Leukemia, Myelocytic, Acute
Conditions
Keywords
Dendritic cells, Lymphocytes, AML
Brief summary
Objectives: 1. Determine the toxicity of infusions of allogeneic donor lymphocytes activated by acute leukemia derived dendritic cells (DC/ADL) in relapsed patients after allo-stem cell transplants. 2. Quantitate the alloreactivity of DC/ADL and circulating immune effector cells in patients after infusion. 3. Assess efficacy of acute myelogenous leukemia (AML) or Chronic Myelogenous Leukemia in Blastic Crisis (CML-BC) derived dendritic cells and activated lymphocytes in promoting and sustaining remission in patients with relapse after allo-BMT or stem cell transplant.
Interventions
Apheresis for T-Cell collection
Stem cell or marrow infusions of allogeneic donor lymphocytes activated by acute leukemia derived dendritic cells (DC/ADL).
Sponsors
Study design
Eligibility
Inclusion criteria
* AML (any type except M3) or CIVIL in blast crisis with greater than or equal to 20% bone marrow blasts at the time of related donor marrow or stem cell transplantation or at relapse post transplant. * Willing to undergo a skin biopsy and either a leukodepletion apheresis or an additional marrow aspiration. * Stem cell or marrow donor willing to have apheresis for T-Cell collection. * Written voluntary informed consent must be obtained from patient and donor.
Exclusion criteria
* Medical, social or psychologic factors which would prevent the patient from receiving or cooperating with the full course of therapy or understanding the informed consent procedure. * AML French-American-British (FAB) subtype M3.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant Toxicity Levels | From stem cell transplant baseline to 30 plus days post transplant. | Participant toxicity of infusions of allogeneic donor lymphocytes activated by acute leukemia derived dendritic cells (DC/ADL) in relapsed patients after allo-stem cell transplants. |
Countries
United States