Patients with hematological malignancies not candidate for conventional allogeneic transplantation because of age or comorbidities MedDRA version: 9.1 Level: LLT Classification code 10001756 Term: Allogenic bone marrow transplantation therapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Hematological malignancies confirmed histologically and not rapidly progressing. 2. Ineligible for conventional allogeneic transplantation because of age or comorbidities. 3. 10/10 HLA-allele-matched related or unrelated donors. 4. Male or female; fertile patients must use a reliable contraception method; 5. Age =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. HIV positive; 2. Non-hematological malignancy(ies) (except non-melanoma skin cancer) < 3 years before nonmyeloablative HCT. 3. Life expectancy severely limited by disease other than malignancy; 4. Administration of cytotoxic agent(s) for “cytoreduction” within three weeks prior to initiating the nonmyeloablative transplant conditioning (Exceptions are hydroxyurea and imatinib mesylate); 5. CNS involvement with disease refractory to intrathecal chemotherapy. 6. Terminal organ failure, except for renal failure (dialysis acceptable)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The present project aims at comparing two nonmyeloablative regimens currently used in 2 major transplant centers in the US for patients with HLA-matched related or unrelated donor: the one from the Seattle group consisting of 2 Gy total body irradiation (TBI) with fludarabine (90 mg/m²) versus the one from the Stanford group combining 8 Gy total lymphoid irradiation (TLI) with anti-thymocyte globulin (ATG). Tte primary objective is to compare the incidence of grade II-IV acute GVHD between the 2 groups.;Secondary Objective: To compare immunologic reconstitution and infectious complications with these two conditioning regimens.;Primary end point(s): To compare the incidence of grade II-IV acute graft-versus-host disease (GVHD) between the 2 groups. | — |
Countries
Belgium, Netherlands