Trial Outcomes & Findings for Reduced Intensity, Partially HLA Mismatched BMT to Treat Hematologic Malignancies (NCT NCT01203722)
NCT ID: NCT01203722
Last Updated: 2026-02-19
Results Overview
Two immunosuppressive regimens with Fludarabine-Cytoxan-TBI conditioning will be studied in reduced-intensity, partially HLA mismatched allogeneic BMT from unrelated or non-first-degree related donors. Transplant regimen will be determined by acceptable rates of severe acute GVHD (\< 25%).
COMPLETED
PHASE1/PHASE2
87 participants
Study Day 100
2026-02-19
Participant Flow
Participant milestones
| Measure |
REGIMEN B
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
54
|
1
|
30
|
2
|
|
Overall Study
COMPLETED
|
54
|
1
|
30
|
2
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Race and Ethnicity were not collected from any participant.
Baseline characteristics by cohort
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
Total
n=87 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
2 Participants
n=54 Participants
|
0 Participants
n=1 Participants
|
0 Participants
n=30 Participants
|
0 Participants
n=2 Participants
|
2 Participants
n=87 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
41 Participants
n=54 Participants
|
0 Participants
n=1 Participants
|
25 Participants
n=30 Participants
|
2 Participants
n=2 Participants
|
68 Participants
n=87 Participants
|
|
Age, Categorical
>=65 years
|
11 Participants
n=54 Participants
|
1 Participants
n=1 Participants
|
5 Participants
n=30 Participants
|
0 Participants
n=2 Participants
|
17 Participants
n=87 Participants
|
|
Age, Continuous
|
53 years
STANDARD_DEVIATION 13.74 • n=54 Participants
|
65 years
STANDARD_DEVIATION 0.00 • n=1 Participants
|
51 years
STANDARD_DEVIATION 13.09 • n=30 Participants
|
54 years
STANDARD_DEVIATION 2.49 • n=2 Participants
|
53 years
STANDARD_DEVIATION 13.37 • n=87 Participants
|
|
Sex: Female, Male
Female
|
22 Participants
n=54 Participants
|
0 Participants
n=1 Participants
|
16 Participants
n=30 Participants
|
0 Participants
n=2 Participants
|
38 Participants
n=87 Participants
|
|
Sex: Female, Male
Male
|
32 Participants
n=54 Participants
|
1 Participants
n=1 Participants
|
14 Participants
n=30 Participants
|
2 Participants
n=2 Participants
|
49 Participants
n=87 Participants
|
|
Race and Ethnicity Not Collected
|
—
|
—
|
—
|
—
|
0 Participants
Race and Ethnicity were not collected from any participant.
|
|
Region of Enrollment
United States
|
54 Participants
n=54 Participants
|
1 Participants
n=1 Participants
|
30 Participants
n=30 Participants
|
2 Participants
n=2 Participants
|
87 Participants
n=87 Participants
|
PRIMARY outcome
Timeframe: Study Day 100Population: aGVHD data collected for 21 of the 54 participants enrolled in Regimen B.
Two immunosuppressive regimens with Fludarabine-Cytoxan-TBI conditioning will be studied in reduced-intensity, partially HLA mismatched allogeneic BMT from unrelated or non-first-degree related donors. Transplant regimen will be determined by acceptable rates of severe acute GVHD (\< 25%).
Outcome measures
| Measure |
REGIMEN B
n=21 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Number of Participants Who Have Severe Acute Graft-versus-host-disease (GVHD)
|
2 Participants
|
0 Participants
|
5 Participants
|
1 Participants
|
PRIMARY outcome
Timeframe: Study Day 100Two immunosuppressive regimens with Fludarabine-Cytoxan-TBI conditioning will be studied in reduced-intensity, partially HLA mismatched allogeneic BMT from unrelated or non-first-degree related donors. Transplant regimen will be determined by acceptable number of participants with transplant-related NRM.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Number of Participants Who Have Transplant-related Nonrelapse Mortality (NRM)
|
2 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
PRIMARY outcome
Timeframe: 6 monthsNumber of participants who do not have grade II-IV GVHD or evidence of graft failure will be assessed.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
6-month Probability of Survival as Assessed by Absence of Grade III-IV GVHD or Evidence of Graft Failure.
|
51 Participants
|
1 Participants
|
26 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 2 yearsAll patients will be tracked from Day 0 to date of first objective disease progression, death from any cause, or last patient evaluation. Patients who have not progressed or died will be censored at the last date they were assessed and deemed free of relapse or progression.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Progression-free Survival
|
48 Participants
|
1 Participants
|
30 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 7 yearsAll patients will be tracked from Day 0 to date of first observed disease progression, or death from any cause, or last patient evaluation. Patients will be followed on study to identify instances of death, progression or disease recurrence.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Event-free Survival
|
47 Participants
|
1 Participants
|
26 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 7 yearsAll patients will be tracked from Day 0 to date of first objective disease progression, death from any cause, or last patient evaluation. Patients who have not progressed or died will be censored at the last date they were assessed and deemed free of relapse or progression.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Overall Survival
|
47 Participants
|
1 Participants
|
26 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 7 yearsAll patients will be tracked from Day 0 to date of first objective disease progression, death from any cause, or last patient evaluation. Patients who have not progressed or died will be censored at the last date they were assessed and deemed free of relapse or progression.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Progression or Relapse
|
4 Participants
|
0 Participants
|
3 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: 7 yearsAll patients will be tracked from Day 0 to date of first observed disease relapse or progression, or death from disease, or last patient evaluation. Patients who have not progressed or died by their last patient contact visit will be censored at the last date they were assessed and deemed free of relapse or progression.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Non-relapse Mortality (NRM).
|
7 Participants
|
0 Participants
|
4 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: 1 yearAll suspected cases of acute GVHD must be confirmed histologically by biopsy of an affected organ (skin, liver, or gastrointestinal tract). Date of symptom onset, date of biopsy confirmation of GVHD, maximum clinical grade, and dates and types of treatment will be recorded. Dates of symptom onset of grade II or higher GVHD and grade III-IV GVHD will be recorded.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Acute Grade II-IV GVHD.
|
2 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: 1 yearAll suspected cases of acute GVHD must be confirmed histologically by biopsy of an affected organ (skin, liver, or gastrointestinal tract). Date of symptom onset, date of biopsy confirmation of GVHD, maximum clinical grade, and dates and types of treatment will be recorded. Dates of symptom onset of grade II or higher GVHD and grade III-IV GVHD will be recorded.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Acute Grade III-IV GVHD
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: 1 yearAll suspected cases of acute GVHD must be confirmed histologically by biopsy of an affected organ (skin, liver, or gastrointestinal tract). Date of symptom onset, date of biopsy confirmation of GVHD, maximum clinical grade, and dates and types of treatment will be recorded. Dates of symptom onset of grade II or higher GVHD and grade III-IV GVHD will be recorded.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Chronic GVHD
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: 1 yearNumber of cases with less than 5% donor chimerism in blood and/or bone marrow on \~Day 30 or after and on all subsequent measurements, in the absence of documented bone marrow involvement by malignancy.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Graft Failure
|
2 Participants
|
0 Participants
|
0 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: 1 yearNumber of cases who achieve a post nadir ANC greater or equal to 500/mm3 for three consecutive measurements on different days.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Neutrophil Recovery
|
54 Participants
|
1 Participants
|
30 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 1 yearNumber of cases who achieve a platelet count greater than 20,000/mm3 or greater than 50,000/mm3 with no platelet transfusions in the preceding seven days, as measured as maintained on at least three consecutive measurements on different days.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Platelet Recovery
|
54 Participants
|
1 Participants
|
29 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 1 yearNumber of cases who achieve either mixed donor chimerism is defined as greater than 5%, but less than 95%, donor or full donor chimerism is defined as \> 95% donor.
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Donor Engraftment
|
53 Participants
|
1 Participants
|
30 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 7 yearsNumber of cases who reach the end of the trial without severe acute (grade III-IV) GVHD, graft failure, or non-relapse mortality
Outcome measures
| Measure |
REGIMEN B
n=54 Participants
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 Participants
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 Participants
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Cumulative Incidence of Failure Free Survival
|
53 Participants
|
1 Participants
|
30 Participants
|
2 Participants
|
Adverse Events
REGIMEN B
REGIMEN C
REGIMEN B2
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
Serious adverse events
| Measure |
REGIMEN B
n=54 participants at risk
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 participants at risk
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 participants at risk
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 participants at risk
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Gastrointestinal disorders
Colitis
|
1.9%
1/54 • Number of events 1 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
0.00%
0/1 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
0.00%
0/30 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
0.00%
0/2 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
Other adverse events
| Measure |
REGIMEN B
n=54 participants at risk
Pre-BMT :
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy total body irradiation (TBI) administered in a single fraction
Day 0: Allogeneic blood or marrow transplantation (BMT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: Mycophenolate Mofetil (MMF) 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN C
n=1 participants at risk
Pre-BMT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: BMT
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 5 thru Day 180: Tacrolimus 1 mg administered IV QD
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Allogeneic Blood or Marrow Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Tacrolimus: Tacrolimus 1mg intravenously, daily
|
REGIMEN B2
n=30 participants at risk
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
REGIMEN B3: HIV Patients With CCRd32 Homozygous Donors
n=2 participants at risk
Pre-PBSCT:
* Day -6 through -2: Fludarabine 30 mg/m2/day (adjusted for renal function; maximum cumulative dose, 150 mg/m2) administered IV
* Day -6 and -5: Cytoxan 14.5 mg/kg/day administered IV
* Day -1: 400 cGy TBI administered in a single fraction
Day 0: Peripheral Blood Stem Cell Transplant (PBSCT)
Post-Transplantation Immunosuppression Consisting of:
* Day 3 and 4: High-dose Cytoxan 50mg/kg/day (adjusted according to IBW) administered IV
* Day 5: Sirolimus loading dose 6 mg PO once
* Day 5 thru Day 35: MMF 15 mg/kg PO TID (maximum daily dose 3 g/day)
* Day 6 thru Day 180: Sirolimus maintenance dose 2 mg PO QD with dose adjustments to maintain trough of 3 - 12 ng/mL
Fludarabine: Fludarabine 30 mg/m2/day
Cytoxan: Pre-BMT: Cytoxan 14.5 mg/kg/day administered IV; Post-Transplantation: High-dose Cytoxan 50mg/kg/day
Total Body Irradiation: 400 cGy TBI administered in a single fraction
Peripheral Blood Stem Cell Transplant
Mycophenolate Mofetil: 15mg/kg by mouth three times daily
Sirolimus: Loading Dose: Sirolimus 6mg by mouth once; Maintenance dose: Sirolimus 2mg by mouth daily
|
|---|---|---|---|---|
|
Gastrointestinal disorders
Diarrhea
|
1.9%
1/54 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
0.00%
0/1 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
0.00%
0/30 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
0.00%
0/2 • From consent until 1 year after transplant. All-Cause mortality was collected for up to 7 years. Non-serious and serious adverse events were collected for up to 1 year after transplant.
|
Additional Information
Richard Ambinder, MD PhD
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place