Refractory hematologic disorders, including 1. Acute myelogenous leukemia 2. Acute lymphoblastic leukemia 3. Myelodysplastic syndrome 4. Chronic myelogenous leukemia 5. Malignant lymphoma 6. Aplastic anemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 15 and 69 years 2. ECOG performance status 0 or 1 3. Written informed consent for participation
Exclusion criteria
Exclusion criteria: 1. Contraindication of MMF administration 2. SpO2 of less than 93% without oxygen inhalation 3. Serum creatinin of greater than 2.0mg/dl 4. Liver function with serum total bilirubin of greater than 2.0mg/dl, or AST of greater than 4.0 x ULN 5. Left ventricular ejection fraction of less than 50% 6. Past history of cardiac event, or significant cardiac disease 7. Uncontrolled diabetus mellitus 8. Another active neoplastic disease 9. Uncontrolled active infections 10. Serologically positive for HIV antibody and/or HBs antigen 11. Pregnant, or during breast feeding 12. Uncontrolled psychiatric disease 13. Allergic history to drugs used in the conditioning regimens or GVHD prophylaxis regimens 14. Patients suggested as ineligible by their attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. PK analysis of i.v. MMF, and comparison of PK parameters between i.v. and p.o. MMF 2. Grade of treatment-related toxicity by using i.v. MMF | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to hematopoietic recovery 2. The cumulative incidence and severity of acute GVHD until day 100 3. Overall survival and progression-free survival at day 100 and 1-year after allo-SCT 4. Drug interaction studies with MMF | — |
Countries
Japan
Contacts
Kobe University Hospital Medical Oncology/Hematology