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Combination Chemotherapy and Radiation Therapy Followed By Cyclosporine and Mycophenolate Mofetil in Treating Patients Who Are Undergoing a Donor Stem Cell Transplant for Hematologic Cancer, Metastatic Breast Cancer, or Kidney Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), January 2009
Sponsors and Collaborators: Masonic Cancer Center, University of Minnesota
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00303719
  Purpose

RATIONALE: A peripheral stem cell transplant may be able to replace blood-forming cells that were destroyed by chemotherapy and radiation therapy, or that have become cancer. Sometimes the transplanted cells from a donor can make an immune response against the body's normal cells. Giving cyclophosphamide and fludarabine together with total-body irradiation followed by cyclosporine and mycophenolate mofetil before the transplant may stop this from happening.

PURPOSE: This clinical trial is studying how well giving combination chemotherapy together with radiation therapy followed by cyclosporine and mycophenolate mofetil works in treating patients who are undergoing a donor stem cell transplant for hematologic cancer, metastatic breast cancer, or kidney cancer.


Condition Intervention
Breast Cancer
Chronic Myeloproliferative Disorders
Kidney Cancer
Leukemia
Lymphoma
Multiple Myeloma and Plasma Cell Neoplasm
Myelodysplastic Syndromes
Myelodysplastic/Myeloproliferative Diseases
Drug: anti-thymocyte globulin
Drug: cyclophosphamide
Drug: cyclosporine
Drug: fludarabine phosphate
Drug: mycophenolate mofetil
Procedure: allogeneic hematopoietic stem cell transplantation
Procedure: peripheral blood stem cell transplantation
Procedure: total-body irradiation

Genetics Home Reference related topics: aceruloplasminemia breast cancer hemophilia
MedlinePlus related topics: Anemia Breast Cancer Cancer Hodgkin's Disease Kidney Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Leukemia, Childhood Lymphoma Multiple Myeloma
Drug Information available for: Cyclophosphamide Fludarabine Fludarabine monophosphate Cyclosporin Cyclosporine Mycophenolate Mofetil Mycophenolate mofetil hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Allogeneic Bone Marrow Transplantation Using Less Intensive Therapy

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Engraftment based on absolute neutrophil count of donor origin > 0.5 x 10e9 /L for 3 days by day 42 [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety by development of severe adverse events within 100 days of transplant [ Designated as safety issue: Yes ]

Estimated Enrollment: 130
Study Start Date: March 2002
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine if a nonmyeloablative regimen comprising cyclophosphamide, fludarabine, and radiotherapy followed by cyclosporine and mycophenolate mofetil provides a prompt and durable donor engraftment in patients with hematologic malignancies, metastatic breast cancer, or kidney cancer who are undergoing allogeneic stem cell transplantation.
  • Determine the safety of this nonmyeloablative transplantation regimen in these patients.
  • Determine the risk of graft-versus-host-disease in patients treated with this regimen.
  • Determine the antineoplastic potency of nonmyeloablative stem cell transplantation in patients treated with this regimen.

OUTLINE: Patients are stratified according to risk (standard vs high).

  • Preparative regimen: Patients receive cyclophosphamide IV over 2 hours on day -6 and fludarabine IV over 1 hour on days -6 to -2. Patients undergo total body irradiation on day -1. Some patients also receive anti-thymocyte globulin (ATG)* IV every 12 hours on days -6 to -4. Patients who receive ATG* include the following:

    • Related donor recipients who have not received combination chemotherapy within the past 6 months
    • Unrelated donor recipients who have not received combination chemotherapy within the past 3 months
    • Unrelated donor recipients who have received only 1 induction course for the treatment of acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), myelodysplastic syndromes (MDS), or blastic phase chronic myelogenous leukemia (CML) NOTE: *Patients who underwent prior autologous stem cell transplantation in the past year do not receive ATG.
  • Allogeneic peripheral blood stem cell transplantation (PBSCT): Patients undergo allogeneic PBSCT on day 0.
  • Graft-versus-host-disease prophylaxis: Patients receive cyclosporine IV over 2 hours beginning on day -3 and continuing until at least day 100. Patients also receive mycophenolate mofetil IV or orally twice daily on days -3 to 30.
  • Donor lymphocyte infusion (DLI): Patients without active GVHD but deteriorating donor chimerism may receive DLI IV over 2 hours.

After completion of study treatment, patients are followed periodically for 2 years.

PROJECTED ACCRUAL: A total of 130 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   up to 69 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of 1 of the following:

    • Acute myeloid leukemia (AML), meeting the following criteria:

      • High-risk disease, as evidenced by 1 of the following criteria:

        • In first complete remission (CR) AND AML evolved from prior myelodysplastic syndromes (MDS)
        • High-risk cytogenetics, such as those associated with MDS or complex karyotype
        • Required > 2 courses of prior therapy to obtain CR
        • In second or greater CR
      • Must be in remission by morphology

        • Ineligible if in morphologic relapse/persistent disease, defined as > 5% blasts in normocellular bone marrow OR any percentage of blasts if blasts have unique morphologic markers (e.g., auer rods) or associated cytogenetic markers that allow morphologic relapse to be distinguished

          • Cytogenetic relapse or persistent disease without morphologic relapse is allowed
    • Acute lymphocytic leukemia (ALL), meeting the following criteria:

      • High-risk disease, as evidenced by 1 of the following criteria:

        • In first CR AND has high-risk cytogenetics (e.g., t[9;22] or complex cytogenetic abnormalities)
        • Required > 1 course of prior therapy to obtain CR
        • In second or greater CR
      • Must be in remission by morphology

        • Ineligible if in morphologic relapse/persistent disease, defined as > 5% blasts in normocellular bone marrow OR any percentage of blasts if blasts have unique morphologic markers or associated cytogenetic markers that allow morphologic relapse to be distinguished

          • Cytogenetic relapse or persistent disease without morphologic relapse is allowed
          • A small percentage of blasts that is equivocal between marrow regeneration vs early relapse is allowed provided there are no associated cytogenetic markers consistent with relapse
    • Chronic myelogenous leukemia (CML)

      • No CML in refractory blast crisis unless treated blast crisis in chronic phase
    • Non-Hodgkin's lymphoma (NHL)

      • No intermediate, high-grade, or mantle cell NHL that has progressed on salvage therapy
    • Hodgkin's lymphoma

      • No disease that has progressed on salvage therapy unless disease is stable and non bulky
    • Chronic lymphocytic leukemia
    • Acquired bone marrow failure syndromes
    • Multiple myeloma
    • MDS of all subtypes including refractory anemia if severe pancytopenia or high-risk cytogenetics

      • If blasts ≥ 5%, patient requires induction therapy pretransplant
    • Metastatic breast cancer responsive to recent chemotherapy or in plateau after response to chemotherapy
    • Renal cell cancer
    • Chronic myeloproliferative disorder (e.g., myelofibrosis)
  • Donors must be 5/6 or 6/6 related match OR 7-8/8 HLA-A,-B, -C, -DRB1 allele unrelated volunteer match
  • Patients with refractory leukemia or MDS may undergo transplant in aplasia after induction or re-induction chemotherapy or radiolabeled antibodies
  • No congenital bone marrow failure syndrome
  • Hormone receptor status not specified NOTE: A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology.

PATIENT CHARACTERISTICS:

  • Karnofsky performance status (PS) 60-100% (adults) OR Lansky PS 50-100% (pediatric)
  • Male or female
  • Menopausal status not specified
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No decompensated congestive heart failure
  • No uncontrolled arrhythmia
  • Ejection fraction ≥ 35%
  • DLCO ≥ 30% of predicted
  • Albumin > 2.5 g/dL
  • AST and ALT < 5 times upper limit of normal (ULN)
  • Bilirubin < 3 times ULN
  • Creatinine ≤ 2.0 mg/dL (adults) OR creatinine clearance > 40 mL/min
  • No known HIV positivity or evidence of HIV infection
  • No active serious infection
  • Any recent mold infection (e.g., Aspergillus) must receive therapy for 30 days, have responsive disease, and be cleared by Infectious Disease Department

PRIOR CONCURRENT THERAPY:

  • No prior irradiation that would preclude another dose of total body irradiation
  • At least 3 months since prior myeloablative transplantation
  • No oxygen requirements
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00303719

Locations
United States, Minnesota
Masonic Cancer Center at University of Minnesota Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Clinical Trials Office - Masonic Cancer Center at University o     612-624-2620        
Sponsors and Collaborators
Masonic Cancer Center, University of Minnesota
Investigators
Study Chair: Marcie Tomblyn, MD, MS Masonic Cancer Center, University of Minnesota
Principal Investigator: Daniel J. Weisdorf, MD Masonic Cancer Center, University of Minnesota
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000450876, UMN-2001LS058, UMN-MT2001-10
Study First Received: March 15, 2006
Last Updated: January 7, 2009
ClinicalTrials.gov Identifier: NCT00303719  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
adult acute myeloid leukemia with 11q23 (MLL) abnormalities
refractory multiple myeloma
adult acute myeloid leukemia with inv(16)(p13;q22)
recurrent adult Hodgkin lymphoma
adult acute myeloid leukemia with t(15;17)(q22;q12)
adult acute myeloid leukemia with t(16;16)(p13;q22)
adult acute myeloid leukemia with t(8;21)(q22;q22)
Burkitt lymphoma
stage III childhood Hodgkin lymphoma
refractory chronic lymphocytic leukemia
stage IV childhood Hodgkin lymphoma
stage III chronic lymphocytic leukemia
noncontiguous stage II small lymphocytic lymphoma
recurrent renal cell cancer
refractory anemia with excess blasts in transformation
refractory anemia with ringed sideroblasts
refractory anemia
childhood acute lymphoblastic leukemia in remission
noncontiguous stage II mantle cell lymphoma
recurrent mantle cell lymphoma
stage III mantle cell lymphoma
stage IV mantle cell lymphoma
chronic eosinophilic leukemia
male breast cancer
noncontiguous stage II marginal zone lymphoma
adult acute myeloid leukemia in remission
childhood acute myeloid leukemia in remission
childhood chronic myelogenous leukemia
recurrent adult acute myeloid leukemia
recurrent childhood acute myeloid leukemia

Study placed in the following topic categories:
Cyclosporine
Chronic myelogenous leukemia
Refractory anemia
Hodgkin lymphoma, adult
Lymphoma, small cleaved-cell, diffuse
Mycophenolic Acid
Urogenital Neoplasms
Small non-cleaved cell lymphoma
Cyclosporins
Lymphoma, large-cell, immunoblastic
Preleukemia
Hemorrhagic Disorders
Neoplasm Metastasis
Kidney Diseases
Myelodysplastic syndromes
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Hematologic Diseases
Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative
Blood Coagulation Disorders
Acute myelogenous leukemia
Breast Neoplasms
Leukemia, Myeloid
Carcinoma
Myelodysplastic myeloproliferative disease
Leukemia, Myeloid, Accelerated Phase
B-cell lymphomas
Fludarabine
Lymphoma, Non-Hodgkin
Neoplasms, Glandular and Epithelial
Precancerous Conditions

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Antibiotics, Antineoplastic
Pathologic Processes
Neoplasms by Site
Syndrome
Therapeutic Uses
Antifungal Agents
Cardiovascular Diseases
Alkylating Agents
Dermatologic Agents
Disease
Neoplasms by Histologic Type
Immune System Diseases
Enzyme Inhibitors
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Antirheumatic Agents

ClinicalTrials.gov processed this record on January 16, 2009