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Busulfan dosing based on DNA in stem cell transplantation: The BuGenes01 study

Implementing pharmacogenetics in the busulfan dosing method for children undergoing hematopoietic stem-cell transplantation: a prospective, multicentric, randomized clinical trial. The BuGenes01 study - BuGenes01

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON57837
Enrollment
15
Registered
2025-02-05
Start date
2025-09-19
Completion date
Unknown
Last updated
2025-09-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hematopoietic Stem Cell Transplanation, Bone Marrow Transplant

Interventions

DNA samples will be collected from all enrolled children by buccal swab, saliva at least 10 days prior to HSCT and will be sent for GSTA1 genotyping. The first dose of busulfan will be calculated acco

Sponsors

University Hospitals of Geneva
Lead Sponsor

Eligibility

Age
No minimum to 17 Years

Inclusion criteria

Inclusion criteria: Patients must be aged from 0–18 years old on entry to the studyClinical indication of allogeneic or autologous hematopoietic stem cell transplantationThe conditioning protocol must include IV Bu formulationsThe expected length of time elapsing between recruitment and starting the conditioning regimen must be superior to 10 days Informed written consent to participate in the study has to be signed by the participant/parent/guardian.

Exclusion criteria

Exclusion criteria: Use of any drug with relevant drug-drug interaction with Bu during the days of administration of Bu up to 24h after the end of the last dose. Whenever those drugs can be stopped or replaced, a wash-out time is required prior to the first infusion of Bu. Confirmed pregnancy or refusal from the participant in guaranteeing an effective contraception during the study.

Design outcomes

Primary

MeasureTime frame
Proportion of the first doses which result in AUCs within the therapeutic target range defined by the prescriber

Secondary

MeasureTime frame
1. ability of the genotyping centers to deliver personalized first doses within the optimal delivery time (to be determined during the initial part of the trial). 2. retrospective incidence and severity of the following clinical outcomes during the first year after the transplantation: treatment-related toxicities (TRTs) including sinusoidal obstruction syndrome (SOS) and acute graft-versus-host disease (aGVHD) graft failure relapse or progression in patients with malignant diseases. overall survival (OS) and event-free survival (EFS)

Countries

Australia, Canada, Denmark, France, Italy, Netherlands, New Zealand, Saudi Arabia, Switzerland, United Kingdom

Contacts

Public ContactR. Admiraal

Prinses Máxima Centrum voor Kinderoncologie

R.Admiraal-4@prinsesmaximacentrum.nl088 972 72 72

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)