Disease-free Survival
Conditions
Brief summary
In this multiple-center phase II study, the aim is to evaluate the clinical outcome of reduced intensity conditioning regimen with fludarabine (150mg/m2), busulfan (6.4mg/kg) and melphalan (100mg/m2) in patients with myeloid malignancies including AML, MDS and CMML \>=55 years.
Detailed description
Conditioning regimen with double alkylating agents such as busulfan + melphalan or Busulfan + thiotepa have been shown to improve the transplantation outcome in terms of lower relapse rate in various myeloid malignancies. In this multiple-center phase II study, the aim is to evaluate the clinical outcome of reduced intensity conditioning regimen with fludarabine (150mg/m2), busulfan (6.4mg/kg) and melphalan (100mg/m2) in patients with myeloid malignancies including AML, MDS and CMML \>=55 years.
Interventions
Reduced intensity conditioning regimen with fludarabine, busulfan and melphalan
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 55-65 * patients with HLA-matched sibling donors, 9-10/10 matched unrelated donors or haplo-identical donors. * patients with AML in remission, or MDS in any stage, or CMML in any stage * inform consent provided
Exclusion criteria
* patients with abnormal liver (\>3N), renal (1.5N) or cardiac function * patients with active infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disease-free survival | 2 year | survival without disease relapse or progression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival | 2 year | survival |
| GVHD and relapse free survival | 2 year | survival without graft failure, without relapse, without III-IV aGVHD and without mod/sev cGVHD. |
| Non-relapse mortality | 2 year | Death without disease progression or relapse |
| Relapse | 2 year | disease progression or relapse |
Countries
China
Contacts
Shanghai Jiao Tong University School of Medicine