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CD8 DLI for Patients With Relapse or Residual Disease Following Allogeneic Stem Cell Transplantation



CD8 DLI for Patients With Relapse or Residual Disease Following Allogeneic Stem Cell Transplantation

For Condition: Multiple Myeloma,Non Hodgkin's Lymphoma,Hodgkin's Disease,Chronic Myelogenous Leukemia,Chronic Lymphocytic Leukemia
Status: Terminated
Sponsor(s): M.D. Anderson Cancer Center ,
Synopsis: Primary Objectives: To evaluate response rates of acute or chronic GVHD following CD8 depleted DLI in patients with CMML, CLL, NHL, MM and HD. Secondary Objectives: To evaluate safety and treatment related mortality after CD8 depleted DLI. To evaluate the time to onset of GVHD following DLI and response to GVHD treatment. To evaluate the incidence and timing of pancytopenia following DLI. To evaluate disease-free survival, overall survival and relapse rates in three cohorts of patients; early relapse CML, late relapse CML and lymphoproliferative disorders (HD, CLL, NHL and MM). To evaluate the need and efficacy of second or subsequent CD8 depleted donor lymphocyte infusions. To evaluate the number of apheresis procedures needed to collect appropriate doses of CD4+ cells.
Details: Primary Objectives: To evaluate response rates of acute or chronic GVHD following CD8 depleted DLI in patients with CMML, CLL, NHL, MM and HD. Secondary Objectives: To evaluate safety and treatment related mortality after CD8 depleted DLI. To evaluate the time to onset of GVHD following DLI and response to GVHD treatment. To evaluate the incidence and timing of pancytopenia following DLI. To evaluate disease-free survival, overall survival and relapse rates in three cohorts of patients; early relapse CML, late relapse CML and lymphoproliferative disorders (HD, CLL, NHL and MM). To evaluate the need and efficacy of second or subsequent CD8 depleted donor lymphocyte infusions. To evaluate the number of apheresis procedures needed to collect appropriate doses of CD4+ cells.
Eligibility:
Study Type:
  Interventional, Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: - Patients of any age who have previously undergone allogeneic hematopoietic transplantation and have evidence of donor cell engraftment (>20% donor cell within three months of study entry) - Expected survival >4 weeks - CML patients with molecular, cytogenetic or hematologic relapse following allogeneic transplantation a. Molecular relapse- patients are eligible if bcr/abl is detectable at any time after day 180 post-allogeneic transplantation or if a negative bcr/abl PCR test was documented post-transplantation and the bcr/abl test is now positive by consecutive PCR determinations at least 4 weeks apart. b. Cytogenetic relapse-patients are eligible if standard cytogenetics demonstrate >10% t (9,22) positive cells greater than 60 days after myeloablative transplantation or 10% t (9,22) positive cells greater than 100 days after nonmyeloablative transplantation. - CML patients with accelerated phase or blast crisis following allogeneic transplantation - Patients with CLL, NHL, MM, or HD who have evidence of disease relapse or persistent disease at 60 days post-allo BMT and/or: a. MM- patients with a rising M-protein is detectable at 180 days post-transplant b. NHL – patients with molecular evidence of disease (bcl-2, t (4,11), etc.) at 180 days post transplant c. CLL, NHL or HD – patients with clear cut evidence of tumor growth at any time post-transplant are eligible - Patients undergoing an HLA –identical or 5/6 antigen match transplant from a related or unrelated donor - Patient’s original donor must be available for lymphocyte donation - There must be no evidence of active acute or graft-versus-host disease and patients should be off all immunosuppressive agents for, at least, two weeks prior to DLI. Patients on stable dose of methylprednisolone (<16 mg/d) without evidence of active GVHD are also eligible. - Patients must have a Zubrod PS<2 (see appendix 7), Cr<2.5, bilirubin <3, and transaminases (SGPT, SGOT) <4x normal - Patient must be able to sign informed consent
Total Enrollment: 90

Location and Contact Information:

MD Anderson Cancer Center
Houston,  Texas,  77030
United States
 


Additional Information:
Study ID Numbers:
  ID00-335; 
Study Start Date: May 2001
Record last reviewed: January 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00038818

Other Chronic Lymphocytic Leukemia Studies:
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2. Pentostatin, Cyclophosphamide, and Rituximab in Treating Patients With Chronic Lymphocytic Leukemia or Other B-cell Cancers

3. Arsenic Trioxide in Treating Patients With Relapsed or Refractory Lymphoma or Leukemia

4. Donor Th2 Cells to Prevent Graft-Versus-Host Disease in Bone Marrow Transplants

5. Cyclosporine in Treating Patients With Low Blood Counts Caused By Hematologic Cancer

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