Paients aged 20 years or greater who undergo allogeneic hematopoietic stem cell transplatation from an unrelated donor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) 20 years old or greater at consent 2) Hematologial disorder which has indication for allogeneic HSCT 3) Available unrelated donor who are donating bone marrow or PBSC, fulfilling the following criteria (1)HLA-A,B,DR serologically and genetically matched (2)HLA-A,B,DR serologially matched, but 1 or 2 loci genetically mismatched. (3) HLA-A,B,DR 1 locus-mismatched, but genetically matched in other loci. 4) Any conditioning regimen applicable. In patients with 3)(3) donor, anti-thymocyte globulin can be used. 5) Tacrolimus and short-term methotrexate are used for GVHD prophylaxis. 6) ECOG PS 0 or 1. 7) No major organ dysfunction (1) SaO2 94% or greater (2) Serum Cr 1.5 mg/dl or less (3) Serum T. Bil 2.0 mg/dl or less (4) AST and ALT x3 institutional upper limit or less (5) Without abnormalities in electrocardiogram requiring treatment (6) Ultracardiography ejection fraction 55% or greater
Exclusion criteria
Exclusion criteria: 1) Poorly controlled diabetes even with insulin treatment 2) Poorly controlled hypertension 3) Poorly controlled active infection 4) Not expecting 3 months or longer survival due to refractory disease or infection 5) Requring immediate tapering of immunosuppressant because of high risk of disease replapse 6) Active disease infiltration of central nervous system 7) Active double cancer 8) Pregnant or nursing patients 9) Poorly controlled psychiatric disorder 10) History of hypersensitivity or moderate or greater adverse events due to tranilast, cyclosporine, tacrolimus, and methotrexate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Non-hematological adverse events within 28 days after transplantation | — |
Countries
Japan
Contacts
Keio University School of Medicine Division of Hematology