Unique ID issued by UMIN | UMIN000020656 |
---|---|
Receipt number | R000023841 |
Scientific Title | A phase II study of haploidentical transplantation with post-transplantation cyclophosphamide following reduced-intensity conditioning |
Date of disclosure of the study information | 2016/01/20 |
Last modified on | 2017/10/05 09:53:18 |
A phase II study of haploidentical transplantation with post-transplantation cyclophosphamide following reduced-intensity conditioning
JSCT Haplo16 RIC
A phase II study of haploidentical transplantation with post-transplantation cyclophosphamide following reduced-intensity conditioning
JSCT Haplo16 RIC
Japan |
hematologic malignancies
Hematology and clinical oncology |
Malignancy
NO
To investigate safety and efficacy of HLA haploidentical peripheral blood stem cell transplantation using 150mg/m2 of fludarabine, 6.4mg/kg of intravenous busulfan and 4Gy of total body irradiation in patients who have no HLA-matched related or unrelated donor.
Safety,Efficacy
The incidence of grade III-IV acute GVHD at 100 days
1. Engraftment at 100 days.
2. The incidence of acute GVHD and chronic GVHD at 100 days, 1 year, and 2 years.
3. Non-relapse mortality at 100 days, 1 year, and 2 years.
4. The incidence of relapse at 100 days, 1 year, and 2 years.
5. Disease-free survival at 100 days, 1 year, and 2 years.
6. Overall survival at 100 days, 1 year, and 2 years.
7. The incidence of infectious event at 100 days, 1 year, and 2 years.
8. GVHD free, relapse free survival (GRFS) at 100 days, 1 year, and 2 years.
9. The proportion of patients who stopped immunosuppressive drugs within 1 year and 2 year.
10. Noninfectious fever within 7 days after transplantation
11. Grade 3-4 non-hematologic toxicity within 100 days.
12. Subgroup analysis subgroup analysis according to disease risk index (DRI)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
The preparative regimen will consist of :
Fludarabine 30mg/m2 IV Days -6, -5, -4, -3, -2
Busulfan 3.2mg/kg IV Days -4, -3
Total body irradiation (TBI) 4Gy Day -1
The GVHD prophylaxis regimen will consist of :
Cyclophosphamide 50mg/kg IV days 3, 4
Tacrolimus IV beginning Day 5 with dose adjusted to maintain a level of 5-15 ng/ml
Mycophenolate mofetil 15mg/kg po TID beginning Day5, maximum dose 1 g po TID.
15 | years-old | <= |
70 | years-old | >= |
Male and Female
1. Patients who have hematologic malignancies and who are eligible for allogeneic stem cell transplantation following reduced-intensity conditioning
2. Any disease status
3. Age: 15-70 years old
4. Any prior history of hematopoietic stem cell transplantation
5. Performance status: 0-2
6. Patients with adequate physical function (Cardiac, Hepatic, Renal, Pulmonary).
7. Patients who have no HLA-matched related donor.
8. Patients who have no HLA-matched related donor.
9. Patients who are not eligible for allogeneic stem cell transplantation following myeloablative conditioning.
10. Patients who give written informed consent to participate in the study.
1. Patients who are positive for HBs antigen, HCV antibody, or HIV antibody.
2. Patients with active other malignancies.
3. Patients with active infectious disease.
4. Women who are pregnant, of childbearing potential, or lactating.
5. Patients who experienced serious hypersensitivity or anaphylaxis to cyclophosphamide, fludarabine, tacrolimus, mycophenolate mofetil.
6. Positive anti-donor HLA antibody.
7. Patients who need chemotherapy within 13 days before transplantation.
8. Patients whose body mass index is >=30.
9. Patients who are not eligible for this study at the discretion of the investigator.
36
1st name | |
Middle name | |
Last name | Junichi Sugita |
Hokkaido University Hospital
Department of Hematology
060-8638 Sappor
011-
jsct-office@umin.ac.jp
1st name | |
Middle name | |
Last name | Junichi Sugita |
JSCT
Haplo16 DC
104-0031
03-6225-2025
jsct-office@umin.ac.jp
JSCT
Resarch Foundation for Community Medicine
Non profit foundation
NO
2016 | Year | 01 | Month | 20 | Day |
Unpublished
No longer recruiting
2016 | Year | 01 | Month | 31 | Day |
2016 | Year | 04 | Month | 01 | Day |
2016 | Year | 01 | Month | 20 | Day |
2017 | Year | 10 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023841