T-Cell Depletion, Donor Hematopoietic Stem Cell Transplant (HSCT), and T-Cell Infusions in Treating Patients With Hematologic Cancer or Other Diseases
NCT00589602 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 13
Last updated 2017-05-30
Summary
RATIONALE: Giving chemotherapy and total-body irradiation before a donor peripheral blood stem cell transplant helps stop the growth of cancer and abnormal cells and helps stop the patient's immune system from rejecting the donor's stem cells. When stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. Sometimes the transplanted cells from a donor can make an immune response against the body's normal cells. Removing the T cells from the donor cells before transplant may stop this from happening. Giving an infusion of the donor's T cells (donor lymphocyte infusion) after the transplant may help destroy any remaining cancer cells (graft-versus-tumor effect).
PURPOSE: This phase II trial is studying T-cell depletion in donor stem cell transplant followed by delayed T cell infusions in treating patients with hematologic cancer or other disease.
Conditions
- Chronic Myeloproliferative Disorders
- Leukemia
- Lymphoma
- Multiple Myeloma and Malignant Plasma Cell Neoplasms
- Myelodysplastic Syndromes
- Precancerous/Nonmalignant Condition
- Secondary Myelofibrosis
Interventions
- PROCEDURE
-
peripheral blood lymphocyte therapy
T-cell depletion will be accomplished using CD34 selection with the Baxter Isolex 300i v. 2.5 device. The desirable T-cell dose will be \>0.5 x 105 but \<1.0 x 105 CD3+ cells per kg. The targeted CD34 cell dose will be \>2 x 106 cells/kg.
- PROCEDURE
-
allogeneic hematopoietic stem cell transplantation
Allogeneic Hematopoietic Stem Cell Transplantation
- PROCEDURE
-
peripheral blood stem cell transplantation
Peripheral blood stem cell transplantation
- RADIATION
-
total-body irradiation (TBI)
Treatment will be delivered using 6MV photons twice daily for 3 days
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
The Cleveland Clinic
lead OTHER
Principal Investigators
-
Brian J. Bolwell, MD · The Cleveland Clinic
-
Jarek Maciejewski, MD, PhD · The Cleveland Clinic
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2004-01-31
- Primary Completion
- 2009-08-31
- Completion
- 2014-12-31
Countries
- United States
Study Locations
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