Treatment of Single or Double Umbilical Cord Trans + Graft-versus-host Disease (GVHD) Prophylaxis w/ Tacrolimus & Mycophenolate Mofetil
Study Details
Study Description
Brief Summary
RATIONALE: Giving chemotherapy and total-body irradiation before a donor umbilical cord blood transplant helps stop the growth of cancer and abnormal cells and helps stop the patient's immune system from rejecting the donor's stem cells. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. Sometimes the transplanted cells from a donor can make an immune response against the body's normal cells. Giving tacrolimus and mycophenolate mofetil before and after transplant may stop this from happening.
PURPOSE: To look at the ability of umbilical cord blood cells from one or two unrelated donors to serve as a source of stem cells for people needing a bone marrow transplant.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
OBJECTIVES:
Primary
- To determine the safety (as assessed by the day 100 non-relapse mortality) and feasibility of single or double umbilical cord stem cell transplantation in patients with hematological malignancies receiving graft-versus-host disease (GVHD) prophylaxis comprising tacrolimus and mycophenolate mofetil (MMF).
Secondary
- To assess sustained donor engraftment, neutrophil recovery, platelet recovery, incidence and severity of acute graft-versus-host disease (GVHD) and chronic GVHD, relapse rate, 100-day all-cause mortality, overall survival, and immune reconstitution after single or double umbilical cord stem cell transplantation in patients with hematologic malignancies receiving graft-versus-host disease(GVHD) prophylaxis comprising tacrolimus and mycophenolate mofetil (MMF).
OUTLINE:
-
Conditioning: Patients receive myeloablative or reduced-intensity conditioning regimen according to age and prior treatment.
-
Myeloablative conditioning (pediatric patients): Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide IV over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1.
-
Myeloablative conditioning (adult patients 18-40 years old): Patients receive fludarabine phosphate IV over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1.
-
Reduced-intensity conditioning (patients over 40 and no more than 50 years old OR deemed ineligible for above myeloablative conditioning regimen due to previous treatment): Patients receive fludarabine phosphate IV over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1.
-
Umbilical cord blood transplantation (UCBT): All patients undergo single- or double-unit umbilical cord blood transplantation (UCBT)on day 0.
-
Graft-versus-host disease prophylaxis: Patients receive tacrolimus IV continuously or orally twice daily on days -2 to 180 followed by a tapering and mycophenolate mofetil IV or orally twice daily on days 0-100 followed by a tapering over the next 3 months. Patients also receive filgrastim (G-CSF) IV or subcutaneously beginning on day 0* and continuing until blood counts recover.
NOTE: *In adult patients receiving a reduced intensity transplant, G-CSF will be started when the total white cell count falls below 2.5 x 109/L.
After completion of study treatment, patients are followed monthly for 1 year and then every 2-4 months thereafter.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Pediatric Myeloablative conditioning Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide IV over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. |
Biological: anti-thymocyte globulin
Given IV
Other Names:
Drug: cyclophosphamide
Given IV
Other Names:
Drug: methylprednisolone
Given IV
Other Names:
Radiation: total-body irradiation
Given daily for 1-4 days
|
| Experimental: Adult Myeloablative conditioning Patients receive fludarabine phosphate IV over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. |
Drug: cyclophosphamide
Given IV
Other Names:
Drug: fludarabine phosphate
Given IV
Other Names:
Radiation: total-body irradiation
Given daily for 1-4 days
|
| Experimental: Reduced-intensity conditioning Patients receive fludarabine phosphate IV over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
Drug: cyclophosphamide
Given IV
Other Names:
Drug: fludarabine phosphate
Given IV
Other Names:
Radiation: total-body irradiation
Given daily for 1-4 days
|
Outcome Measures
Primary Outcome Measures
- Number of Participants With 100-day Non-relapse Mortality [100 days]
Evaluate the safety (as determined by the day 100 non-relapse mortality) and feasibility of single or double umbilical cord blood (UCB)stem cell transplant (SCT) in adult or pediatric patients with hematologic malignancies receiving graft-versus-host disease (GVHD) prophylaxis with tacrolimus and mycophenolate mofetil (MMF).
Secondary Outcome Measures
- Number of Participants With Sustained Donor Engraftment of Umbilical Cord Blood Stem Cells [42 days]
Recovery of the neutrophil portion of white blood cells and showing complete donor cells.
- Number of Participants With Acute Graft-versus-host Disease (GVHD) [100 days]
Participants who exhibit acute GVHD.
- Number of Participants Who Relapsed at 1 Year [1 year]
- Number of Subjects With All-cause Mortality [at 100 days]
Death from any cause at 100 days
- Overall Survival [1 year]
Overall survival at 1 year
- Number of Participants With Chronic Graft Versus Host Disease (GVHD) [100 days]
As opposed to acute GVHD, which is characterized by rash, cholestasis, and enteritis, chronic GVHD is characterized by nausea, anorexia, ocular and oral sicca, and other organ involvement
Eligibility Criteria
Criteria
Patient and UCB Unit Selection:
Inclusion Criteria: General (Adults and Pediatrics)
Only one of the following should be present:
-
Acute leukemia (lymphocytic or myeloid or undifferentiated or biphenotypic) in complete remission 2 or beyond
-
Acute lymphocytic leukemia, Philadelphia chromosome positive in complete remission 1 or beyond
-
Acute myeloid leukemia in complete remission 1 if it has evolved from a myeloproliferative disorder (MPD) or myelodysplastic syndrome (MDS).
-
Acute leukemia in complete remission 1 if there is a failure to recover normal blood counts or the development of MDS following induction chemotherapy.
-
Therapy related acute leukemia in complete remission 1 or beyond
-
Chronic myeloid leukemia (CML) chronic phase-1 (imatinib failures, imatinib intolerance), or any CML beyond first chronic phase
-
Myelodysplastic syndromes (Intermediate -1 or higher risk by IPSS)
-
Therapy related MDS (irrespective of IPSS)
-
Multiple myeloma must have had prior chemotherapy or autologous transplant
-
Chronic lymphocytic leukemia must have failed two lines of conventional therapy but still chemosensitive to third line therapy.
-
Chemosensitive Non-Hodgkin's lymphoma or Hodgkin's lymphoma in CR or PR after failing induction therapy.
-
High risk acute leukemia/lymphoma eg Nk/T cell, HTLV associated leukemia/lymphoma, other T cell lymphoma/leukemia in first best response
-
For patients with acute leukemia-they must be in a remission (less than 5% leukemic marrow blasts) at time of study entry.
Inclusion Criteria (Adults - 18 years or older)
-
Karnofsky score of > 70%
-
Estimated creatinine clearance of > 60 ml/min
-
Left ventricular ejection fraction of >50%
-
Pulmonary function test with DLCO, FEV1 and FVC of >60%
-
Total bilirubin and SGOT of < 3.0 x upper limits of normal
-
Note: Age 18- 40 years for adult myeloablative conditioning Age > 40 -50 years for adult reduced intensity conditioning
Inclusion Criteria (Pediatrics - 18 years and younger)
-
Karnofsky or Lansky score of > 70%
-
Estimated Creatinine clearance of > 60 ml/min
-
Left ventricular ejection fraction of >50%
-
Pulmonary function test with FEV1 and FVC of >60% (for patients >6 years of age)
-
Total bilirubin and SGOT of < 3.0 x upper limits of normal
-
Note: All pediatric patients will receive myeloablative conditioning
Inclusion Criteria - Donor Issues
- No available HLA identical or 1 antigen/allele mismatched (Class I-A, B or Class II DR locus) related donor
Inclusion Criteria: Umbilical Cord Blood Unit-HLA Typing
-
At least a HLA 4/6 match (Class I-A, B by low resolution, Class II-DR by high resolution) to recipient
-
For double UCB SCT each unit should be at least a 4/6 match (Class I-A,B by low resolution, Class II-DR by high resolution) to recipient, and should be at least a 4/6 match (Class I-A,B by low resolution, Class II-DR by high resolution) to each other
Inclusion Criteria: Umbilical Cord Blood Unit-Cell dose
-
For Single UCB SCT: the unit will have ≥ 3.5 X 107 NC/kg of recipient body weight (For pediatric patients a cell dose ≥ 3.0 X 107 NC/kg of recipient body weight is acceptable). Recipient body weight will be determined as per standard guidelines.
-
For Double UCB SCT: (done only if no single UCB unit ≥ 3.5 X 107 NC/kg of recipient body weight is available for adults, and ≥ 3.0 X 107 NC/kg of recipient body weight is available for pediatric patients )
-
The larger of the two units (UCB1) will have a minimum cell dose of 2.0 X 107 NC/kg of recipient body weight. The smaller of the two units (UCB2) will have a minimum of 0.5 X 107 NC/kg of recipient body weight.
The total cell dose UCB1 + UCB2 will be ≥ 2.5 X 107 NC/kg of recipient body weight.
-Adult patients eligible for a double UCB SCT but without an appropriate second UCB unit will be enrolled in the study if their single UCB unit contains ≥ 2.5 x 107 NC/kg recipient body weight.
Exclusion Criteria
-
Organ dysfunction as per standard guidelines. Unable to give informed consent (for adults only)
-
Pregnant or lactating
-
Sexually active individuals capable of becoming pregnant or causing a pregnancy who are unable or unwilling to use appropriate contraceptives.
-
Active use of illicit drugs as evidenced by a positive toxicology screen for a substance not prescribed by a medical professional just prior to initiating the preparative regimen
-
Actively smoking as evidenced by a positive nicotine screen just prior to initiating the preparative regimen
-
HIV positive
-
Patients with other unrelated malignancies will be excluded except:
-
diagnosis of skin cancer (squamous cell or basal cell)
-
diagnosis of cervical dysplasia (CIN I-III)
-
any other malignancy which is currently in remission and was treated with curative intent more than 5 years preceding study entry
-
In patients with secondary MDS or secondary acute leukemias-the previous non-hematopoietic neoplasm should be in remission but can be within 5 years of study entry
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Vanderbilt-Ingram Cancer Center - Cool Springs | Nashville | Tennessee | United States | 37067-1631 |
| 2 | Vanderbilt-Ingram Cancer Center at Franklin | Nashville | Tennessee | United States | 37067-5615 |
| 3 | Veterans Affairs Medical Center - Nashville | Nashville | Tennessee | United States | 37212 |
| 4 | Vanderbilt-Ingram Cancer Center | Nashville | Tennessee | United States | 37232-6838 |
Sponsors and Collaborators
- Vanderbilt-Ingram Cancer Center
- National Cancer Institute (NCI)
Investigators
- Study Chair: Brian Engelhardt, MD, Vanderbilt-Ingram Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- VICC BMT 0552
- VU-VICC-BMT-0552
- NCT00244036
Study Results
Participant Flow
| Recruitment Details | Recruitment period = 9/23/2005 through 8/15/2008 |
|---|---|
| Pre-assignment Detail | A total of 7 people signed consent to take part in this study. Of those, 1 was determined to be ineligible. |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Period Title: Overall Study | |||
| STARTED | 2 | 3 | 1 |
| COMPLETED | 1 | 3 | 1 |
| NOT COMPLETED | 1 | 0 | 0 |
Baseline Characteristics
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning | Total |
|---|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. | Total of all reporting groups |
| Overall Participants | 2 | 3 | 1 | 6 |
| Age (Count of Participants) | ||||
| <=18 years |
2
100%
|
0
0%
|
0
0%
|
2
33.3%
|
| Between 18 and 65 years |
0
0%
|
3
100%
|
1
100%
|
4
66.7%
|
| >=65 years |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
| Age (years) [Mean (Standard Deviation) ] | ||||
| Mean (Standard Deviation) [years] |
8
(1)
|
31
(1)
|
42
(1)
|
31
(1)
|
| Sex: Female, Male (Count of Participants) | ||||
| Female |
1
50%
|
1
33.3%
|
1
100%
|
3
50%
|
| Male |
1
50%
|
2
66.7%
|
0
0%
|
3
50%
|
| Region of Enrollment (participants) [Number] | ||||
| United States |
2
100%
|
3
100%
|
1
100%
|
6
100%
|
Outcome Measures
| Title | Number of Participants With 100-day Non-relapse Mortality |
|---|---|
| Description | Evaluate the safety (as determined by the day 100 non-relapse mortality) and feasibility of single or double umbilical cord blood (UCB)stem cell transplant (SCT) in adult or pediatric patients with hematologic malignancies receiving graft-versus-host disease (GVHD) prophylaxis with tacrolimus and mycophenolate mofetil (MMF). |
| Time Frame | 100 days |
Outcome Measure Data
| Analysis Population Description |
|---|
| [Not Specified] |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 2 | 3 | 1 |
| Number [participants] |
1
50%
|
0
0%
|
0
0%
|
| Title | Number of Participants With Sustained Donor Engraftment of Umbilical Cord Blood Stem Cells |
|---|---|
| Description | Recovery of the neutrophil portion of white blood cells and showing complete donor cells. |
| Time Frame | 42 days |
Outcome Measure Data
| Analysis Population Description |
|---|
| Patients who received treatment and who did not die before day 42. |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 1 | 2 | 0 |
| Number [participants] |
1
50%
|
1
33.3%
|
| Title | Number of Participants With Acute Graft-versus-host Disease (GVHD) |
|---|---|
| Description | Participants who exhibit acute GVHD. |
| Time Frame | 100 days |
Outcome Measure Data
| Analysis Population Description |
|---|
| [Not Specified] |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 2 | 3 | 1 |
| Number [participants] |
0
0%
|
1
33.3%
|
0
0%
|
| Title | Number of Participants Who Relapsed at 1 Year |
|---|---|
| Description | |
| Time Frame | 1 year |
Outcome Measure Data
| Analysis Population Description |
|---|
| [Not Specified] |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 2 | 3 | 1 |
| Number [participants] |
0
0%
|
0
0%
|
0
0%
|
| Title | Number of Subjects With All-cause Mortality |
|---|---|
| Description | Death from any cause at 100 days |
| Time Frame | at 100 days |
Outcome Measure Data
| Analysis Population Description |
|---|
| [Not Specified] |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 2 | 3 | 1 |
| Number [participants] |
1
50%
|
0
0%
|
0
0%
|
| Title | Overall Survival |
|---|---|
| Description | Overall survival at 1 year |
| Time Frame | 1 year |
Outcome Measure Data
| Analysis Population Description |
|---|
| [Not Specified] |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 2 | 3 | 1 |
| Number [participants] |
1
50%
|
3
100%
|
1
100%
|
| Title | Number of Participants With Chronic Graft Versus Host Disease (GVHD) |
|---|---|
| Description | As opposed to acute GVHD, which is characterized by rash, cholestasis, and enteritis, chronic GVHD is characterized by nausea, anorexia, ocular and oral sicca, and other organ involvement |
| Time Frame | 100 days |
Outcome Measure Data
| Analysis Population Description |
|---|
| [Not Specified] |
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning |
|---|---|---|---|
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. |
| Measure Participants | 2 | 3 | 1 |
| Number [participants] |
0
0%
|
0
0%
|
0
0%
|
Adverse Events
| Time Frame | ||||||
|---|---|---|---|---|---|---|
| Adverse Event Reporting Description | ||||||
| Arm/Group Title | Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning | |||
| Arm/Group Description | Patients undergo total-body irradiation on days -7 to -4, and receive cyclophosphamide intravenous (IV) over 1 hour on days -3 and -2, methylprednisolone IV twice daily on days -3 to -1, and anti-thymocyte globulin IV over 4 hours on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -4, cyclophosphamide IV over 1 hour on days -5 and -4, and undergo total-body irradiation on days -3 to -1. | Patients receive fludarabine phosphate intravenous (IV) over 30 minutes on days -6 to -2 and cyclophosphamide IV over 1 hour on day -6 and undergo total-body irradiation on day -1. | |||
All Cause Mortality |
||||||
| Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning | ||||
| Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
| Total | / (NaN) | / (NaN) | / (NaN) | |||
Serious Adverse Events |
||||||
| Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning | ||||
| Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
| Total | 0/2 (0%) | 1/3 (33.3%) | 0/1 (0%) | |||
| Infections and infestations | ||||||
| MRSE | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Gram negative rods septicemia | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
Other (Not Including Serious) Adverse Events |
||||||
| Pediatric Myeloablative Conditioning | Adult Myeloablative Conditioning | Reduced-intensity Conditioning | ||||
| Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
| Total | 0/2 (0%) | 2/3 (66.7%) | 0/1 (0%) | |||
| Blood and lymphatic system disorders | ||||||
| Abnormal PTT | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/1 (0%) | 0 |
| Cardiac disorders | ||||||
| Pericarditis | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Gastrointestinal disorders | ||||||
| Mucositis (functional/symptomatic) | 0/2 (0%) | 0 | 2/3 (66.7%) | 4 | 0/1 (0%) | 0 |
| Mucositis (clinical exam) | 0/2 (0%) | 0 | 2/3 (66.7%) | 3 | 0/1 (0%) | 0 |
| Infections and infestations | ||||||
| Catheter-related infection Grade 3-4 neutrophils (ANC < 1.0 x 10e9/L) | 0/2 (0%) | 0 | 2/3 (66.7%) | 2 | 0/1 (0%) | 0 |
| Infection with normal ANC or Grade 1-2 neutrophils | 0/2 (0%) | 0 | 2/3 (66.7%) | 4 | 0/1 (0%) | 0 |
| Infection with grade 3-4 neutrophils (ANC< 1.0 x 10e9/L) | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Bladder infection | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Catheter-related infection grade 1-2 neutrophils | 0/2 (0%) | 0 | 1/3 (33.3%) | 3 | 0/1 (0%) | 0 |
| Infection with nomral ANC or grade 1-2 joint | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/1 (0%) | 0 |
| Urinary tract infection | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/1 (0%) | 0 |
| Investigations | ||||||
| Creatinine increased | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Metabolism and nutrition disorders | ||||||
| Anorexia | 0/2 (0%) | 0 | 2/3 (66.7%) | 2 | 0/1 (0%) | 0 |
| Hyperglycemia | 0/2 (0%) | 0 | 2/3 (66.7%) | 9 | 0/1 (0%) | 0 |
| Hyponatremia | 0/2 (0%) | 0 | 2/3 (66.7%) | 3 | 0/1 (0%) | 0 |
| Hypophosphatemia | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Hyperkalemia | 0/2 (0%) | 0 | 1/3 (33.3%) | 5 | 0/1 (0%) | 0 |
| Hyperuricemia | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/1 (0%) | 0 |
| Musculoskeletal and connective tissue disorders | ||||||
| Osteonecrosis | 0/2 (0%) | 0 | 1/3 (33.3%) | 3 | 0/1 (0%) | 0 |
| Limb pain | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Joint pain | 0/2 (0%) | 0 | 1/3 (33.3%) | 3 | 0/1 (0%) | 0 |
| Renal and urinary disorders | ||||||
| Cystitis | 0/2 (0%) | 0 | 2/3 (66.7%) | 4 | 0/1 (0%) | 0 |
| Bladder spasms | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Renal failure | 0/2 (0%) | 0 | 1/3 (33.3%) | 3 | 0/1 (0%) | 0 |
| Urinary bleeding | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Reproductive system and breast disorders | ||||||
| Testical pain | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Errectile dysfunction | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Libido | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Respiratory, thoracic and mediastinal disorders | ||||||
| Pneumonia | 0/2 (0%) | 0 | 1/3 (33.3%) | 5 | 0/1 (0%) | 0 |
| Hypoxia | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Pneumonitis | 0/2 (0%) | 0 | 1/3 (33.3%) | 4 | 0/1 (0%) | 0 |
| Skin and subcutaneous tissue disorders | ||||||
| Cellulitis | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
| Vascular disorders | ||||||
| Hypertension | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/1 (0%) | 0 |
| Thrombosis | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/1 (0%) | 0 |
Limitations/Caveats
More Information
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
| Name/Title | Brian Engelhardt, M.D. |
|---|---|
| Organization | Vanderbilt-Ingram Cancer Center |
| Phone | 615-936-1803 |
- VICC BMT 0552
- VU-VICC-BMT-0552
- NCT00244036