Malignant Diseases (ie, Leukemia, MDS, Lymphoma), Non-malignant Diseases (ie, Bone Marrow Failure Syndromes)
Conditions
Keywords
Malignant and non-malignant diseases, Hematopoietic stem cell transplant, Peripheral blood progenitor cell transplant, CliniMACS device, T cell depletion
Brief summary
T cell depletion utilizing the CliniMACS device will allow more precise, specific and controlled graft engineering of peripheral blood stem cells from unrelated and partially matched related donors without an increase in relapse or graft rejection and grade III or IV acute graft versus host disease (GVHD).
Interventions
Patient's in Stratum 1 will receive grafts that have undergone CD3+, CD19+ depletion
Patient's in Stratum 2 will receive peripheral blood progenitor cells that have undergone CD34+ selection
Peripheral Blood Stem Cell Transplant
Sponsors
Study design
Eligibility
Inclusion criteria
* All races are eligible * Malignant diseases: Leukemias and Lymphomas * Non-malignant diseases: Severe Aplastic Anemia, immunodeficiencies
Exclusion criteria
* Lansky or Karnofsky \> 70 * Echo \> 27% shortening fraction * renal function:serum creatinine \< 1.5 x for normal age * no active untreated infection * DLCO \> 50% of predicted value * Hepatic: AST and ALT \< 3x upper limit of normal; bilirubin \< 2.0.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure the incidence and quality of engraftment | Weekly for first 100 days, 6 months and 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the incidence of acute Graft versus Health Disease and treatment related mortality. | weekly for the first 100 days and then 6 and 12 months post transplant date |
Countries
United States