Unrelated Double Umbilical Cord Blood Units Transplantation
Evaluation of Benefit and Side Effects of Double Umbilical Cord Blood Units Stem Cell Transplantation in Hematologic Malignancies
1 other identifier
interventional
10
1 country
1
Brief Summary
The purpose of this study is to determine the safety and feasibility of unrelated double umbilical cord blood units Transplantation in patients with haematological malignancies using Antithymocyte Globulin Cyclophosphamide, busulfan as conditioning and cyclosporin, methylprednisolone as GVHD prophylaxis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Nov 2009
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 17, 2009
CompletedFirst Posted
Study publicly available on registry
November 18, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2013
CompletedJune 4, 2012
May 1, 2012
3.1 years
November 17, 2009
May 31, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To determine the Benefit and Side Effects of Double Umbilical Cord Blood Units Stem Cell Transplantation in Hematologic Malignancies
Until end of study
Secondary Outcomes (4)
Neutrophil and platelet engraftment
1 year
Severity of acute graft-vs-host disease(GvHD
1 year
Early transplant related mortality
100 days
Overall and disease free survival at one years
1 year
Study Arms (1)
Experimental
EXPERIMENTALStem cell Transplant using two unrelated umbilical cord blood units.
Interventions
Busulfan: 3.2 mg/kg IV daily on days -7 to -4 Cyclophosphamide : 60 mg/m² daily on days -3 to -2 Rabbit Thymoglobulin 2.5mg/kg IV daily on days -3 to -2 Cyclosporin will begin on day -2 (IV or oral) for at least 180 days. Target trough level for cyclosporin is 200 ng/ml. In the absence of GVHD, Cyclosporin tapering will begin on day +90 Methyl prednisolone (1mg/kg/d IV) will begin on day -2 to +7 and then 0.5mg/kg until +14 posttransplant.
Eligibility Criteria
You may qualify if:
- Hematologically \& Histologically confirmed acute lymphoblastic or acute and chronic myeloid leukemia in Remission
- Aged 1 year to 50 years
- Absence of HLA compatible related or other related donor.
- Availability of suitable UCB units.
- karnofsky performance score (\> 12 yr) or lansky play performance(\<12 yr) : 80- 100
- Adequate renal function defined as:Serum creatinine \<1.5 x normal,
- Adequate liver function defined as:Total bilirubin \<1.5 x normal, or SGOT (AST) or SGPT (ALT) \<3.0 x normal
- Adequate cardiac function defined as: Ejection fraction \>50% by echocardiogram.
- Adequate pulmonary function defined as:Uncorrected DLCO 50% by pulmonary function test.For children who are uncooperative, no evidence of dyspnea at rest, no exercise intolerance, and a pulse oximetry \>94% on room air
You may not qualify if:
- Age: \< 1year or \> 50 year
- Patients with an available 5-6/6 HLA-A, -B, -DRB1 matched sibling or other related donor
- karnofsky performance score (\> 12 yr) or lansky play performance(\<12 yr) \< 80
- HIV positive patients.
- Female patients who are pregnant or breast feeding
- Life expectancy severely limited by diseases of vital organs other than the disease indication for transplant
- Serious concurrent untreated infection e.g. active tuberculosis, mycoses or viral infection
- Serious psychiatric/ psychological disorders
- Absence of /inability to provide informed consent
- Clinical or Paraclinical evidence of CNS or PNS involvement
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hematology-Oncology & SCT Research Center
Tehran, Tehran Province, 14114, Iran
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Amir Ali Hamidieh, MD
Hematology-Oncology and SCT Research Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 17, 2009
First Posted
November 18, 2009
Study Start
November 1, 2009
Primary Completion
December 1, 2012
Study Completion
January 1, 2013
Last Updated
June 4, 2012
Record last verified: 2012-05