EUCTR2017-004800-23-GB
Active, not recruiting
Phase 1
A comparison of reduced dose total body irradiation (TBI) and cyclophosphamide with fludarabine and melphalan reduced intensity conditioning in adults with acute lymphoblastic leukaemia (ALL) in complete remission. - ALL-RIC
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Acute Lymphoblastic Leukaemia (ALL)
- Sponsor
- niversity of Birmingham
- Enrollment
- 242
- Status
- Active, not recruiting
- Last Updated
- 7 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with morphologically documented ALL who meet the following criteria;
- •Patients between the ages of 40\-65 years. NB: Patients under the age of 40 who are considered unsuitable for a myeloablative transplant may enrol onto the trial following discussion with the CI via the Trials Office
- •Patients with ALL in first CR
- •Availability of a human leukocyte antigen (HLA) identical sibling or suitable matched unrelated donor (suitable matched defined as no greater than a single allele mismatch at HLA A, B, C or DRß1\). A single allele mismatch is permitted if there are adverse cytogenetics or MRD positivity at any timepoint
- •Patients considered suitable to undergo a RIC allogeneic SCT as clinically judged by the Local Investigator including:\-
- •o Adequate hepatic and renal function as determined by full blood count and biochemistry assessment
- •o Resolution of any toxic effects of prior therapy (including radiotherapy, chemotherapy or surgical procedures). Patients with bone marrow suppression following therapy may enter the trial
- •o Patients with abnormal cardiac and/or pulmonary function must be considered fit for allogeneic SCT including 8Gy of TBI at the time of randomisation.
- •Patients with an ECOG performance status 0,1 or 2
- •Female of and male patients of reproductive potential(i.e. not post\-menopausal or surgically sterilised) must use appropriate, highly effective, contraception from the point of admission for transplant conditioning therapy until 12 months after transplant
Exclusion Criteria
- •Patients with contraindications to receiving RIC allogeneic SCT
- •Female patients who are pregnant or breastfeeding. All women of childbearing potential (WOCBP) must have a negative pregnancy test before commencing treatment
- •Adults of reproductive potential not willing to use appropriate, effective, contraception during the specified period
- •Patients with renal or hepatic impairment as clinically judged by Local Investigator
- •Patients with active infection, HIV\-positive or chronic active Hep\-A or –C
- •Patients with concurrent active malignancy. Patients with a previous history of malignancy can be included if that malignancy is considered to be at a low risk of recurrence
Outcomes
Primary Outcomes
Not specified
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