Reduced Intensity Conditioning Before Partially Matched Donor Stem Cell Transplant in Treating Patients With Advanced Cutaneous T Cell Lymphoma
NCT02548468 · Status: WITHDRAWN · Phase: PHASE1 · Type: INTERVENTIONAL
Last updated 2025-05-02
Summary
This phase I trial studies the side effects and the best dose of donor lymphocyte infusion when given together with reduced intensity conditioning regimen before partially matched donor stem cell transplant in treating patients with stage IIB-IV mycosis fungoides or Sezary syndrome. Giving chemotherapy and low-dose total-body irradiation followed by high-dose cyclophosphamide before a donor peripheral blood stem cell transplant helps stop the growth of cells in the bone marrow, including normal blood-forming cells (stem cells) and cancer cells. Sometimes the transplanted cells from a donor can make an immune response against the body's normal cells (called graft-versus-host disease). Removing the T-cells from the donor cells and giving them before transplant may stop this from happening. Additionally, giving tacrolimus and mycophenolate mofetil before and after transplant may also stop this from happening.
Conditions
- Cutaneous T-Cell Non-Hodgkin Lymphoma
- Recurrent Mycosis Fungoides and Sezary Syndrome
- Stage IIB Mycosis Fungoides and Sezary Syndrome
- Stage IIIA Mycosis Fungoides and Sezary Syndrome
- Stage IIIB Mycosis Fungoides and Sezary Syndrome
- Stage IVA Mycosis Fungoides and Sezary Syndrome
- Stage IVB Mycosis Fungoides and Sezary Syndrome
Interventions
- DRUG
-
Given IV
- RADIATION
-
Total-Body Irradiation
Undergo TBI
- BIOLOGICAL
-
T Cell-Depleted Donor Lymphocyte Infusion
Undergo donor CD3+ enriched T lymphocyte infusion
- DRUG
-
Given IV
- PROCEDURE
-
Allogeneic Hematopoietic Stem Cell Transplantation
Undergo allogeneic HSC transplant
- PROCEDURE
-
Peripheral Blood Stem Cell Transplantation
Undergo allogeneic PBSCT
- DRUG
-
Mycophenolate mofetil
Given IV
- DRUG
-
Given IV
Sponsors & Collaborators
-
Sidney Kimmel Cancer Center at Thomas Jefferson University
lead OTHER
Principal Investigators
-
S. Onder Alpdogan, MD · Thomas Jefferson University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-20
- Primary Completion
- 2017-01-23
- Completion
- 2017-03-16
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