Status:

COMPLETED

Post-transplantation Cyclophosphamide as GVHD Prophylaxis After HSCT

Lead Sponsor:

Ivan S Moiseev

Conditions:

Acute Myeloid Leukemia

Acute Lymphoid Leukemia

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

This study evaluates the efficacy of high-dose post-transplantation cyclophosphomide as graft-versus-host disease (GVHD) prophylaxis after allogeneic stem cell transplantation in patients with differe...

Eligibility Criteria

Inclusion

  • Patients must have an indication for allogeneic hematopoietic stem cell transplantation
  • Signed informed consent
  • Patients with a donor available. The donor and recipient must be identical at at least one allele of each of the following genetic loci: HLA-A, HLA-B, HLA-Cw, HLA-DRB1, and HLA-DQB1. A minimum match of 5/10 is required for related donor. A minimum match of 8/10 is required for unrelated donor.
  • No second tumors
  • No severe concurrent illness

Exclusion

  • Moderate or severe cardiac dysfunction, left ventricular ejection fraction \<50%
  • Moderate or severe decrease in pulmonary function, FEV1 \<70% or DLCO\<70% of predicted
  • Respiratory distress \>grade I
  • Severe organ dysfunction: AST or ALT \>5 upper normal limits, bilirubin \>1.5 upper normal limits, creatinine \>2 upper normal limits
  • Creatinine clearance \< 60 mL/min
  • Uncontrolled bacterial or fungal infection at the time of enrollment
  • Requirement for vasopressor support at the time of enrollment
  • Karnofsky index \<30%
  • Pregnancy
  • Somatic or psychiatric disorder making the patient unable to sign informed consent

Key Trial Info

Start Date :

October 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2017

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT02294552

Start Date

October 1 2014

End Date

November 1 2017

Last Update

January 16 2018

Active Locations (1)

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1

First Pavlov State Medical University of St. Petersburg

Saint Petersburg, Russia, 197089