Leukemia
Conditions
Brief summary
This trial is designed to determine the feasibility of conventional induction chemotherapy, IFNand G-CSF mobilized DLI (IFN-DLI) in subjects with relapsed AML and ALL after allo-SCT.
Interventions
DRUGInterferon alpha-2B (IFN-α) 3 million units (MU) subcutaneous daily
Sponsors
Abramson Cancer Center at Penn Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
DLI Recipient * Relapsed AML or ALL ≥ 60 days after allogeneic SCT. * Evidence of residual donor chimerism on most recent analysis (within 4 weeks of enrollment). * Age ≥ 18 years of age, * Karnofsky performance status ≥ 60%. * Absence of active GVHD and off immunosuppression. Subjects on tapering prednisone will be eligible if their dose is 0.25 mg/kg or less and being actively tapered. We suggest a 28 day waiting period off of immunosuppression but some subjects with rapidly progressive disease may need to be treated before 30 days and will still be eligible. * Adequate organ function: Cr ≤ 2 mg/dL; ALT/AST \< 3x ULN, direct bili \<3x ULN. * Matched sibling or un-related donor (A, B, C, and DR) available to undergo leukopheresis. * Subjects must be able to sign consent and be willing and able to comply with scheduled visits, treatment plan and laboratory testing. * Willing to provide blood samples for research purposes. * Willing to adhere to medically accepted form of birth control to prevent pregnancy (includes: complete abstention from intercourse, condoms, diaphragms, cervical cap, intra-uterine device, history of surgical sterility - tubal ligation or vasectomy in patient or partner, or oral contraceptive). DLI Donor 1. HLA identical to recipient subject. 2. Considered medically eligible for leukopheresis procedure by independent donor physician (University of Pennsylvania physician who is not the recipient's primary transplant physician for related donors; physician designated by National Marrow Donor Program for unrelated donors). 3. Considered medically eligible to receive G-CSF (filgrastim) by independent donor physician.
Exclusion criteria
Recipient * Prior cell therapy for relapse within the past 90 days. * Requirement for active immunosuppression to treat GVHD. * Pregnant or lactating women. The safety of this therapy on unborn children and effects on breast milk are not known. * Uncontrolled active infection * Any uncontrolled active medical disorder that would preclude participation as outlined. Donor \- Unable to participate in a leukopheresis procedure or receive G-CSF (filgrastim).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Adverse Events | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| overall survival | 2 years |
| disease-free survival | 2 years |
Countries
United States
Outcome results
None listed