Hematopoietic Stem Cell Transplantation for Mucopolysaccharidosis

Sponsor
Tehran University of Medical Sciences (Other)
Overall Status
Unknown status
CT.gov ID
NCT01238328
Collaborator
(none)
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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
  • Drug: Conditioning regimen
  • Drug: Graft-versus-host disease (GVHD) prophylaxis
  • Procedure: Stem Cell Transplantation
Phase 2/Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
10 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Hematopoietic Stem Cell Transplantation for Mucopolysaccharidosis
Study Start Date :
Sep 1, 2009
Anticipated Primary Completion Date :
Sep 1, 2012
Anticipated Study Completion Date :
Dec 1, 2012

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:
  • Endoxan
  • Antithymocyte globulin (ATG) rabbit : Thymoglobulin
  • Antithymocyte globulin (ATG) horse : Atgam
  • 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:
  • MTX
  • 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:
  • HSCT
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Survival and Progressive Free Survival in patient with Mucopolysaccharidosis who receive allogeneic Hematopoietic stem cell transplantation (HSCT) [1 year]

    Secondary Outcome Measures

    1. One year overall survival after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]

    2. One year Progressive Free Survival after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]

    3. Transplantation Related Mortality (TRM) after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]

    4. Acute and chronic Graft-versus-host disease (GVHD) rate after allogeneic hematopoietic stem cell transplantation (HSCT) [1 year]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A to 8 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Diagnosis of Mucopolysaccharidosis type 1, 6 and 7 confirm by leukocyte enzyme assay

    • Age up to 8 year old

    • Have suitable donor

    Exclusion Criteria:
    • Creatinine clearance ≤ 40ml/min/1.73m^2

    • Bilirubin ≥ 3mg/dL

    • SGPT ≥ 500 U/L

    • Current severe infection

    • Evidence of CNS involvement

    • 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.
    Responsible Party:
    Tehran University of Medical Sciences
    ClinicalTrials.gov Identifier:
    NCT01238328
    Other Study ID Numbers:
    • HORCSCT-0906
    First Posted:
    Nov 10, 2010
    Last Update Posted:
    Jun 4, 2012
    Last Verified:
    May 1, 2012
    Keywords provided by Tehran University of Medical Sciences
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 4, 2012