Randomization 1: Patients planned to undergo an allogeneic SCT for malignant hematological disorders and with a related or unrelated 8/8 HLA matched donor.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Randomization 1: 1. Age 18-65 inclusive; 2. AML, MDS, ALL, MM, CML, CLL, NHL, HL, or a myeloproliferative disease (MPD); 3. Planned allogeneic stem cell transplantation; 4. Related or unrelated donor with a 8/8 HLA match (HLA A, B, C, DRB1); 5. WHO performance status 0-2; 6. Written Informed Consent; 7. Negative pregnancy test (if applicable); 8. Patients who are willing and capable to use adequate contraception during Myfortic treatment (all pre-menopausal women).
Exclusion criteria
Exclusion criteria: Randomization 1: 1. Renal dysfunction (serum creatinine > 150 µmol/L or clearance 5% marrow blasts in case of AML, ALL, CML; 7. Patients with EMD in case of AML, ALL, CML.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Randomization 1: Proportion of patients with non-severe GVHD (acute GVHD grade I, grade II without gut infiltration, or chronic GVHD not requiring systemic treatment) within D180 after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| Randomization 1: 1. Time to acute GVHD grade I, II, III, IV; 2. Cumulative incidence of progression; 3. Progression-free survival (defined as time from randomization 1 until progression or death, whichever occurs first); 4. Cumulative incidence of non-relapse mortality; 5. Overall survival (cause of death should be defined according to Appendix F); 6. Time to chronic GVHD limited and extensive; 7. Adverse events; 8. ƒ{ƒnQuality of life as defined by the EORTC QLQ-C30 and the FACT-BMT definitions. | — |
Contacts
Erasmus MC, Daniel Department of Hematology Postbus 5201