Status:

TERMINATED

Clofarabine and Non-Myeloablative Allogeneic Hematopoietic Transplantation

Lead Sponsor:

Milton S. Hershey Medical Center

Conditions:

Leukemia

Myelodysplastic Syndrome

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

PHASE2

Brief Summary

Allogeneic hematopoietic transplant is curative for many patients with hematological neoplasms but conditions to provide optimal engraftment and anti-tumor efficacy with minimal toxicity are still und...

Detailed Description

Non-myeloablative conditioning allows curative allogeneic hematopoietic transplantation for patients unable to tolerate more toxic conventional conditioning regiments. These regiments continue to be r...

Eligibility Criteria

Inclusion

  • Phase I
  • Acute leukemia - secondary or beyond first remission or in CR with poor risk cytogenetics, myelodysplastic syndrome IPPS Int-2 or high risk, chronic myelogenous leukemia in accelerated or blast crisis and imatinib refractory or lymphoma having failed second line therapy or relapsed mantle cell lymphoma.
  • Phase II
  • Acute leukemia secondary or at high risk for relapse, myelodysplastic syndrome IPPS Int-2 or high risk or having failed other therapy, chronic myelogenous leukemia, lymphoma having failed first line therapy or at high risk, relapsed Hodgkin's, CCL progressed beyond initial therapy, multiple myeloma beyond initial response or with high risk features.
  • Must have an HLA matched or 5/6 matched related donor at at least a 5/6 matched unrelated donor available.
  • Have adequate renal and hepatic functions
  • Capable of understanding the investigational nature, potential risk and benefits of the study and able to provide valid informed consent.
  • Female patients of childbearing potential must have a negative serum pregnancy test within 2 weeks prior to enrollment.
  • Male and female patients of childbearing potential must use an effective contraceptive method during the study and for a minimum of 6 months after study treatment.

Exclusion

  • Current concomitant chemotherapy, radiation therapy or immunotherapy other than as specified in the protocol.
  • Use of investigational agents within 30 days and no cytotoxic anticancer agents within 2 weeks before study entry with the exception of hydroxyurea. The patient must have recovered from all non-hematological acute toxicities from any previous therapy.
  • Other severe concurrent disease, or have a history of serious organ dysfunction or disease involving the heart, kidney, liver or other organ system that may place the patient at undue risk to undergo treatment.
  • Patients with systemic fungal, bacterial, viral, or other infection not controlled.
  • Pregnant or lactating patients.
  • Any significant concurrent disease, illness or psychiatric disorder that would compromise patient safety or compliance, interfere with consent, study participation, follow-up or interpretation of study results.
  • Age \> 70 (for Phase 1) or 75 (for Phase 2)

Key Trial Info

Start Date :

May 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2010

Estimated Enrollment :

8 Patients enrolled

Trial Details

Trial ID

NCT00626626

Start Date

May 1 2007

End Date

January 1 2010

Last Update

April 25 2018

Active Locations (1)

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1

Penn State College of Medicine, Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States, 17033