics demonstrate
10% t (9,22) positive cells greater than 60 days after myeloablative transplantation or 10% t (9,22) positive cells greater than 100 days after nonmyeloablative transplantation.
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CML patients with accelerated phase or blast crisis following allogeneic transplantation
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Patients with CLL, NHL, MM, or HD who have evidence of disease relapse or persistent disease at 60 days post-allo BMT and/or:
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MM- patients with a rising M-protein is detectable at 180 days post-transplant
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NHL - patients with molecular evidence of disease (bcl-2, t (4,11), etc.) at 180 days post transplant
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CLL, NHL or HD - patients with clear cut evidence of tumor growth at any time post-transplant are eligible
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Patients undergoing an HLA -identical or 5/6 antigen match transplant from a related or unrelated donor
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Patient's original donor must be available for lymphocyte donation
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There must be no evidence of active acute or graft-versus-host disease and patients should be off all immunosuppressive agents for, at least, two weeks prior to DLI. Patients on stable dose of methylprednisolone (<16 mg/d) without evidence of active GVHD are also eligible.
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Patients must have a Zubrod PS<2 (see appendix 7), Cr<2.5, bilirubin <3, and transaminases (SGPT, SGOT) <4x normal
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Patient must be able to sign informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | UT MD Anderson Cancer Center | Houston | Texas | United States | 77030 |
Sponsors and Collaborators
- M.D. Anderson Cancer Center
- Eligix
Investigators
- Principal Investigator: Richard Champlin, MD, BS, UT MD Anderson Cancer Center
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- ID00-335