A Study of Bone Marrow Transplantation Using Fully-Matched Relatives as Donors for Patients With Hematological Malignancies
A Two Step Approach To Matched-Sibling Allogeneic Hematopoietic Stem Cell Transplantation for High-Risk Hematological Malignancies
3 other identifiers
interventional
47
1 country
1
Brief Summary
This research study uses a drug called cyclophosphamide to decrease the incidence of GVHD in matched sibling hematopoietic stem cell transplant. In doing so, the goal of the study is to increase overall survival.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Apr 2008
Longer than P75 for phase_2
1 active site
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
April 10, 2008
CompletedFirst Submitted
Initial submission to the registry
March 11, 2011
CompletedFirst Posted
Study publicly available on registry
March 15, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 19, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 29, 2019
CompletedResults Posted
Study results publicly available
October 15, 2019
CompletedMarch 19, 2026
February 1, 2026
10.4 years
March 11, 2011
September 4, 2019
February 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Patients With Overall Survival
The primary objective of this prospective, phase II trial was to obtain an OS rate of \>60% at 1 year in patients undergoing a 2 step HSCT from an HLA compatible family donor. The \>60% threshold was selected as a composite efficacy measure as patients with any hematologic diagnosis, stage of disease, or age as old as 65 years were eligible for this treatment protocol.
1 Year after transplant
Secondary Outcomes (1)
Graft Versus Host Disease (GVHD)
1 Year after transplant
Study Arms (1)
Allogeneic Transplantation
EXPERIMENTALMatched Sibling Allogeneic Transplantation
Interventions
Patients undergoing myeloablative hematopoietic stem cell transplant from HLA identical related donors using cyclophosphamide tolerization
Eligibility Criteria
You may qualify if:
- Any patient with a hematologic or oncologic diagnosis in which allogeneic HSCT is thought to be beneficial, and in whom front-line therapy has already been applied. Patients will be considered high-risk if they have any of the following:
- Age \> 50 years
- ECOG Performance status of \<2
- Acute leukemia: requiring more than one chemotherapy regimen to obtain 1st CR; second or greater CR, 1st relapse; any ph+ ALL
- CML 2nd chronic phase, accelerated phase, or blastic phase
- MDS with IPS of Intermediate 2 or greater
- Any myeloproliferative disorder
- Hodgkin lymphoma: relapsed, refractory, or primary induction failure
- Non-Hodgkin lymphoma: relapsed, refractory, primary treatment failure, or not eligible for an autologous HSCT
- Other conditions not listed will be assessed as high-risk by the PI
- Patients must have a related donor who is either HLA-identical or a one antigen mismatch at the HLA- A; B; C; and DR loci.
- Patients must adequate organ function:
- LVEF of \>45%
- DLCO (adjusted for hemoglobin) \>45% of predicted
- Adequate liver function as defined by a serum bilirubin \<1.8, AST or ALT \< 2.5X upper limit of normal
- +3 more criteria
You may not qualify if:
- ECOG performance status of 3 or 4.
- HIV positive
- Active involvement of the central nervous system with malignancy
- Psychiatric disorder that would preclude patients from signing an informed consent
- Pregnancy
- Patients with life expectancy of \< 6 months for reasons other than their underlying hematologic/oncologic disorder.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Neal Flomenberg, MD
- Organization
- Sidney Kimmel Cancer Center at Thomas Jefferson University
Study Officials
- PRINCIPAL INVESTIGATOR
Neal Flomenberg, MD
Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
Publication Agreements
- PI is Sponsor Employee
- Yes
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
March 11, 2011
First Posted
March 15, 2011
Study Start
April 10, 2008
Primary Completion
September 19, 2018
Study Completion
August 29, 2019
Last Updated
March 19, 2026
Results First Posted
October 15, 2019
Record last verified: 2026-02