Study of Intensity Modulated Total Marrow Irradiation (IM-TMI) in Addition to Fludarabine/Busulfan Conditioning for Allogeneic Transplantation in High Risk AML and Myelodysplastic Syndromes
NCT03121014 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 38
Last updated 2026-01-13
Summary
The study is a Phase II clinical trial. Patients will receive intensity modulated total marrow irradiation (TMI) at a dose of 9 Gy with standard myeloablative fludarabine/ i.v. targeted busulfan (FluBu) conditioning prior to allogeneic hematopoietic stem cell transplant (HSCT).
Conditions
Interventions
- DRUG
-
40 mg/m\^2 IVBP daily for day -5 (5 days before stem cell infusion) through Day -2
- DRUG
-
Busulfan
targeting a 4800μM/min/ day from day -5 through day -2
- DRUG
-
ATG
0.5 mg/kg IV on day -3, and 2 mg/kg on days -2 and day -1
- RADIATION
-
Total Marrow Irradiation
dose of 3Gy on days -3, -2 and -1
- PROCEDURE
-
Stem Cell Product Infusion
Day 0 according to BMT unit policy
- DRUG
-
The starting dose is at 0.03 mg/kg/day IV continuous infusion over 24 hr from 4 PM on day -2. Dose will be adjusted to target trough levels of 5-15 ng/mL. More information is available in the protocol document.
- DRUG
-
Methotrexate
5mg/m\^2 on Day 1, 5 mg/m\^2 on Days 3, 6 and 11
Sponsors & Collaborators
-
University of Illinois at Chicago
lead OTHER
Principal Investigators
-
Damiano Rondelli, MD · University of Illinois at Chicago
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-04-24
- Primary Completion
- 2026-04-30
- Completion
- 2026-04-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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