Fludarabine and Intermediate-dose TBI Followed by PTCy in Patients Undergoing Allo Transplant for Heme Malignancies
NCT07214688 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 209
Last updated 2026-03-23
Summary
The Flu-TBI 800 trial is a prospective, single-arm, multicenter, interventional phase 2 study to evaluate whether fludarabine plus intermediate-dose total body irradiation (TBI 800 cGy) with post-transplant cyclophosphamide (PTCy) (experimental regimen) improves the 1-year survival of allogeneic stem cell transplant recipients.
Conditions
- Allogeneic Stem Cell Transplant Recipient
Interventions
- DRUG
-
Patients will receive fludarabine administered at the dose of 30 mg/m2 intravenously daily on Days -6 to -2
- RADIATION
-
Intermediate-dose Total Body Irradiation (TBI)
Patients will receive intermediate-dose total body irradiation (TBI) administered at the dose of 800 cGy in 4 total fractions, 2 fractions per day on Days -2 to -1
- DRUG
-
Post-transplant Cyclophosphamide (PTCy)
Patients will receive post-transplant cyclophosphamide (PTCy) administered at the dose of 40 mg/kg intravenously on Days +3 to +4.
- DRUG
-
Patients will receive tacrolimus administered at a dose adjusted to maintain trough levels between 5-15 ng/mL orally starting on Days +5.
- DRUG
-
Mycophenolate mofetil (MMF)
Patients will receive mycophenolate mofetil (MMF) administered at the standard dose of 15 mg/kg orally three times daily starting on Day +5 to Day +35 or per institutional guidelines.
Sponsors & Collaborators
-
Hackensack Meridian Health
lead OTHER
Principal Investigators
-
Michele Donato, MD · Hackensack Meridian Health
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
- 2026-01-06
- Primary Completion
- 2032-01-31
- Completion
- 2032-01-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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