Study of Nonmyeloablative Peripheral Blood Stem Cell Transplant With High-dose Posttransplantation Cyclophosphamide in Hematopoietic Malignancies Including Those That Are Challenging to Engraft

Stopped early · Phase 2

Conditions studied: Hematopoietic Malignancies

In brief

This is an open label phase II single arm study of peripheral blood stem cell transplantation and posttransplantation cyclophosphamide, using HLA full match or haploidentical related donors, in hematological malignancies including those difficult to engraft. The objective of this study is to evaluate the safety and feasibility in nonmyeloablative, partially HLA-mismatched or HLA-matched PBSC transplant from haploidentical donors or fully matched donors with post-grafting immunosuppression that includes high-dose cyclophosphamide, tacrolimus, and Mycophenolate mofetil (MMF).

Key facts

Study ID

NCT03187756

Run by

NYU Langone Health

People needed

6

Starts

2017-06-02

Expected to finish

2018-12-18

Last updated by the study team

2020-03-27

Who can join

Age: 18 and older, up to 90. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• The following are eligibility for study entry and transplantation.
• Presence of a suitable related, HLA-haploidentical or HLA-matched stem cell donor
• The donor and recipient must be identical at least one allele of each of the following genetic loci: HLA-A, HLA-B, HLA-Cw, HLA-DRB1, and HLA-DQB1. A minimum match of 5/10 is therefore required for related donors, and will be considered sufficient evidence that the donor and recipient share one HLA haplotype.
• Eligible diagnoses:
• Myelodysplastic syndrome (MDS) including chronic myelomonocytic leukemia [CMML] with at least one poor risk factor
• No active extramedullary leukemia or known active CNS involvement by malignancy. Such disease treated into remission is permitted.
• Any previous autologous HSCT must have occurred at least 3 months prior to start of conditioning
• No previous allogeneic HSCT
• Adequate end-organ function Note: Infection is permitted if there is evidence of response to medication. Eligibility of HIV infected patients will be determined on a case-by-case basis.
• ECOG performance status < 2 or Karnofsky or Lansky score > 60.
• Age > 18 years and older.
• Not pregnant or breast-feeding.
• No uncontrolled infection.
• Eligible diagnoses:
• Myelodysplastic syndrome (MDS) including chronic myelomonocytic leukemia [CMML] with at least one of the following poor-risk features
• SLL or CLL with 17p deletion, or with progression < 6 months after second or greater treatment regimen. Must have the following to be an acceptable candidate as well:
• < 20% of bone marrow cellularity involved by SLL/CLL (to lower risk of graft rejection)
• No lymph nodes > 5 cm in any dimension
• No massive splenomegaly, defined as > 6 cm below the left costal margin
• T-cell PLL in PR or better prior to transplantation. Must also have < 20% of bone marrow cellularity involved by PLL (to lower risk of graft rejection).
• Interferon- or tyrosine kinase-refractory CML in first chronic phase, TKI-intolerant CML in first chronic phase, or CML in second or subsequent chronic phase
• Philadelphia chromosome negative myeloproliferative disease (including myelofibrosis)
• o Intermediate-2 or High risk score by DIPSS Plus is required for a diagnosis of myelofibrosis
• Multiple myeloma or plasma cell leukemia with a PR or better to the last treatment regimen, based on the International Myeloma Working Group (IMWG) criteria.49
• Hematologic malignancy in complete remission with minimal residual disease (MRD) non detectable OR detectable by conventional cytogenetics, FISH, flow cytometry, or molecular testing or hematologic malignancies in partial remission

You may not qualify if…

• Any individual that does not meet the eligibility criteria for transplantation or donor eligibility will not be a part of this trial.

Where it is running

• New York University School of Medicine — New York, New York, United States

Full record on ClinicalTrials.gov

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