Acute Lymphocytic Leukemia, Acute Myelogenous Leukemia, Adrenoleukodystrophy, Amegakaryocytic Thrombocytopenia, Batten Disease, Diamond-Blackfan Anemia, Fucosidosis, Gaucher's Disease, Krabbe's Disease, Metachromatic Leukodystrophy, Mucopolysaccharidosis I, Mucopolysaccharidosis VI, Myelodysplastic Syndrome, Niemann-Pick Disease, Severe Aplastic Anemia, Wolman Disease
Conditions
Keywords
umbilical cord blood, stem cell transplantation, placental stem cell, inborn errors of metabolism, marrow failure, Severe Combined Immunodeficiency Disease, AML, ALL, MDS
Brief summary
The purpose of this clinical trial is to investigate the safety of human placental-derived stem cells (HPDSC) given in conjunction with umbilical cord blood (UCB) stem cells in patients with various malignant or nonmalignant disorders who require a stem cell transplant. Patients will get either full dose (high-intensity) or lower dose (low intensity) chemo- and immunotherapy followed by a stem cell transplantation with UCB and HPDSC.
Interventions
Infusions of thawed HPDSC to be given following UCB infusion.
Sponsors
Study design
Eligibility
Inclusion criteria
* \< 55 years of age * Life expectancy greater than 3 months * Lansky performance status ≥ 50% (children) or Karnofsky performance status ≥ 70% (adults) or ECOG performance status 0-2 (adults) * DLCO \> 50 percent predicted * Left ventricular ejection fraction \> 40% estimated * Creatinine clearance or estimated GFR . 60 mL/min/1.73m2 * Serum bilirubin \< 1.5x upper limit of normal * Transaminases \< 3x upper limit of normal * Absence of uncontrolled infection * HIV negative
Exclusion criteria
* Fanconi Anemia * Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities * Uncontrolled infection * Pregnant or breast-feeding females * Received other investigational agents within 30 days prior to the start of the conditioning regimen
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety | 100 days | to evaluate the safety of human placental-derived stem cells (HPDSC) administered in conjunction with umbilical cord blood (UCB) stem cells in patients with malignant and non-malignant diseases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| donor chimerism | 1 year | donor chimerism will be assessed at set timepoints |
| engraftment | 1 year | — |
| Survival | 100 days and 180 days | — |
| Relapse | 100 days and 180 days | — |
| Mortality | 1 year | — |
Countries
United States