hematological malignancy leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All of the following five criteria: 1) Patients with either: A) No standard HSCT protocol available and any of the following malignancies: NHL or HD (refractory, *2CR); relapse AML, refractory AML, MDS/SAA, ALL *CR2 B) Relapse after first allo-HSCT with either SIB or MUD/UCB donor C) With a leukemia/lymphoma, MDS/SAA indication, qualifying for HSCT but without donor available according to ongoing, open study protocols (only adults): no fully matched family donor or matched (9-10/10) unrelated donor available and / or no single or double unit cord blood available with sufficient cell numbers according to ongoing, open study protocols. ;2) With having a single matching (* 4/6) umbilical CB unit available with total NC count > 1,5 E7/kg [1] 3) Lansky / Karnofsky > 40 4) Age 18-65 * (*
Exclusion criteria
Exclusion criteria: - geen getekende toestemingsverklaring - Lansky 1,5 x 10E7 Nucleated cells /kg - Creatinine clearance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Safety: Transplantation related (non-relapse) mortality (TRM) 2) Biology: investigate the anti-tumor response mechanism from both grafts. | — |
Secondary
| Measure | Time frame |
|---|---|
| -acute GVHD (Gluckberg grade II-IV) Engraftment: Neutrophils > 500K/uL for 3 consecutive days, Platelet (day 180 > 50 K) engraftment. - Event Free Survival (>6mths follow up). Event defined as: death, CB graft-failure ( | — |
Countries
Netherlands