Main
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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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ClinicalTrials.gov |
Last refreshed on:
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19 February 2015 |
Main ID: |
NCT01019876 |
Date of registration:
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23/11/2009 |
Prospective Registration:
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No |
Primary sponsor: |
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Public title:
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Risk-Adapted Allogeneic Stem Cell Transplantation For Mixed Donor Chimerism In Patients With Non-Malignant Diseases
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Scientific title:
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Risk-Adapted Allogeneic Stem Cell Transplantation For Mixed Donor Chimerism In Patients With Selected Non-Malignant Diseases |
Date of first enrolment:
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June 2002 |
Target sample size:
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50 |
Recruitment status: |
Recruiting |
URL:
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http://clinicaltrials.gov/show/NCT01019876 |
Study type:
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Interventional |
Study design:
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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Phase:
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Phase 2/Phase 3
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Countries of recruitment
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United States
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Contacts
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Name:
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James Garvin, MD, PhD |
Address:
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Telephone:
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212 305 5872 |
Email:
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jhg1@columbia.edu |
Affiliation:
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Name:
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James Garvin, MD, PhD |
Address:
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Telephone:
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212-305-5872 |
Email:
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jhg1@columbia.edu |
Affiliation:
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Name:
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James Garvin, MD. PhD |
Address:
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Telephone:
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Email:
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Affiliation:
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Columbia University |
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Key inclusion & exclusion criteria
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Inclusion Criteria
- Patients must meet the eligibility criteria for organ function regardless of
diagnosis:
- Age < 30 or = 30 years of age
- Adequate renal function defined as serum creatinine < or = 1.5 x normal, or
creatinine clearance or radioisotope GFR > or =40 ml/min/m2 or >60 ml/min/1.73
m2 or an equivalent GFR as determined by the institutional normal range
- Adequate liver function defined as SGOT (AST) or SGPT (ALT) < 5.0 x normal
- Adequate cardiac function defined as shortening fraction of > or = 28% by
echocardiogram, or ejection fraction of > or = 48% by radionuclide angiogram or
echocardiogram
- Adequate pulmonary function defined as asymptomatic or, if symptomatic, DLCO >45% of
predicted (corrected for hemoglobin level). If unable to obtain pulmonary function
test, O2 saturation >85% in room air.
Bone Marrow Failure Syndromes
Patients with the following diagnoses are eligible:
Severe Aplastic Anemia:
- Hypocellular bone marrow biopsy (<25% cellularity) and 2/3 of the following (at
diagnosis or nadir):
- Absolute Neutrophil Count (ANC) <200/mm3,
- Platelets <20,000/mm3
- Reticulocyte count <60,000/mm3
Fanconi Anemia:
- Abnormal clastogenic studies (all patients)
- Severe Congenital Neutropenia (Kostmann's Syndrome)
- Amegakaryocytic Thrombocytopenia
- Severe thrombocytopenia (< or =20,000/mm3) at diagnosis
- Severe depletion of megakaryocytes on bone marrow aspirate (< or =25% normal)
Diamond-Blackfan Anemia:
- Corticosteroid dependent for > 6 months OR Transfusion dependent OR refractory
acquired pure red cell aplasia.
- Infantile Osteopetrosis
- Schwachman-Diamond Syndrome
- Dyskeratosis Congenita
Other bone marrow failure syndromes at discretion of co-principal investigators
- Immunodeficiencies
- SCIDS, all subtypes
- Combined Immunodeficiency Syndrome
- Wiskott-Aldrich Syndrome
- Chronic Granulomatous Disease
- Chediak-Higashi Syndrome
- Leukocyte Adhesion Deficiency
- Other immunodeficiencies at discretion of co-principal investigators
- Inborn Errors of Metabolism (IEOM)
Transplant is recommended for the following disorders:
- Hurler syndrome (alpha-L-iduronidase deficiency, MPS-I), preferably before age 24
months
- Maroteaux-Lamy syndrome (galactosamine-4-sulfatase deficiency,MPSVI)
- Sly syndrome (beta-glucuronidase deficiency, MPS-VII)
- Globoid cell leukodystrophy (galactocerebrosidase deficiency), with careful attention
to neurologic status in the infantile form
- Metachromatic leukodystrophy (arylsulfatase A deficiency),juvenile or adult onset
form; late infantile MLD only if pre-symptomatic
- Childhood-onset X-linked adrenoleukodystrophy (X-ALD), at initial signs of
neuropsychological deterioration, with dietary modification prior to transplant
- Fucosidosis (fucosidase deficiency)
- Mannosidosis
- Aspartylglucosaminuria
- Niemann-Pick Disease Type B (acid sphingomyelinase deficiency) Other diagnoses may be
considered at the discretion of the co-principal investigators
- For X-ALD patients greater than 5 years of age, IQ >80 is required. For other
patients greater than 5 years of age, IQ > 70 is required.
- For Gaucher disease (glucocerebrosidase deficiency) Type I (non-neuropathic), the
primary therapy is enzyme replacement, but allogeneic stem cell transplant has been
used effectively.
- Histiocytoses
- Hemophagocytic Lymphohistiocytosis (HLH)
- Familial Erythrophagocytic Lymphohistiocytosis
- Langerhans Cell Histiocytosis Patients with multi-system disease whose initial
disease is stable or progressive after minimum 6 weeks of appropriate therapy,
OR Patients with recurrent multi-system disease.
- Malignant Histiocytosis
- Other non-malignant diseases not listed above may be eligible if deemed appropriate
by the co-principal investigators.
Age minimum:
N/A
Age maximum:
30 Years
Gender:
Both
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Health Condition(s) or Problem(s) studied
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Severe Combined Immunodeficiency
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Bone Marrow Failure
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Fanconi Anemia
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Osteopetrosis
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Intervention(s)
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Drug: Cyclophosphamide 30
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Drug: Fludarabine
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Drug: Cyclophosphamide
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Drug: Cyclophosphamide 40
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Primary Outcome(s)
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This study is to determine the toxicity of administering a fludarabine/cyclophosphamide (Flu/CY) or busulfan (Bu)/Flu based conditioning regimen followed by allogeneic stem cell transplant.
[Time Frame: Day 30, Day 60, Day 100, 1 year, 2 years]
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Secondary Outcome(s)
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To determine metabolic/immune (gene/protein) reconstitution by standard biochemical/PCR assays in patients
[Time Frame: Day 30, Day 60, Day 100, 1 year]
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To determine the risk of disease progression (including neuropsychological deterioration in patients with metabolic non-malignant diseases) following a Flu/CY or Bu/Flu based conditioning regimen.
[Time Frame: Day 30, Day 60, Day 100, 1 year]
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To estimate the incidence and severity of GVHD following a Flu/Cy or Bu/Flu based conditioning regimen
[Time Frame: Day 30, Day 60, Day 100, 1 year]
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To measure immune reconstitution following a Flu/CY or Bu/Flu based conditioning regimen and AlloSCT in patients with selected non-malignant diseases.
[Time Frame: Day 30, Day 60, Day 100, 1 year]
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Secondary ID(s)
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CHNY-01-509
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AAAB0170
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Source(s) of Monetary Support
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Please refer to primary and secondary sponsors
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Results
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Results available:
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Date Posted:
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Date Completed:
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URL:
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