Hematological malignancy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Hematological malignancy for AML, MDS, CML and ALL 2. Performance status(PS, ECOG) of 0-2 3. Patients without major organ dysfunction 4. T.Bil less than 2.0 mg/dL 5. AST and ALT less than 3 upper limit of the normal range 6. SCr less than 2.0mg/dl 7. Heart ejection fraction more than 50% 8. SpO2 more than 93% 9. Estimated life expectancy of at least 3 months 10. Patients requird to have an appropriate donor identified before enrollment. (1) HLA-matched related or unrelated donor (2) 1 HLA-mismatched related or unrelated donor (3) Cord blood with nucleated cell counts more than 2 107/kg and mismatched HLA less than 2 11. Ability to provide informed consent.
Exclusion criteria
Exclusion criteria: 1. positive for anti-HIV antibody 2. positive for Hbs antigen 3. active another malignancy 4. uncontrollable psychological disorders 5. uncontrollable active infection 6. positive for donor-specific HLA antibody 7. previous history of hematopoietic stem cell transplantation 8. known hypersensitivity to busulfan 9. pregnant women 10. Patients judged as inappropriate for this study by physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients with event-free survival in 100 day after transplantation | — |
Secondary
| Measure | Time frame |
|---|---|
| The proportion 0f patients with engraftment in 100 day after transplantation The proportion of patients with grade3 or 4 adverse effects in 100 day after transplantation The proportion of patients with non-relapase mortality in 100 day and 12 month after transplantation The proportion of patients with relapase in 100 day and 12 month after transplantation | — |
Countries
Japan
Contacts
Kyoto University Hospital Department of Hematology and Oncology