Hematological Malignancies
Conditions
Keywords
Allogeneic stem cell transplantation, Reduced-intensity conditioning, Reduced-toxicity conditioning, Hematological malignancies, IV Busulfan
Brief summary
The goal of this prospective study is to assess the overall mortality (whether related to relapse/progression or toxicity - TRM-) at one year after allogeneic stem cell transplantation prepared by a so-called reduced-toxicity "submyeloablative" conditioning regimen in patients with hematological malignancies.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients affiliated to a social security reimbursement system * Adults (men or women) aged between 18 and 65 years * Negative test for pregnancy * ECOG 0-1 or Karnofsky Index ≥ 70% * Availability of an HLA-identical sibling donor, or an HLA-matched unrelated donor (10/10 HLA compatibility in A, B, C, DRB1, DQB1 (a single allelic mismatch at the level of Cw can be accepted) * Life expectancy \> 6 months * Signed informed consent * Diagnosis of an hematological malignancy that is considered to be eligible for an allogeneic stem cell transplantation
Exclusion criteria
* Pregnant woman or not willing to take effective contraception * Classical contra-indications to the allogeneic stem cell transplantation procedure * Any contra-indication to the use of the drugs contained within the conditioning regimen according to the summary of product characteristics * Patients aged \< 50 years and deemed to be eligible for a "standard" or conventional myeloablative conditioning regimen * An HLA-matched sibling donor who has a contra-indication for stem cell mobilization and collection * History of uncontrolled psychiatric condition * Patients who have participated to another trial testing an experimental drug within one month prior to inclusion in this protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of the overall mortality rate at 12 months after allogeneic stem cell transplantation | 12 months after transplantation |
Secondary
| Measure | Time frame |
|---|---|
| To assess the "classical" criteria (clinical and biological) associated with outcome after allogeneic stem cell transplantation. To evaluate the impact of the modified Charlson comorbidity score (Sorror Score) on TRM and 1-year overall survival | 12 months after transplantation |
Countries
France
Contacts
Nantes University Hospital