Phase II Trial of Pentostatin in Steroid Refractory Acute Graft Versus Host Disease
Study Details
Study Description
Brief Summary
This study will evaluate the response rate to treatment with pentostatin in steroid-refractory acute graft versus host disease.
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: Pentostatin Pentostatin is given at a dose of 1.5 mg/m2/day IV x 3 consecutive days. Each IV infusion of pentostatin will be administered over 20-30 minutes in 100-250 ml of D5W or NS. |
Drug: Pentostatin
Pentostatin is given at a dose of 1.5 mg/m2/day IV x 3 consecutive days. Each IV infusion of pentostatin will be administered over 20-30 minutes in 100-250 ml of D5W or NS. To prevent nephrotoxicity, patients will also receive 500 ml normal saline as pre- and post drug hydration (total 1000 ml).
Other Names:
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Outcome Measures
Primary Outcome Measures
- Evaluate the response rate (complete and partial) to treatment with pentostatin in steroid-refractory acute GVHD (graft-versus-host disease). [up to 2 years]
Secondary Outcome Measures
- Investigate the pharmacokinetics of pentostatin in patients with acute GVHD to correlate the response with area under the curve (AUC). [up to 2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Must have biopsy proven grade II-IV acute GVHD refractory to systemic corticosteroids
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No chronic GVHD
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Age ≥ 18 years
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Evidence of myeloid engraftment (ANC ≥ 0.5 x 109/l)
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Performance status 0-3
Exclusion Criteria:
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Patients on mechanical ventilation or who have resting O2 saturation <90% by pulse-oximetry.
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Patients on renal dialysis or who have an estimated creatinine clearance of < 30 ml/min/1.73 m2.
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Patients with documented clinical infection (progressive symptoms despite antibiotics or continued fever) cannot be enrolled on study until infection is controlled.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Ohio State University | Columbus | Ohio | United States | 43210 |
Sponsors and Collaborators
- Ohio State University Comprehensive Cancer Center
Investigators
- Principal Investigator: Craig Hofmeister, MD, Ohio State University
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- OSU-0301