NCT00121186

Brief Summary

RATIONALE: Giving low doses of chemotherapy, such as fludarabine and melphalan, before a donor bone marrow or peripheral blood stem cell transplant helps stop the growth of cancer cells. It also stops the patient's immune system from rejecting the donor's stem cells. The donated stem cells may replace the patient's immune system and help destroy any remaining cancer cells (graft-versus-tumor effect). Sometimes the transplanted cells from a donor can also make an immune response against the body's normal cells. Giving tacrolimus and methotrexate after transplant may stop this from happening. PURPOSE: This phase II trial is studying how well giving fludarabine together with melphalan followed by tacrolimus and methotrexate works in treating patients who are undergoing a donor stem cell transplant for relapsed lymphoma.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1

participants targeted

Target at below P25 for phase_2 lymphoma

Timeline
Completed

Started Jul 2005

Typical duration for phase_2 lymphoma

Geographic Reach
1 country

33 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2005

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

July 19, 2005

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 21, 2005

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2008

Completed
3.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2011

Completed
4 months until next milestone

Results Posted

Study results publicly available

April 3, 2012

Completed
Last Updated

April 3, 2012

Status Verified

March 1, 2012

Enrollment Period

2.5 years

First QC Date

July 19, 2005

Results QC Date

March 5, 2012

Last Update Submit

March 5, 2012

Conditions

Keywords

recurrent adult Hodgkin lymphomarecurrent small lymphocytic lymphomarecurrent mantle cell lymphomarecurrent grade 1 follicular lymphomarecurrent grade 2 follicular lymphomarecurrent grade 3 follicular lymphomarecurrent adult diffuse large cell lymphoma

Outcome Measures

Primary Outcomes (2)

  • Progression-free Survival

    PFS rate at 1 year.

    1, 3, and 12 months after protocol treatment, then every 3 months for 1 year, every 6 months for year 2, then annually thereafter until 5 years after registration

  • Overall Survival

    OS rate at 1 year.

    1, 3, and 12 months after protocol treatment, then every 3 months for 1 year, every 6 months for year 2, then annually thereafter until 5 years after registration

Study Arms (1)

Nonmyeloablative allogeneic stem cell transplant

EXPERIMENTAL

Patients are given fludarabine 30 mg/m\^2 on days -6 to -2 and melphalan 70 mg/m\^2 on days -3 and -2, then transplanted with donor peripheral blood stem cells or harvested bone marrow stem cells on day 0. Patients are then given post-transplant immunosuppression consisting of tacrolimus 0.06 mg/kg/day on days -3 to 100 and methotrexate 5 mg/m\^2 on days 1, 3, and 7.

Drug: fludarabine phosphateDrug: melphalanDrug: methotrexateDrug: tacrolimusProcedure: allogeneic bone marrow transplantationProcedure: peripheral blood stem cell transplantation

Interventions

30 mg/m\^2 on days -6 to -2 (2-6 days before transplant).

Nonmyeloablative allogeneic stem cell transplant

70 mg/m\^2 on days -3 and -2 (2-3 days before transplant).

Nonmyeloablative allogeneic stem cell transplant

5 mg/m\^2 on days 1, 3, and 7 post-transplant.

Nonmyeloablative allogeneic stem cell transplant

0.03 mg/kg bid on days -3 to 100 post-transplant.

Nonmyeloablative allogeneic stem cell transplant

if donor bone marrow stem cells are harvested

Nonmyeloablative allogeneic stem cell transplant

if donor peripheral blood stem cells are harvested

Nonmyeloablative allogeneic stem cell transplant

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Diagnosis of lymphoma of 1 of the following types: * Diffuse large B-cell lymphoma * Follicular lymphoma * Grades 1, 2, or 3 * Primary mediastinal lymphoma * Mantle cell lymphoma * Small lymphocytic lymphoma * Hodgkin's lymphoma * Transformed lymphoma * Relapsed after prior autologous bone marrow transplantation (BMT) * More than 180 days post BMT * Received ≥ 1 course of chemotherapy after BMT relapse * Achieved a complete response OR a partial response to chemotherapy * Largest residual tumor dimension ≤ 2 cm * No clinical or laboratory evidence of CNS involvement by lymphoma * HLA-identical donor available, meeting 1 of the following criteria: * Sibling donor with 5/6 or 6/6 alleles matching by genotyping * No monozygotic identical twins * Unrelated donor with 10/10 alleles matching by genotyping PATIENT CHARACTERISTICS: Age * 18 and over Performance status * Zubrod 0-2 Life expectancy * Not specified Hematopoietic * Not specified Hepatic * Not specified Renal * Not specified Cardiovascular * LVEF ≥ 40% by MUGA or 2-D echocardiogram (2-D ECHO) * No significant cardiac abnormalities by MUGA or 2-D ECHO * No uncompensated coronary artery disease by ECG or physical exam * None of the following within the past 6 months: * Myocardial infarction * Unstable angina * Uncontrolled atrial fibrillation * None of the following within the past 3 months: * Severe peripheral vascular disease * Venous stasis ulcers * Deep venous or arterial thrombosis * No uncontrolled hypertension Pulmonary * DLCO (corrected) and total lung capacity ≥ 40% of predicted * No requirement for continuous supplemental oxygen Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * HIV negative * No AIDS * No active bacterial, viral, or fungal infection * No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix * No history of uncontrolled seizures * No diabetic ulcers within the past 3 months PRIOR CONCURRENT THERAPY: Biologic therapy * See Disease Characteristics * No more than 1 prior bone marrow transplantation Chemotherapy * See Disease Characteristics * More than 21 days since prior chemotherapy and recovered Endocrine therapy * Not specified Radiotherapy * More than 4 weeks since prior radiotherapy Surgery * More than 4 weeks since prior major surgery except placement of a venous access device

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (33)

Cardinal Bernardin Cancer Center at Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

St. Francis Hospital and Health Centers - Beech Grove Campus

Beech Grove, Indiana, 46107, United States

Location

Reid Hospital & Health Care Services, Incorporated

Richmond, Indiana, 47374, United States

Location

Cancer Center of Kansas, PA - Chanute

Chanute, Kansas, 66720, United States

Location

Cancer Center of Kansas, PA - Dodge City

Dodge City, Kansas, 67801, United States

Location

Cancer Center of Kansas, PA - El Dorado

El Dorado, Kansas, 67042, United States

Location

Cancer Center of Kansas, PA - Kingman

Kingman, Kansas, 67068, United States

Location

Southwest Medical Center

Liberal, Kansas, 67901, United States

Location

Cancer Center of Kansas, PA - Newton

Newton, Kansas, 67114, United States

Location

Cancer Center of Kansas, PA - Parsons

Parsons, Kansas, 67357, United States

Location

Cancer Center of Kansas, PA - Pratt

Pratt, Kansas, 67124, United States

Location

Cancer Center of Kansas, PA - Salina

Salina, Kansas, 67042, United States

Location

Cancer Center of Kansas, PA - Wellington

Wellington, Kansas, 67152, United States

Location

Associates in Womens Health, PA - North Review

Wichita, Kansas, 67203, United States

Location

Cancer Center of Kansas, PA - Medical Arts Tower

Wichita, Kansas, 67208, United States

Location

Cancer Center of Kansas, PA - Wichita

Wichita, Kansas, 67214, United States

Location

CCOP - Wichita

Wichita, Kansas, 67214, United States

Location

Via Christi Cancer Center at Via Christi Regional Medical Center

Wichita, Kansas, 67214, United States

Location

Cancer Center of Kansas, PA - Winfield

Winfield, Kansas, 67156, United States

Location

Highland Hospital of Rochester

Rochester, New York, 14620, United States

Location

Interlakes Oncology/Hematology PC

Rochester, New York, 14623, United States

Location

James P. Wilmot Cancer Center at University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

Grandview Hospital

Dayton, Ohio, 45405, United States

Location

Good Samaritan Hospital

Dayton, Ohio, 45406, United States

Location

David L. Rike Cancer Center at Miami Valley Hospital

Dayton, Ohio, 45409, United States

Location

Veterans Affairs Medical Center - Dayton

Dayton, Ohio, 45428, United States

Location

CCOP - Dayton

Dayton, Ohio, 45429, United States

Location

Blanchard Valley Medical Associates

Findlay, Ohio, 45840, United States

Location

Charles F. Kettering Memorial Hospital

Kettering, Ohio, 45429, United States

Location

Middletown Regional Hospital

Middletown, Ohio, 45044, United States

Location

UVMC Cancer Care Center at Upper Valley Medical Center

Troy, Ohio, 45373-1300, United States

Location

United States Air Force Medical Center - Wright-Patterson

Wright-Patterson AFB, Ohio, 45433-5529, United States

Location

Ruth G. McMillan Cancer Center at Greene Memorial Hospital

Xenia, Ohio, 45385, United States

Location

MeSH Terms

Conditions

LymphomaHodgkin DiseaseLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Mantle-CellLymphoma, FollicularLymphoma, Large B-Cell, Diffuse

Interventions

fludarabine phosphateMelphalanMethotrexateTacrolimusPeripheral Blood Stem Cell Transplantation

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLeukemia, B-CellLeukemia, LymphoidLeukemiaHematologic DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsLymphoma, Non-HodgkinLymphoma, B-Cell

Intervention Hierarchy (Ancestors)

Nitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhenylalanineAmino Acids, AromaticAmino Acids, CyclicAmino AcidsAmino Acids, Peptides, and ProteinsAminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsMacrolidesLactonesHematopoietic Stem Cell TransplantationStem Cell TransplantationCell TransplantationCell- and Tissue-Based TherapyBiological TherapyTherapeuticsTransplantationSurgical Procedures, Operative

Results Point of Contact

Title
Study Statistician
Organization
SWOG Statistical Center

Study Officials

  • Patrick J. Stiff, MD

    Loyola University

    STUDY CHAIR
  • Scott E. Smith, MD, PhD, FACP

    Loyola University

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 19, 2005

First Posted

July 21, 2005

Study Start

July 1, 2005

Primary Completion

January 1, 2008

Study Completion

December 1, 2011

Last Updated

April 3, 2012

Results First Posted

April 3, 2012

Record last verified: 2012-03

Locations