Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 49Years
All Genders
NCT04083183

Total Body Irradiation and Astatine-211-Labeled BC8-B10 Monoclonal Antibody for the Treatment of Nonmalignant Diseases

Led by Fred Hutchinson Cancer Center · Updated on 2025-12-18

40

Participants Needed

1

Research Sites

394 weeks

Total Duration

On this page

Sponsors

F

Fred Hutchinson Cancer Center

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This phase I/II trial studies the best dose of total body irradiation with astatine-211 BC8-B10 monoclonal antibody for the treatment of patients with nonmalignant diseases undergoing hematopoietic cell transplant. Radiation therapy uses high energy gamma rays to kill cancer cells and shrink tumors. Astatine-211-labeled BC8-B10 monoclonal antibody is a monoclonal antibody, called anti-CD45 monoclonal antibody BC8-B10, linked to a radioactive/toxic agent called astatine 211. Anti-CD45 monoclonal antibody BC8-B10 is attached to CD45 antigen positive cancer cells in a targeted way and delivers astatine 211 to kill them. Giving astatine-211 BC8-B10 monoclonal antibody and total-body irradiation before a donor stem cell transplant may help stop the growth of cells in the bone marrow, including normal blood-forming cells (stem cells) and cancer cells. It may also stop the patient's immune system from rejecting the donor's stem cells.

CONDITIONS

Official Title

Total Body Irradiation and Astatine-211-Labeled BC8-B10 Monoclonal Antibody for the Treatment of Nonmalignant Diseases

Who Can Participate

Age: 18Years - 49Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older and younger than 50 years
  • Diagnosis of a nonmalignant disease treatable by allogeneic hematopoietic cell transplantation
  • Karnofsky performance score of 70 or higher
  • Normal liver elastography
  • If ferritin is elevated, liver iron concentration less than 7 mg/g by liver T2 MRI
  • Underwent official gastrointestinal consultation before transplant
  • Have an HLA matched related donor or unrelated donor with specific matching criteria, or an HLA haploidentical donor
  • Donor testing performed by a CLIA-approved laboratory
Not Eligible

You will not qualify if you...

  • Diagnosis of Fanconi Anemia
  • Impaired heart function with ejection fraction less than 35% or other specified heart problems
  • Impaired lung function with DLCO less than 35% or oxygen saturation below 92% on room air
  • Impaired kidney function with creatinine clearance less than 50 ml/min or high serum creatinine, or dialysis
  • Impaired liver function with abnormal liver tests or certain liver diseases
  • Uncontrolled infection requiring delay of conditioning
  • Known HIV infection
  • Pregnant or breastfeeding women
  • Fertile men or women unwilling to use contraception during and 12 months after treatment
  • Allergy to murine-based monoclonal antibodies
  • Known contraindication to radiotherapy
  • Donor exclusion if positive anti-donor cytotoxic crossmatch or other immunoreactivity risks

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States, 98109

Actively Recruiting

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Research Team

P

Phuong Vo

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Total Body Irradiation and Astatine-211-Labeled BC8-B10 Monoclonal Antibody for the Treatment of Nonmalignant Diseases | DecenTrialz