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T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia Clinical Trials Facts presented on Clinical Trials Search isn't designed to be a substitute for proven healthcare advice, calls or treatment by using a genuine medical doctor. We aren't mDs. Always confer with your doctor on T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia conditions. Clinical Trials Search.org is a website devoted to listing clinical research studies in human subjects. T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia Clinical research trials and T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia healthcare trials occur in a lot of of places across the United States. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials generally assess the effectivity of new does drugs. The role of the studies / undertakings is to solve specific human healthcare questions. Clinical trials are a popular way for doctors, government agencies, and private sector companies to find treatments for all kinds of conditions, including T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia. T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia Clinical Trials and other clinical trials allow for volunteers to access health treatment choices before they are available to the general public. Many times the test subjects get treatment for without cost, and sometimes they are compensated for their time. Occasionally there is a cost for a T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia clinical trial. Test subjects typically receive the most effective healthcare possible for their T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia condition. Risks are a reality, nonetheless, and could include extra or frequent dr. calls, health hazards (perhaps life-jeopardizing), and/or the treatment being ineffective. Trials are federally regulated with rigid guidelines to protect clinical trials subjects.
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Home > "T" Clinical Trials Conditions > T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia  T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia
T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia
For Condition: acute leukemia,atypical chronic myeloid leukemia,childhood lymphoblastic lymphoma,chronic leukemia,myelodysplastic and myeloproliferative disease,Non-Hodgkin's Lymphoma
Status: Completed
Sponsor(s): Memorial Sloan-Kettering Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Bone marrow and peripheral stem cell transplantation may be able to replace immune cells that were destroyed by chemotherapy or radiation therapy used to kill cancer cells. PURPOSE: Phase II trial to study the effectiveness of T-cell depleted bone marrow and G-CSF stimulated peripheral stem cell transplantation in treating patients with leukemia, lymphoblastic lymphoma, myelodysplastic syndrome, or aplastic anemia.
Details: OBJECTIVES: - Determine the potential of T-cell-depleted bone marrow and peripheral blood stem cells (PBSC) from HLA-haplotype, partially matched related donors to induce extended disease-free survival in patients with leukemia, lymphoblastic lymphoma, myelodysplastic syndrome, or severe aplastic anemia who would otherwise be ineligible for transplantation because of the lack of an HLA-identical related or unrelated donor. - Determine the impact of filgrastim (G-CSF)-stimulated, CD34+, E-rosette and T-cell-depleted PBSC derived from an HLA-haplotype, partially matched donor on the incidence and quality of engraftment, kinetics, and quality of hematopoietic and immunologic reconstitution, and incidence and severity of graft-versus-host disease (GVHD) in these patients. - Correlate the doses of PBSC and clonable T-cells with the incidence of engraftment, extent of chimerism, incidence and severity of acute and chronic GVHD, characteristics of hematopoietic and immunologic reconstitution, and overall and disease-free survival rates at 2-4 years after transplantation in these patients. OUTLINE: Patients are stratified by number of HLA-incompatible alleles (1 vs 2 or 3). - Harvest: Beginning 6-10 days before transplantation, allogeneic bone marrow is harvested and treated in vitro. Beginning 5-6 days before transplantation, filgrastim (G-CSF)-stimulated, allogeneic peripheral blood stem cells (PBSC) are harvested, selected for CD34+ cells, and treated in vitro. If feasible, autologous bone marrow is harvested in the event of allogeneic graft failure. - Myeloablation: Patients undergo total body irradiation 3 times a day on days -9 to -6, thiotepa IV over 4 hours on days -5 and -4, and cyclophosphamide IV on days -3 and -2. - Transplantation: CD34+, E-rosette and T-cell-depleted PBSC are infused over 15 minutes and then T-cell-depleted bone marrow is infused over 1-5 minutes on day 0. Patients receive G-CSF IV over 30 minutes beginning on day 1 and continuing until blood counts recover and then tapering. Patients receive anti-thymocyte globulin IV over 4-6 hours on days 8, 10, 12, and 14 and oral methylprednisolone on days 8-14 followed by tapered doses on days 15-17. - CNS prophylaxis: Beginning at least 2 months after transplantation, patients with acute lymphocytic leukemia (ALL) and no history of CNS leukemia receive cytarabine intrathecally (IT) monthly for 6 months and patients with ALL and a history of CNS leukemia receive cytarabine IT monthly for 12 months. Patients with graft failure are offered autologous bone marrow transplantation (BMT) or second allogeneic BMT. Patients are followed at 1, 3, 6, and 12 months and then annually for 3 years. PROJECTED ACCRUAL: A total of 60 patients (30 patients per stratum) will be accrued for this study at a rate of 15 leukemia patients and 5 aplastic anemia patients per year.
Eligibility:
Study Type: Interventional, Treatment
Minimum Age/Maximum Age: /49 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - One of the following diagnoses: - Acute myelogenous leukemia (AML) meeting 1 of the following conditions: - Failed to achieve first remission after an intensive induction regimen containing an anthracycline and cytarabine - In second remission and not enrolled in a protocol for autologous bone marrow transplantation - Failed to achieve or sustain second remission - In first remission but at high risk of relapse because of 1 of the following factors: - High-risk cytogenetic features (monosomy 7,5q-, trisomy 8, or t(9;22)) - AML secondary to treatment of a prior malignancy and without good-risk cytogenetic features of t(8;21), t(15;17), or inv 16 - AML secondary to myelodysplastic disease - Acute lymphocytic leukemia (ALL) meeting 1 of the following conditions: - In second remission with initial relapse occurring within 2 years of diagnosis - In first complete remission with high-risk cytogenetics (t(9;22) or t(4;11)) - In third or subsequent remission - Failed to achieve or sustain a second remission - Chronic myelogenous leukemia (CML) in first or second chronic phase or accelerated phase - Stage IV lymphoblastic lymphoma not in first remission or that failed to achieve a remission within the first 4 weeks of induction therapy - Juvenile CML - Myelodysplastic syndrome - Severe aplastic anemia unresponsive to anti-thymocyte globulin or cyclosporine - No CNS or skin involvement with leukemia - No requirement for mediastinal irradiation - No healthy, HLA-identical related donor of at least 1 year of age or matched unrelated donor available within 4-6 months - Availability of a healthy, 1-3 HLA-A, -B, and -DR mismatched related donor - Willing and able to undergo general anesthesia for marrow donation and a 5-day course of filgrastim (G-CSF) with 2 daily leukaphereses PATIENT CHARACTERISTICS: Age: - Under 50 (50 and over allowed on a case-by-case basis) Performance status: - Age 16 and over: - Karnofsky 70-100% - Under age 16: - Lansky 50-100% Hematopoietic: - Not specified Hepatic: - Bilirubin less than 2.0 mg/dL (in the absence of liver involvement) - AST less than twice normal (in the absence of liver involvement) Renal: - Creatinine normal OR - Creatinine clearance greater than 60 mL/min Cardiovascular: - Asymptomatic or LVEF greater than 50% at rest, with improvement during exercise Pulmonary: - Asymptomatic or DLCO greater than 50% predicted (corrected for hemoglobin) Other: - No known hypersensitivity to mouse protein or chicken egg products - No active viral, bacterial, or fungal infection - HIV-1, HIV-2, HTLV-1, and HTLV-2 negative - No other concurrent medical condition that would preclude transplantation - Not pregnant or nursing PRIOR CONCURRENT THERAPY: Biologic therapy - See Disease Characteristics Chemotherapy - See Disease Characteristics Endocrine therapy - Not specified Radiotherapy - See Disease Characteristics Surgery - See Disease Characteristics
Total Enrollment:
Location and Contact Information:
Overall Study Official:
RichardO'Reilly, Study Chair, Memorial Sloan-Kettering Cancer Center
Memorial Sloan-Kettering Cancer Center
New York City, New York, 10021
United States
Additional Information:
Study ID Numbers: CDR0000064557; MSKCC-95084,NCI-V96-0809
Study Start Date:
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002718
Other Childhood Lymphoblastic Lymphoma Studies:
1. T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia
2. Thalidomide in Treating Anemia in Patients With Myelodysplastic Syndrome
3. PTK787/ZK 222584 in Treating Patients With Primary or Secondary Myelodysplastic Syndromes
4. Decitabine in Treating Patients With Myelodysplastic Syndrome or Acute Myeloid Leukemia
5. FR901228 in Treating Patients With Myelodysplastic Syndrome, Acute Myeloid Leukemia, or Non-Hodgkin's Lymphoma
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T-cell Depleted Bone Marrow and G-CSF Stimulated Peripheral Stem Cell Transplantation From Related Donors in Treating Patients With Leukemia, Lymphoblastic Lymphoma, Myelodysplastic Syndrome, or Aplastic Anemia
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