Hematopoietic Stem Cell Transplantation for Mucopolysaccharidosis
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the efficacy and side effects of donor hematopoietic cells using chemotherapy regimen without total-body irradiation in children undergoing a hematopoietic stem cell transplant for Mucopolysaccharidosis. The blood stem cells will be derived from either related donor or unrelated umbilical cord blood or haploidentical donor.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2/Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Transplantation
|
Drug: Conditioning regimen
For sibling full match:
Busulfan 16 mg/kg >5year - 20 mg/kg <5year po
Cyclophosphamide 200 mg/kg iv
For other related full match, sibling or other related with one antigen mismatch and umbilical cord blood:
Busulfan 16 mg/kg >5year - 20 mg/kg <5year po
Cyclophosphamide 200 mg/kg iv
Antithymocyte globulin (ATG) rabbit (Thymoglobulin) 10 mg/kg or ATG horse (Atgam) 40 mg/kg
For haploidentical:
Busulfan 16 mg/kg >5year - 20 mg/kg <5year po
Cyclophosphamide 200 mg/kg iv
Fludarabine 160 mg/m^2
Other Names:
Drug: Graft-versus-host disease (GVHD) prophylaxis
Cyclosporin A 1.5 mg/kg/day iv from -2, then 3 mg/kg/day iv (from +7 in peripheral blood stem cell transplant (PBSCT) and +11 in Bone marrow transplantation or Umbilical Cord Blood (UCB) transplantation) then 9 mg/kg/day po
10 mg/m^2 iv day +1 then 6 mg/m^ iv day +3 and +6 (Not for UCBT)
Other Names:
Procedure: Stem Cell Transplantation
Patients undergoing Hematopoietic Stem Cell Transplantation from one of below source:
Sibling full match
Other related full match
Sibling or other related with 1 mismatch antigen
Cord Blood
Haploidentical
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Overall Survival and Progressive Free Survival in patient with Mucopolysaccharidosis who receive allogeneic Hematopoietic stem cell transplantation (HSCT) [1 year]
Secondary Outcome Measures
- One year overall survival after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]
- One year Progressive Free Survival after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]
- Transplantation Related Mortality (TRM) after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]
- Acute and chronic Graft-versus-host disease (GVHD) rate after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosis of Mucopolysaccharidosis type 1, 6 and 7 confirm by leukocyte enzyme assay
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Age up to 8 year old
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Have suitable donor
Exclusion Criteria:
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Creatinine clearance ≤ 40ml/min/1.73m^2
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Bilirubin ≥ 3mg/dL
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SGPT ≥ 500 U/L
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Current severe infection
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Evidence of CNS involvement
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Morbidity such as blindness or deafness
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hematology-Oncology & SCT Research Center | Teharn | Tehran | Iran, Islamic Republic of | 14114 |
Sponsors and Collaborators
- Tehran University of Medical Sciences
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HORCSCT-0906