Acute Myeloid Leukemia, Myelodysplastic Syndrome
Conditions
Brief summary
Multi-institutional randomized phase III trial of a non-myeloablative preparative regimen with fludarabine and busulfex with or without anti-lymphocyte antibodies (monoclonal humanized Campath-1H administered s.c. or polyclonal rabbit anti-T lymphocyte antibodies (ATG), combined with low dose and short course cyclosporine A (CSA) and methotrexate (MTX) as the sole agent for prevention of graft-vs-host disease (GVHD) for patients with acute myelogenous leukemia or myelodysplastic syndrome undergoing allogeneic stem cell transplantation from an HLA compatible donor.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of AML or MDS, with no lower or upper age limit: * a) Induction failure * b) First or subsequent remission * c) Untreated first relapse * Patients must have an HLA compatible donor willing and capable of donating peripheral blood stem cells (first choice) or bone marrow progenitor cells using conventional techniques and blood lymphocytes if indicated (HLA compatible defined as 5/6 or 6/6 matched related or 10/10 molecular matched unrelated donor (A,B,C,DR,DRB1).
Exclusion criteria
* Donor contraindication (HIV seropositive confirmed by Western Blot, Hepatitis B antigenemia). * Evidence of bone marrow disease. * Unable to donate bone marrow or peripheral blood due to concurrent medical condition.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the efficacy of s.c. Campath-1H or ATG in decreasing the incidence and severity of acute and chronic GVHD in patients with AML and MDS treated with non-myeloablative stem cell transplantation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Investigate the role of different conditioning regimens on: | — |
| Infection, engraftment relapse rate and disease free survival. | — |
Countries
Israel