Reduced Intensity Conditioning With Clofarabine, Antithymocyte Globulin (ATG), Total Lymphoid Irradiation (TLI) Followed by Allogeneic Stem Cell Transplant
NCT00697684 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 29
Last updated 2023-11-28
Summary
This study will examine the safety of clofarabine, TLI and ATG as a reduced conditioning regimen prior to allogeneic transplantation. The impact of the conditioning regimen on the presence of the circulating regulatory as compared to activated T cell populations will be assessed.The recovery of DC populations post-transplant will be examined, along with the effect of the regimen on disease free and overall survival.
Conditions
- Acute Myeloid Leukemia
- Myelodysplastic Syndrome
- Acute Lymphocytic Leukemia
- Relapsed/Refractory Chronic Lymphocytic Leukemia
- Relapsed/Refractory Non Hodgkin's Lymphoma
- Hodgkins Disease
- Relapsed Refractory Multiple Myeloma
Interventions
- DRUG
-
Antithymocyte Globulin
- DRUG
-
Clofarabine
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). Clofarabine will be given at 20mg/m2/d IV infused over 1 hour x 5 days (day -6 to -2), for a total dose of 100 mg/m(2). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
- DRUG
-
Clofarabine
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). Clofarabine will be given at 30mg/m2/d IV infused over 1 hour x 5 days (day -6 to -2), for a total dose of 150 mg/m(2). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
- DRUG
-
Clofarabine
Transplant conditioning will begin day -11 with 5 days of TLI at a dose of 80 cGy per day administered in conjunction with rabbit ATG at a dose of 1.5 mg/kg per day (day -11 to -7). Clofarabine will be given at 40mg/m2/d IV infused over 1 hour x 5 days (day -6 to -2), for a total dose of 200 mg/m(2). TLI will be completed at 80 cGy per day (day -4 to 0) for a total of 10 fractions (800 cGy).
Sponsors & Collaborators
-
Genzyme, a Sanofi Company
collaborator INDUSTRY -
Beth Israel Deaconess Medical Center
lead OTHER
Principal Investigators
-
David E Avigan, MD · Beth Israel Deaconess Medical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-06-30
- Primary Completion
- 2020-12-31
- Completion
- 2023-11-30
Countries
- United States
Study Locations
More Related Trials
-
TLI & ATG for Non-Myeloablative Allogeneic Transplantation for MDS and MPD
NCT00185796 ·Status: COMPLETED ·Phase: PHASE2
-
Haploidentical Hematopoietic Stem Cell Transplantation Using A Novel Clofarabine Containing Conditioning Regimen For Patients With Refractory Hematologic Malignancies
NCT00824135 ·Status: COMPLETED ·Phase: PHASE1
-
Study of Stem Cell Transplantation for Hematologic Malignancies Using Clofarabine and Busulfan Regimen
NCT00556452 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Total-Body Irradiation With or Without Fludarabine Phosphate Followed By Donor Stem Cell Transplant in Treating Patients With Hematologic Cancer
NCT00075478 ·Status: COMPLETED ·Phase: PHASE3
-
Haploidentical Stem Cell Transplantation With CD3/CD19 Depletion and Reduced Intensity Conditioning in Patients With Acute Leukemia
NCT00961142 ·Status: TERMINATED ·Phase: PHASE2
-
Donor Stem Cell Transplantation Using α/β+ T-lymphocyte Depleted Grafts From HLA Mismatched Donors
NCT03615105 ·Status: TERMINATED ·Phase: PHASE2
-
Busulfan, Fludarabine, Clofarabine With Allogeneic Stem Cell Transplantation for Acute Myeloid Leukemia
NCT00469014 ·Status: COMPLETED ·Phase: PHASE2
-
Fludarabine Phosphate and Total-Body Radiation Followed by Donor Peripheral Blood Stem Cell Transplant and Immunosuppression in Treating Patients With Hematologic Malignancies
NCT00014235 ·Status: COMPLETED ·Phase: NA
-
Total-Body Irradiation, Fludarabine, and Peripheral Stem Cell Transplantation in Treating Patients With Hematologic Cancer
NCT00044954 ·Status: COMPLETED ·Phase: PHASE2
-
Trial of Allogeneic Stem Cell Transplants From HLA Compatible, Related and Unrelated Donors After a Myeloablative Preparative Regimen With Hyperfractionated TBI, Thiotepa and Fludarabine For Adult Patients With Lymphohematopoietic Disorders
NCT00587054 ·Status: COMPLETED ·Phase: PHASE2
-
Clofarabine, Melphalan, and Thiotepa Followed By a Donor Stem Cell Transplant in Treating Patients With High-Risk and/or Advanced Hematologic Cancer or Other Disease
NCT00423514 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Phase 2 Study of Autologous Followed by Nonmyeloablative Allogeneic Transplantation Using TLI & ATG
NCT00899847 ·Status: COMPLETED ·Phase: PHASE2
-
Fludarabine Phosphate and Total Body Irradiation Followed by a Donor Peripheral Stem Cell Transplant in Treating Patients With Myelodysplastic Syndromes or Myeloproliferative Disorders
NCT00397813 ·Status: COMPLETED ·Phase: PHASE2
-
Alemtuzumab, Fludarabine Phosphate, and Low-Dose Total Body Irradiation Before Donor Stem Cell Transplantation in Treating Patients With Hematological Malignancies
NCT00040846 ·Status: COMPLETED ·Phase: PHASE2
-
Fludarabine Phosphate, Radiation Therapy, and Rituximab in Treating Patients Who Are Undergoing Donor Stem Cell Transplant Followed by Rituximab for High-Risk Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
NCT00104858 ·Status: COMPLETED ·Phase: PHASE2
-
Fludarabine Phosphate and Total-Body Irradiation Before Donor Peripheral Blood Stem Cell Transplant in Treating Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Leukemia
NCT00060424 ·Status: COMPLETED ·Phase: PHASE2
-
Thiotepa-Clofarabine-Busulfan With Allogeneic Stem Cell Transplant for High Risk Malignancies
NCT00857389 ·Status: COMPLETED ·Phase: PHASE2
-
Fludarabine, Cyclophosphamide, and Total-Body Irradiation in Treating Patients Who Are Undergoing a Donor Bone Marrow Transplant for Hematologic Cancer
NCT00134004 ·Status: COMPLETED ·Phase: PHASE2
-
BMT-06: Study of Intensity Modulated Total Marrow Irradiation (IM-TMI)
NCT04187105 ·Status: RECRUITING ·Phase: PHASE2
-
T Cell Depleted Allogeneic Hematopoietic Stem Cell Transplantation Conditioned With a Reduced Intensity Regimen in Patients With Hematologic Malignancies and Aplastic Anemia
NCT03531736 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Total Lymphoid Irradiation and Anti-Thymocyte Globulin in the Allogeneic Hematopoietic Cell Transplantation
NCT01081405 ·Status: COMPLETED ·Phase: NA
-
Fludarabine Phosphate, Low-Dose Total-Body Irradiation, and Donor Stem Cell Transplant Followed by Cyclosporine, Mycophenolate Mofetil, Donor Lymphocyte Infusion in Treating Patients With Hematopoietic Cancer
NCT00006251 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Treosulfan, Fludarabine Phosphate, and Total-Body Irradiation Before Donor Stem Cell Transplant in Treating Patients With High-Risk Acute Myeloid Leukemia, Myelodysplastic Syndrome, Acute Lymphoblastic Leukemia
NCT00860574 ·Status: COMPLETED ·Phase: PHASE2
-
Haploidentical Allogeneic Transplant With Post-transplant Infusion of Regulatory T-cells
NCT01050764 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Total Body Irradiation/Fludarabine Based Ablative Haploidentical Transplant for Hematologic Diseases
NCT01336712 ·Status: COMPLETED ·Phase: PHASE2