Status:

COMPLETED

Stem Cell Transplantation for Patients With Hematologic Malignancies

Lead Sponsor:

St. Jude Children's Research Hospital

Conditions:

Acute Lymphoblastic Leukemias

Acute Myelocytic Leukemia

Eligibility:

All Genders

2-21 years

Phase:

PHASE3

Brief Summary

Childhood leukemias which cannot be cured by chemotherapy alone may be effectively treated by allogeneic bone marrow transplantation. Moreover, for patients with chronic myelogenous leukemia (CML), al...

Detailed Description

Secondary outcome evaluations for this clinical study include the following: * To estimate the overall survival in patients with high risk hematological malignancies who receive a HSCT with an unmani...

Eligibility Criteria

Inclusion

  • All patients lacking an HLA identical sibling for whom an unrelated donor matched at 6/6 HLA loci is formally requested within about 3 months of search initiation
  • Age greater than or equal to 24 months, but less than 21 years for new patients.
  • Diagnosis of one of the following high risk hematological malignancies:
  • Acute lymphoblastic leukemia (in second or subsequent remission or high risk in first remission)
  • Acute myeloid leukemia (in relapse or remission)
  • Secondary AML/MDS
  • Chronic myeloid leukemia
  • Juvenile myelomonocytic leukemia
  • Myelodysplastic syndrome
  • Paroxysmal nocturnal hemoglobinuria
  • Non-Hodgkin's lymphoma (in second or subsequent remission)

Exclusion

  • Patients with symptomatic cardiac disease, or evidence of significant cardiac disease by echocardiogram, or cardiac shortening fraction below 25%
  • Patients with renal creatinine clearance \< 40ml/min/1.73m\^2
  • Patients with FVC \< 40% predicted or pulse oximetry less than or equal to 92% on room air if unable to perform pulmonary function tests
  • Patients with direct bilirubin \> 3 mg/dl
  • Patients with SGPT \> 500 U/L
  • Patients with a Karnofsky or Lansky performance score \< 70
  • Patients who have received a previous allogeneic stem cell transplant
  • Patients with a known allergy to rabbit or murine products
  • Patients with isolated extramedullary leukemic relapse, including isolated CNS or testicular recurrence

Key Trial Info

Start Date :

May 1 2002

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2009

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT00152139

Start Date

May 1 2002

End Date

January 1 2009

Last Update

January 29 2009

Active Locations (1)

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1

St. Jude Children's Research Hospital

Memphis, Tennessee, United States, 38105