Reduced-Intensity Regimen Before Donor Bone Marrow Transplant in Treating Patients With Myelodysplastic Syndromes
NCT00045305 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 17
Last updated 2023-06-28
Summary
RATIONALE: Photopheresis treats the patient's blood with drugs and ultraviolet light outside the body and kills the white blood cells. Giving photopheresis, pentostatin, and radiation therapy before a donor bone marrow or stem cell transplant helps stop 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 pentostatin before transplant and cyclosporine or mycophenolate mofetil after transplant may stop this from happening.
PURPOSE: This phase II trial is studying how well giving pentostatin together with photopheresis and total-body irradiation work before donor bone marrow transplant in treating patients with myelodysplastic syndromes.
Conditions
- Leukemia
- Myelodysplastic Syndromes
- Myelodysplastic/Myeloproliferative Neoplasms
Interventions
- DRUG
-
Cyclosporine
Immunosuppressant
- DRUG
-
Methotrexate
Antimetabolite
- DRUG
-
Photopheresis
Psoralens
- DRUG
-
Mycofenolate mofetil
an antibiotic with immunosuppressamt properties isolated from Penicillium spp
- DRUG
-
Pentostatin
Purine analogue
- PROCEDURE
-
allogeneic bone marrow
Unmanipulated allogeneic bone marrow
- PROCEDURE
-
peripheral blood stem cell
G-CSF mobilized peripheral blood stem cell
- RADIATION
-
Total body irradiation
a total of 600 cGy given in 3 200 cGy fractionated doses
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
Eastern Cooperative Oncology Group
lead NETWORK
Principal Investigators
-
Selina M. Luger, MD · Abramson Cancer Center at Penn Medicine
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-10-24
- Primary Completion
- 2014-02-28
- Completion
- 2014-09-30
Countries
- United States
Study Locations
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