Unique ID issued by UMIN | UMIN000002606 |
---|---|
Receipt number | R000003054 |
Scientific Title | HLA-haploidentical allogeneic stem cell transplantation for Adult T-cell leukemia/lymphoma (ATL/L) and refractory aggressive lymphoma |
Date of disclosure of the study information | 2009/10/10 |
Last modified on | 2018/10/31 15:52:54 |
HLA-haploidentical allogeneic stem cell transplantation for Adult T-cell leukemia/lymphoma (ATL/L) and refractory aggressive lymphoma
HLA-haploidentical allogeneic stem cell transplantation for ATL/L and refractory aggressive lymphoma
HLA-haploidentical allogeneic stem cell transplantation for Adult T-cell leukemia/lymphoma (ATL/L) and refractory aggressive lymphoma
HLA-haploidentical allogeneic stem cell transplantation for ATL/L and refractory aggressive lymphoma
Japan |
Adult T-cell leukemia/lymphoma (acute type and lymphoma type)
Malignant lymphoma
(aggressive hodgkin and non-hodgkin lymphoma)
Hematology and clinical oncology |
Malignancy
YES
To assess safety and efficacy of HLA-haploidentical allogeneic stem cell transplantation from related donor for patients with ATL/L or refractory agressive lymphoma who have indication for allogeneic transplant but lacking an HLA-serological identical or a single antigen mismatched donor.
Safety,Efficacy
Phase II
Engraftment rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Fludarabine (15mg/square meter of body surface area twice a day for 2 days and 30mg/square meter once a day for 4 days), cytarabine (2g/square meter twice a day for 2 days), Melphalan (100mg/ square meter per day for 1 day) is used as a conditioning regimen. Cyclophosphamide (25 mg/kg) is given on day 3, 4 after the graft infusion. The donor source is peripheral blood stem cell. Continuous intravenous tacrolimus (0.03mg/kg/day) and oral mycophenolate mofetil 3,000mg/day are initiated from day 5 after transplantation.
15 | years-old | <= |
70 | years-old | > |
Male and Female
1) Patients with ATL/L or refractory malignant lymphoma lacking an HLA-identical or single-antigen mismatched related donor.
2) Patients without a HLA-haploidentical donor of family member or relative
3) >= 15 and < 70 years old
4) PS 0-1
5) Normal function of major organ
6) Informed consent
7) ATL/L or malignant lymphoma
a) ATL/L: Acute or lymphoma type, PR or better
b) Malignant lymphomas in WHO classification 2008 as shown below which relapsed after autologous HSCT, or which have no indication for autologous HSCT due to no sensitivity to chemotherapy or poorly controlled disease with conventional chemotherapy.
Mature B-cell neoplasms
B-cell PLL
MCL
FL transformed
Advanced FL: refractory to Rituximab and chemotherapy
DLBCL, NOS(except Primary DLBCL of the CNS)
DLBL associated with chronic inflamation
Primary mediastinal large B-cell lymphoma
ALK+ large B-cell lymphoma
Plasmablastic lymphoma
Intravascular large-B cell lymphoma (IVL)
Large B-cell lymphoma arising in HHV8-associated multicentric Castlemann disease
Primary effusion lymphoma
Burkitt lymphoma
B-cell lymphoma unclassible
Mature T cell and NK-cell neoplasms
T-cell PLL
T-cell large granular lymphocytic leukaemia
Aggressive NK-cell leukemia
Extranodal NK/T-cell lymphoma, nasal type
Enteropathy-associated T-cell lymphoma
Hepatosplenic T-cell lymphoma
Subcutaneous panniculitis-like T-cell lymphoma
Primary cutaneous gamma-delta T-cell lymphoma
Primary cutaneous CD8+ aggressive epidermotropic cytotoxic T-cell lymphoma
Peripheral T-cell lymphoma NOS
Angioimunoblastic T-cell lymphoma
Anaplastic large cell lymphoma, ALK+ or ALK-
Hodgkin lymphoma
1) Major organ dysfunction
a) Total bilirubin: >= 2.0mg/dl
b) Serum creatinine: >= 2.0mg/dl
c) Ejection fraction: < 50 %
d) Pulmonary function test: %VC <40%, FEV1.0% <50% or SaO2 <90% on room air
e) AST or ALT >= 3 x UNL
2) Uncontrolled active infection
3) Uncontrolled CNS invasion
4) Poorly controlled insulin-treated diabetes mellitus
5) Poorly controlled hypertension
6) Patients with a severe complication including heart failure, coronary failure, acute myocardial infarction within the last 3 months, liver cirrhosis and interstitial pneumonia
7) Pregnant, nursing or possible fertile woman
8) Patients with mental disorder or neurological disorder who are likely to unable to participate in the study
9) A history of hypersensitivity or allergy to any drugs in conditioning regimen of this transplant
10) HIV antibody positivity
11) Patients with history of administration of mogamulizumab
12) No indication for this study judged by physician in charge.
(Note: HBs antigen positivity and HCV antibody positivity is not excluded.)
17
1st name | |
Middle name | |
Last name | Masayuki Hino |
Osaka City University, Graduate School of Medicine
Hematology
1-4-3, Asahi-machi, Abeno-ku, Osaka, Japan. 545-8585
06-6645-3881
hinom@med.osaka-cu.ac.jp
1st name | |
Middle name | |
Last name | Mika Nakamae |
Osaka City University, Graduate School of Medicine
Hematology (Clinical center for hematological malignancies)
1-4-3, Asahi-machi, Abeno-ku, Osaka, Japan. 545-8585
06-6645-3881
crc-hematology@med.osaka-cu.ac.jp
Hematology, Osaka City University, Graduate School of Medicine
None
Self funding
NO
2009 | Year | 10 | Month | 10 | Day |
Unpublished
Terminated
2009 | Year | 10 | Month | 08 | Day |
2010 | Year | 01 | Month | 09 | Day |
2014 | Year | 09 | Month | 01 | Day |
2009 | Year | 10 | Month | 08 | Day |
2018 | Year | 10 | Month | 31 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003054