Acute Myeloid Leukemia
Conditions
Keywords
Cord blood transplantation, Conditioning regimen, Acute myeloid leukaemia, SORROR comorbidity index, Quality of life, Innate immunity, Immune reconstitution post transplant, Umbilical Cord Blood Stem Cell Transplantation, Hematopoietic Stem Cell Transplantation
Brief summary
Multicentric evaluation of the reduction of unrelated cord blood transplantation (UCBT) toxicity by using reduced intensity conditioning (RIC) in patients with acute myeloid leukaemia.UCBT related mortality and morbidity were limiting factors for the development of this procedure in adults. Non myeloablative conditioning regimen showed promising results and prospective evaluation has to be developed to confirm these retrospective data.
Detailed description
Individual meta-analysis is planned to compare geno-identical transplantation with myeloid-ablative or non myeloid-ablative conditioning with UCBT after RIC.
Interventions
Umbilical cord blood transplantation after reduced intensity conditioning
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages : 4 to 65 * De novo or secondary AML requiring allogeneic transplant * No donor (related or unrelated) compatible 10/10 * Complete remission excepted CR1 with t(8;21) or inv (16) or t (15;17) * Smouldering AML without progression * Signed assent of recipient
Exclusion criteria
* If CR1: AML with with t(8;21) or inv (16) or t (15;17) * Karnofsky \< 50% - Clearance of creatinin \< 40 ml/min * Transaminases \> 8 N * Previous autologous or allogeneic transplantation within 6 month prior to the study (except if tandem) * total body irradiation contra-indicating 2 Gy TBI * local irradiation contra-indicating 2 Gy TBI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transplant related mortality | At 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Clinical efficiency (overall survival, event free survival, relapse incidence, acute and chronic GVHD incidence, graft failure, venoocclusive disease, interstitial pneumonia, infections, comorbidity score, quality of life and medico-economic impact) | at 2 years |
Countries
France