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Sponsors and Collaborators: |
Dana-Farber Cancer Institute Genzyme |
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Information provided by: | Dana-Farber Cancer Institute |
ClinicalTrials.gov Identifier: | NCT00697684 |
This study will examine the safety of clofarabine, TLI and ATG as a reduced conditioning regimen prior to allogeneic transplantation. The impact of the conditioning regimen on the presence of the circulating regulatory as compared to activated T cell populations will be assessed.The recovery of DC populations post-transplant will be examined, along with the effect of the regimen on disease free and overall survival.
Condition | Intervention | Phase |
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Acute Myeloid Leukemia Myelodysplastic Syndrome Acute Lymphocytic Leukemia Relapsed/Refractory Chronic Lymphocytic Leukemia Relapsed/Refractory Non Hodgkin's Lymphoma Hodgkins Disease Relapsed Refractory Multiple Myeloma |
Drug: Antithymocyte Globulin Drug: Clofarabine |
Phase I |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Single Group Assignment |
Official Title: | A Reduced Intensity Conditioning With Clofarabine Antithymocyte Globulin and Total Lymphoid Irradiation Followed by Allogeneic Hematopoietic Stem Cell Transplantation |
Estimated Enrollment: | 30 |
Study Start Date: | June 2008 |
Estimated Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Cohort 1: No Intervention |
Drug: Antithymocyte Globulin
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
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Cohort 2: Experimental |
Drug: Clofarabine
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). Clofarabine will be given at 20mg/m2/d IV infused over 1 hour x 5 days (day -6 to -2), for a total dose of 100 mg/m(2). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
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Cohort 3: Experimental |
Drug: Clofarabine
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). Clofarabine will be given at 30mg/m2/d IV infused over 1 hour x 5 days (day -6 to -2), for a total dose of 150 mg/m(2). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
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Cohort 4: Experimental |
Drug: Clofarabine
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). Clofarabine will be given at 40mg/m2/d IV infused over 1 hour x 5 days (day -6 to -2), for a total dose of 200 mg/m(2). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
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Ages Eligible for Study: | 18 Years to 70 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Laboratories:
10. All patients must be capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent. All patients must be informed of the investigational nature of this study and must give written informed consent in accordance with institutional and federal guidelines.
11. Female patients of childbearing potential must have a negative serum pregnancy test within 2 weeks prior to enrollment.
12. Male and female patients must use an effective contraceptive method during the study and for a minimum of 6 months after study treatment
Exclusion Criteria:
Contact: Carol Delaney, RN | 617-667-1969 | cdelaney@bidmc.harvard.edu |
Contact: Jessica Bonhoff | 617-667-1903 | jbonhoff@bidmc.harvard.edu |
United States, Massachusetts | |
Beth Israel Deaconess Medical Center | Recruiting |
Boston, Massachusetts, United States, 02215 | |
Contact: Carol Delaney, RN 617-667-1969 cdelaney@bidmc.harvard.edu | |
Principal Investigator: David Avigan, MD | |
Sub-Investigator: Jacalyn Rosenblatt, MD | |
Sub-Investigator: Robin Joyce, MD | |
Sub-Investigator: James D Levine, MD | |
Sub-Investigator: Jeffrey Zwicker, MD | |
Sub-Investigator: Mary Ann Stevenson, MD | |
Massachusetts General Hospital | Not yet recruiting |
Boston, Massachusetts, United States, 02114 | |
Contact: Joanne Kennedy, RN 617-726-6034 jkennedy9@partners.org | |
Principal Investigator: Thomas Spitzer, MD |
Principal Investigator: | David E Avigan, MD | Beth Israel Deaconess Medical Center |
Responsible Party: | Beth Israel Deaconess Medical Center ( David Avigan, MD ) |
Study ID Numbers: | 07-384 |
Study First Received: | June 12, 2008 |
Last Updated: | July 14, 2008 |
ClinicalTrials.gov Identifier: | NCT00697684 |
Health Authority: | United States: Institutional Review Board; United States: Food and Drug Administration |
Reduced Intensity Allogeneic Stem Cell Transplant Clofarabine Rabbit Antithymocyte Globulin Total Lymphoid Radiation |
Leukemia, Lymphoid Hodgkin's disease Precancerous Conditions Blood Protein Disorders Hodgkin lymphoma, adult Lymphoma, small cleaved-cell, diffuse Paraproteinemias Leukemia, Myeloid, Acute Hemostatic Disorders Leukemia Preleukemia Hemorrhagic Disorders Multiple myeloma Leukemia, Lymphocytic, Chronic, B-Cell Acute myelocytic leukemia |
Hodgkin Disease Lymphoma Clofarabine Chronic lymphocytic leukemia Myelodysplastic syndromes Precursor Cell Lymphoblastic Leukemia-Lymphoma Immunoproliferative Disorders Hematologic Diseases Leukemia, B-cell, chronic Blood Coagulation Disorders Myelodysplasia Myelodysplastic Syndromes Acute myelogenous leukemia Vascular Diseases Leukemia, Myeloid |
Neoplasms by Histologic Type Disease Immune System Diseases Immunologic Factors Antineoplastic Agents Physiological Effects of Drugs Immunosuppressive Agents |
Pharmacologic Actions Neoplasms Pathologic Processes Syndrome Therapeutic Uses Cardiovascular Diseases |