Hematological malignancies, Allogeneic stem cell transplantation, personalized dosing of fludarabine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults (> 18 years) 2. AML, MDS, ALL, CML, CLL, NHL, HL, or a myeloproliferative disease (MPD) 3. Indication for allo-SCT according to the policy of the local center 4. WHO performance status ≤ 2 5. Written informed consent
Exclusion criteria
Exclusion criteria: 1.Relapse of disease within 5 months after previous allo-SCT 2.Bilirubin and/or transaminases > 2.5 x normal value* 3.Creatinine clearance II (Appendix B) -Cardiac symptoms and/or history of cardiac disease AND a cardiac ejection fraction < 45% 5.Active, uncontrolled infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative incidence of severe viral infections at day 100 | — |
Secondary
| Measure | Time frame |
|---|---|
| -Non relapse mortality (NRM) at day 100 -aGVHD grade II-IV at day 100 -Donor engraftment (chimerism > 95%) at day 100 -Overall survival at day 100 -Cumulative incidence of relapse at day 100 -Effective fludarabine exposure | — |
Contacts
Afdeling Hematologie