Hematological Diseases
Conditions
Brief summary
Determine the efficiency of a myéloablative conditioning associating Fludarabine, Thymoglobuline, and intravenous Busulfan with adapted dose, according to a pharmacokinetics realized in the first day of administration (or J-6 of the conditioning) of the busulfan, in preparation for a allogenic transplant family or not family compatible HLA.
Interventions
Allogeneic transplant
Sponsors
Study design
Eligibility
Inclusion criteria
: * Informed consent signed, * Patient affiliated to a social security system or benefiting from such a system, * Related HLA identical donor or unrelated HLA identical donor : all patients aged \> 55 years with hematological malignancy and deemed eligible for an allogeneic transplant from a geno-identical donor and pheno-identical 10/10 \- the basic pathology should be considered chemo-sensitive complete or partial remission (CR, PR) or stable disease
Exclusion criteria
: * Pregnant or lactating woman or without contraception (for child bearing potential women) * Patient deprived of liberty or under supervision of a guardian * Impossibility to undergo medical examinations of the study for geographical, social or psychological reasons * Usual contra-indications for allogenic transplant * Aged \< 55 years * History of allogenic transplant * Concomitant neoplastic disease * Evolutive psychiatric disease * HIV seropositivity or C hepatitis under treatment * Women of childbearing age or man, in the absence of effective contraception during treatment and up to 12 months after treatment discontinuation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| rates progression free survival 2 years | Time to progression or death |
Secondary
| Measure | Time frame |
|---|---|
| Plasmatic concentration of Busulfan | Time from inclusion until Day -1 before allogenic transplantation |
Countries
France