Myelofibrosis
Conditions
Keywords
Hematopoietic Stem Cell Transplantation
Brief summary
The purpose of this study is to determine whether a reduced intensity conditioning regimen followed by allogeneic stem cell transplantation is a feasible and effective treatment for patients with primary myelofibrosis.
Detailed description
The purpose of this study is to determine whether a reduced intensity conditioning regimen followed by allogeneic stem cell transplantation from related or unrelated donors is a feasible and effective treatment for patients with primary myelofibrosis.
Interventions
Allogeneic Stem Cell Transplantation after dose-reduced Conditioning for Myelofibrosis Patients
Sponsors
Study design
Eligibility
Inclusion criteria
* Disease: Histologically proven Myelofibrosis with myeloid metaplasia/MMM defined as per the Italian Consensus Conference on MMM diagnosis with either primary MMM or secondary to Polycythaemia vera or essential thrombocythaemia with * intermediate risk or high risk score according to the Lille Scoring System * OR low risk score according to the Lille Scoring System with constitutional symptoms (fever, night sweat, weight loss \> 5% of body weight) * OR high risk score according to the Cervantes score * Age: * Patients between 50 and 70 years of age and no limited life expectancy for other reasons than MMM * Patients under 50 years of age who are not eligible for a standard myeloablative conditioning, (e.g., because of prior autologous stem cell, history of severe infections like fungal infections, history of cardiac toxicity or other reasons according to the treating physician) * HLA compatible or identical donor, related or unrelated (one mismatch allowed) * Written informed consent of the patient
Exclusion criteria
* Positive search for bcr-abl on blood. * Serious irreversible renal, hepatic, pulmonary or cardiac disease * Central nervous involvement * Positive serology for HIV * Pregnant or lactating women * Patients with a life-expectancy of less than six months because of another debilitating disease * Serious psychiatric or psychological disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transplant-related mortality by day +100 and by one year post-transplant, hematopoietic recovery by day +100 post-transplant, myeloid and T-cell chimerism by day +100 posttransplant, toxicity of the regimen acc. to Bearman scale | Follow-up until day +1095 |
Secondary
| Measure | Time frame |
|---|---|
| VOD-Staging and VOD-Grading acc. to the McDonald-scale, incidence of GvHD, overall survival post-transplant, disease-free survival post-transplant | Follow-up until day +1095 |
Countries
Germany