Refractory hematological malignancies (acute leukemia, chronic myeloid leukemia, myelodysplastic syndrome, malignant lymphoma)
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Written informed consent 2) Availability of HLA-matched or three antigen mismatched-related donor. 3) Performance status :0 or 1(ECOG) 4) Sufficient organ function Serum total billirubin is needed to be less than 2.0mg/dl Serum creatinine level is needed to be less than 2.0mg/dl PaO2>=60mmHg or SaO2>=90%(room air) Normal ECG and Ejection fraction >=50% 5) Patients who are considered as appropriate after examination
Exclusion criteria
Exclusion criteria: Positivity of HBs Ag, HIV Ab (not exclusion of HCV Ab positive) Patient with active infection Bone marrow show fibrosis Patients who are considered as inappropriate with other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Donor: To evaluate feasibility of perfusion method Recipient: To evaluate feasibility of IBM-BMT with perfusion method | — |
Secondary
| Measure | Time frame |
|---|---|
| Donor :operation time, anesthesia time numbers of puncture site, volume of blood transfusion, number of bone marrow nuclear cell, number of CD3,CD34 positive cells, contamination of red blood cells Recipient: Rate of donor cell engrafment, Incidence and severity of acute and chronic GVHD, Overall survival and disease free survival at 1 year after transplantation, Treatment related mortality within 1 year after transplantation, Incidence of infections (bacteria, fungus, virus,etc) Immune reconstitution after transplantation | — |
Countries
Japan
Contacts
Kansai Medical University The Department of Hemato-oncology