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Umbilical Cord Blood Transplant for Hematological Malignancies (UCB)
This study is currently recruiting participants.
Study NCT00891592   Information provided by University of Pennsylvania
First Received: April 29, 2009   Last Updated: April 30, 2009   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

April 29, 2009
April 30, 2009
January 2009
Dose limiting toxicity (DLT) is defined as grade 4 acute GVHD within the first 90 days following infusion. [ Time Frame: 90 Days post Transplant ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00891592 on ClinicalTrials.gov Archive Site
 
 
 
Umbilical Cord Blood Transplant for Hematological Malignancies
A Phase 1 Dose Escalation Study of Infusion of ex Vivo cd3/cd28 Costimulated Umbilical Cord Blood-Derived t Cells in Adults Undergoing Transplantation for Advanced Hematologic Malignancies

This protocol will enroll subjects with advanced hematologic malignancies who do not have a suitable related or unrelated donor to undergo a Stem Cell Transplant.

In this study, subject will undergo a Stem Cell Transplant using Cord Blood. Part of the cord blood will be used for the Stem Cell Transplant and part of the cord blood will be sent to a laboratory in order to grown the T cells (from the cord blood) and increase the activity of the cord blood T cells.

The purpose of this part of the study is to see if it is safe to give study subjects activated T cells made from a small portion of their donor UCB unit immediately after the UCB transplant. Activated T cells have been used safely in stem cell transplantation studies in the past, but they have never been studied UCB transplantation.

The main study intervention includes CD3/CD28 ex vivo costimulated T cells derived from a thawed umbilical cord blood unit, co-infused following a myeloablative conditioning regimen.

Activated T cells are T cells that have been activated in the laboratory by exposure to 2 compounds or molecules called CD3 and CD28; when T cells are exposed to both of these compounds at the same time, they become activated or "stimulated" and may be more effective in fighting infections, cancer cells, and promoting the recovery of red cells, white cells, and platelets after transplantation. At the Hospital of the University of Pennsylvania, activated T cells are prepared at the Clinical Cell and Vaccine Production Facility, also known as the CVPF.

Phase I
Interventional
Treatment, Non-Randomized, Open Label, Dose Comparison, Single Group Assignment, Safety/Efficacy Study
  • CML
  • AML
  • MDS
  • ALL
  • NHL
  • Multiple Myeloma
  • Hodgkin's Disease
  • Biological: Ex Vivo CD3/CD28 costimulated Umbilical Cord Blood T cells
  • Other: Observation Arm
  • Experimental: Subjects with cord blood stored in more than one fraction will be enrolled into Dose Escalation Arm. Subjects will receive Cord Blood Stem Cell Transplant followed by expanded Cord Blood T cells on Day 0.
  • Active Comparator: Subjects with cord blood stored in one fraction will be enrolled into the Observation Arm. Subjects will receive Cord Blood Stem Cell Transplant on Day 0.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
36
January 2011
January 2011   (final data collection date for primary outcome measure)

Inclusion Criteria.

  • Relapsed or persistent advanced hematologic malignancy; incurable with standard chemotherapy and eligible for allogeneic HSCT, including:
  • CHRONIC MYELOGENOUS LEUKEMIA (CML). Subjects in accelerated or blast phase or subjects in chronic phase with inadequate response to Imatinib or intolerant to Imatinib.
  • ACUTE MYELOGENOUS LEUKEMIA (AML). Subject with high risk disease in first complete remission (CR). High risk disease includes the following cytogenetic abnormalities: monosomy 7, deletion 5, trisomy 8, inversion 3, t(3;3), t(6;9), or t(6;11). Subjects with complex cytogenetic abnormalities (more than 3 chromosomal abnormalities).
  • ACUTE MYELOGENOUS LEUKEMIA (AML). Subjects with diagnosis of AML after receiving chemotherapy, radiation therapy or biospy showing myelodysplastic syndrome.
  • ACUTE MYELOGENOUS LEUKEMIA (AML). Subjects with persistent AML after 2 cycles of standard induction chemotherapy.
  • ACUTE MYELOGENOUS LEUKEMIA (AML). Subjects in first complete remission.
  • MYELODYSPLASTIC SYNDROME (MDS). Subjects with intermediate or high risk disease based upon International Prognostic Scoring System.
  • ACUTE LYMPHOBLASTIC LEUKEMIA (ALL). Subjects with Philadelphis Chromosome (have t(9;22) cytogenetic abnormality) or molecular documentation for BCR-ABL translocation.
  • ACUTE LYMPHOBLASTIC LEUKEMIA (ALL). Subjects with primary refractory disease or subjects in 1st complete remission.
  • NHL or HODKIN'S DISEASE. Subjects who relapse following autologus Stem Cell Transplant.
  • IDOLENT NHL. Subjects with progressive disease following > 2 regimens.
  • MULTIPLE MYELOMA. Subjects who relapse following following autologus Stem Cell Transplant.
  • Adults age 21-50.
  • Expected survival . 4 weeks.
  • Subjects with no suitable related or unrelated donor for Stem Cell Transplant.
  • Subject has suitable Umbilical Cord Blood (UCB) unit available.
  • Subject has: Ejection fraction > 45%; DLCO.45% predicted; Creatinine < 2; Total bilirubin < 2X normal; Transaminases < 2X normal.
  • Subject is capable of giving informed consent.

Exclusion Criteria:

  • Subject is pregnant or lactating.
  • Subject has an uncontrolled infection.
  • Subject has an active or untreated disease involving the central nervous system.
  • Subject has an active or uncontrolled medical condition that would preclude participation in the protocol.
Both
21 Years to 50 Years
No
Contact: Lester Lledo, MSN, CRNP 215-746-6040 trpctu@mail.med.upenn.edu
United States
 
 
NCT00891592
Carl H. June, MD ; Director, Translational Research Programs, Abramson Cancer Center, Professor of Pathology and Laboratory Medicine, University of Pennsylvania
 
University of Pennsylvania
 
Principal Investigator: David Porter, MD University of Pennsylvania
Principal Investigator: Elizabeth Hexner, MD University of Pennsylvania
University of Pennsylvania
April 2009

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.