Hematologic Malignancies
Conditions
Brief summary
This is a single arm pilot study for patients with hematologic malignancies with alternative donor sources receiving unrelated or partially matched related/Haploidentical mobilized peripheral stem cells (PSCs) using the CliniMACS system for Alpha Beta T cell depletion plus CD19+ B cell depletion to determine efficacy as determined by engraftment and GVHD, and one year leukemia free survival.
Detailed description
The purpose of this research study is to evaluate a new method of T cell depletion using the Miltenyi CliniMACS™ device for patients undergoing a peripheral stem cell transplant utilizing either a unrelated donor or partially matched/haploidentical related donor. This new method is called α/β (alpha/beta) T cell depletion and CD19+ B cell depletion. This pilot study will evaluate if this new method of T cell and B cell depletion is a more effective way of removing T cells thus reducing the risk of severe acute and chronic GVHD and result in a durable engraftment.
Interventions
Depletion of Alpha Beta T cells in the PBSC graft
Sponsors
Study design
Eligibility
Inclusion criteria
Patient: 1. Age. Patient age \< 23 years. Both genders and all races eligible. 2. Disease eligibility Leukemias/lymphomas: * Acute myeloid leukemia, primary or secondary * Disease status: remission or \<10% bone marrow blasts * Myelodysplasia * Acute lymphoblastic leukemia * Disease status: in hematologic remission * Chronic myelogenous leukemia: * Disease status: chronic phase, accelerated phase or blast crisis now in second chronic phase. * Mixed lineage or biphenotypic acute leukemia * Lymphoblastic lymphoma * Disease status: remission * Burkitt's lymphoma/leukemia: * Disease status: in remission
Exclusion criteria
* Patient 1. Patients who do not meet disease, organ or infectious criteria. 2. No suitable donor
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate the engraftment of patients receiving unrelated donor or partially matched related donor peripheral stem cells that have T cell depleted and CD19+ B cell depleted using the CliniMACS device. | DAY 42 | Engraftment will be defined using the standard CIBMTR definition of ANC \>500 for the first of 3 consecutive days. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assess the probability of one year leukemia free survival (LFS). | 1 year | Leukemia relapse is defined as presence of malignant cells in the blood or other body site after initiation of conditioning in a patient previously in remission. |
| Estimate the incidence and extent of acute and chronic graft vs. host disease. | 1 year | Acute GVHD will be graded using the standard Glucksberg grading system. |
| Assess the incidence treatment-related mortality (TRM). | 1 year | TRM is defined as death from non-disease related causes in the 100 days from stem cell infusion. |
Countries
United States
Contacts
Medical College of Wisconsin