Unique ID issued by UMIN | UMIN000009758 |
---|---|
Receipt number | R000011433 |
Scientific Title | Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study |
Date of disclosure of the study information | 2013/01/15 |
Last modified on | 2019/01/16 15:51:57 |
Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study
Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study
Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study
Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study
Japan |
Mucopolysaccharidosis type I (Herler syndrome), type II (Hunter syndrome)
Pediatrics |
Others
NO
To determine the recommended dose of treosulfan when combined with low-dose irradiation, fludarabine, thymoglobulin for preparative regimen in patients with mucopolysaccharidosis
Safety
Confirmatory
Explanatory
Phase I
The incidence of severe RRT (Grade III/IV) on day 28 after HSCT with Treosulfan as a conditioning regimen.
Regimen-related toxicity, engraftment rate, survival rate at 28 days posttransplant, survival rate at 100 days posttransplant, chimeric study, GVHD, hepatic SOS, event-free survival and overall survival at 1 year posttransplant.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Treosulfan 14 g/m2, intravenous,
day -6 -5 -4
Not applicable |
Not applicable |
Male and Female
1. Mucopolysaccharidosis type I (Herler syndrome), type II (Hunter syndrome)
2. Body weight; equal or more than 10 kg
3. ECOG performance status; 0 or 1
4. The transplant should be the first one for the patient. Retransplantation is acceptable under the following conditions; after over 6 months from previous transplantation, and has no effect of previous preconditioning regimen
5. One of the following stem cell donor is available
1) 6/6 or 5/6 (either class I or class II) HLA-A/B/DR serologically matched related bone marrow
2) 6/6 HLA-A/B/DR allelic matched or HLA-DR/DRB1 serologically/allelic mismatched unrelated bone marrow
3) Cord blood units with 6/6, 5/6, or 4/6 HLA serologically match and nucleated cell dose equal or more than 3.5 x 10e7/kg, and CD34+ cell dose equal or more than 1.0 x 10e5/kg
6. Major organ dysfunction (laboratory data)
1) Ejection fraction at rest (UCG); equal or more than 50%
2) Arterial oxygen saturation without oxygen supplementation; equal or greater than 93%
3) Serum creatinine < 1.3 mg/dl
4) Total bilirubin <1.6 mg/dl or AST(GOT) < 2 x normal of each institution
7. Patients without following active infections
1) Pathogen-proven bacterial infection requiring antimicrobial treatment
2) Imaging study (XP, CT, US, MRI) manifested infectious foci requiring antimicrobial treatment
3) Abscess formation or necrotizing infection
4) Viral infection necessitating systemic antiviral agents
5) Culture-positive or PCR-positive tuberculosis/non-tuberculous mycobacterial infection
6) Pneumocystis pneumonia
7) Meningitis, Encephalitis, Encephalopathy
8) Protozoan infection
9) Intraocular fungal infection
8. No previous history of hypersensitivity to the following drugs that are used for conditioning or prophylaxis of GVHD
Treosulfan (L-threitol-1,4-bis-methanesulfonate; dihydroxybusulfan)
Fludarabine
Antithymocyte globulin
Cyclosporine
Methotrexate
Tacrolimus
1. Down syndrome
2. HIV-positivity
12
1st name | |
Middle name | |
Last name | Shunichi Kato |
Tokai University School of Medicine
Department of Cell Transplantation and Regenerative Medicine
143, Shimokasuya, Isehara, Kanagawa, 259-1193, Japan
0463-93-1121
skato@is.icc.u-tokai.ac.jp
1st name | |
Middle name | |
Last name | Hiromasa Yabe |
Tokai University School of Medicine
Department of Cell Transplantation and Regenerative Medicine
143, Shimokasuya, Isehara, Kanagawa, 259-1193, Japan
0463-93-1121
yabeh@is.icc.u-tokai.ac.jp
Tokai University School of Medicine
Government of Japan
Japanese Governmental office
Japan
1. School of Human Health Science Faculty of Medicine Kyoto University
2. Department of Pediatrics, Japanese Red cross Nagoya Daiichi Hospital
3. Department of Pediatrics, Nihon University
NO
東海大学病院(神奈川県)
京都大学病院(京都府)
名古屋第一赤十字病院(愛知県)
日本大学病院(東京都)
2013 | Year | 01 | Month | 15 | Day |
Unpublished
Terminated
2013 | Year | 06 | Month | 24 | Day |
2013 | Year | 06 | Month | 24 | Day |
2014 | Year | 12 | Month | 23 | Day |
2013 | Year | 01 | Month | 11 | Day |
2019 | Year | 01 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011433