Myelogenous Hematological Malignancies
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.First stem cell transplantation including autologous or allogeneic. 2.Hematological disease listed below. -Acute myelogenous leukemia -Myelodysplastic syndrome, RAEB-1 or RAEB-2. Either intemediate-II or high in IPSS. High or very-high in WPSS. Relapsed after CR. 3.Obtained informed consent 4.Performance status 0,1,2 5.appropriate cord blood is available 6.appropriate organ function
Exclusion criteria
Exclusion criteria: 1.HBs antigen positive 2.HCV antibody positive 3.HIV antibody positive 4 Donor-specific anti-HLA antibody positive 5.Use of gemtuzumab ozogamicin within 6 months before transplantation 6.During pregnant or breast-feeding 7. Uncontrollable psychiatric disorder 8. Uncontrollable infection 9. Allergy for any drug used in the conditioning regimen or GVHD-prophylaxis 10.Considered to be unfit for the study enrollment by the physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2-year disease-free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Time to hematopoietic recovery 2) Engraftment rate 3) Treatment-related toxicity until day 28 4) Mucosal toxicity grade until day 42 (maximum grade and incidence) 5) Maximum dose of narcotic drug per day until day 42 6) Incidence and severity of acute GVHD 7) Incidence and severity of chronic GVHD 8) Treatment-related mortality at day 100 and 2 years after transplantation 9) Relapse rate at 2 years after transplantation 10) Overall survival (OS) at 2 years after transplantation 11) Incidence of infectious event (causative bacteria or other microorganisms, site of infection, day of onset, frequency) 12) Causes of deaths | — |
Countries
Japan
Contacts
Nagoya University Hospital Department of Hematology