acute leukemia cancer of the bone marrow
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: AML/RAEB patients 0.6 - Relapsed AML and susceptible for NK-cell alloreactivity and the availability of a NK cell alloreactive haploidentical bone marrow donor and Written informed consent
Exclusion criteria
Exclusion criteria: - Active uncontrolled infections - Uncontrolled CNS involvement by the malignant disease - Severe cardiovascular disease (arrhythmias requiring chronic treatment, congestive heart failure or symptomatic ischemic heart disease); - Severe pulmonary dysfunction (CTCAE grade III-IV, see appendix ???); - Severe neurological or psychiatric disease; - Significant hepatic dysfunction (serum bilirubin or transaminases >= 3 times upper limit of normal) - Significant renal dysfunction (creatinine clearance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1-year progression-free survival from the start of chemotherapy treatment immediately prior to the bone marrow transplantation. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Best response on study - Engraftment after haploBMT (i.e. to what extent blood cells will be produced by donor bone marrow cells) - Incidence and severity of acute GVHD and chronic GVHD - (Serious) adverse events - Overall Survival (OS) from registration - Incidence and time to AML relapse - NRM at day +100 and at 1-year - Evaluation of infections during the first year after haploBMT - Quality of Life at 6 and 12 months after haploBMT - Costs of donor search, haploBMT itself and of follow-up and possible complications during the first year after haploBMT - NK cell repertoire recovery and maturation rate including the attainment of alloreactive potential - T and B cell recovery | — |
Countries
Netherlands