Individualized dosing of fludarabine during innate allo SCT: A randomized phase II study (TARGET Study)
- Conditions
- hematological malignanciesblood cancer10024324
- Registration Number
- NL-OMON55832
- Lead Sponsor
- niversitair Medisch Centrum Utrecht
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 98
1. Adults (>= 18 years)
2. AML, MDS, ALL, CML, CLL, NHL, HL, or a myeloproliferative disease (MPD)
3. Indication for allo-SCT according to the policy of the local center
4. WHO performance status <= 2
5. Written informed consent
1. Relapse of disease within 5 months after previous allo-SCT
2. Bilirubin and/or transaminases > 2.5 x normal value*
3. Creatinine clearance < 40 ml/min
4. Cardiac dysfunction as defined by:
- Unstable angina or unstable cardiac arrhythmias
- NYHA classification > II (Appendix B)
- Cardiac symptoms and/or history of cardiac disease AND a cardiac ejection
fraction <45%
5. Active, uncontrolled infection
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Cumulative incidence of severe viral infections at day 100.</p><br>
- Secondary Outcome Measures
Name Time Method <p>- Non relapse mortality (NRM) at day 100<br /><br>- aGVHD grade II-IV at day 100<br /><br>- Donor engraftment (chimerism > 95%) at day 100<br /><br>- Overall survival at day 100<br /><br>- Cumulative incidence of relapse at day 100<br /><br>- Effective fludarabine exposure<br /><br>- Cost effectiveness at 2 years</p><br>