Refractory hematologic malignancies (acute myeloid leukemia, chronic myeloid leukemia, myelodysplastic syndrome, malignant lymphoma)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Written informed consent. 2)Unavailability of HLA (A, B, DR)-matched or -one antigen mismatched-related donor. 3)Unavailability of HLA (A, B, DR)-matched or one allele of HLA-DRB1 mismatched-unrelated donor or needs urgent transplantation. 2) Patients aged between 35 and 55 years. 4)Patients aged between 55 and 70 years. Patients aged between 18 and 55 years who are not eligible for myeloablative conditioning. 5) Sufficient organ function 5-1) Ejection Fraction >= 50% 5-2) serum total billirubin is needed to be less than 2.5 times the normal upper limit 5-3) serum creatinine level <= 1.5upper limit of institution
Exclusion criteria
Exclusion criteria: 1) Allergy for the agents used in conditioning or GVHD prophylaxis 2) Patients who are considered as inappropriate with other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of donor cell engraftment (>90% of donor origin) | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of severe GVHD Incidence and severity of chronic GVHD 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
hyogo college of medicine Division of Hematology, Department of Internal Medicine