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Unrelated Double Umbilical Cord Blood Units Transplantation

Phase 2
Conditions
Leukemia, Myeloid, Acute
Leukemia, Lymphoblastic, Acute
Leukemia, Myeloid, Chronic
Interventions
Drug: Stem cell Transplantation
Registration Number
NCT01015742
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

The purpose of this study is to determine the safety and feasibility of unrelated double umbilical cord blood units Transplantation in patients with haematological malignancies using Antithymocyte Globulin Cyclophosphamide, busulfan as conditioning and cyclosporin, methylprednisolone as GVHD prophylaxis.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Hematologically & Histologically confirmed acute lymphoblastic or acute and chronic myeloid leukemia in Remission
  • Aged 1 year to 50 years
  • Absence of HLA compatible related or other related donor.
  • Availability of suitable UCB units.
  • karnofsky performance score (> 12 yr) or lansky play performance(<12 yr) : 80- 100
  • Adequate renal function defined as:Serum creatinine <1.5 x normal,
  • Adequate liver function defined as:Total bilirubin <1.5 x normal, or SGOT (AST) or SGPT (ALT) <3.0 x normal
  • Adequate cardiac function defined as: Ejection fraction >50% by echocardiogram.
  • Adequate pulmonary function defined as:Uncorrected DLCO 50% by pulmonary function test.For children who are uncooperative, no evidence of dyspnea at rest, no exercise intolerance, and a pulse oximetry >94% on room air
Exclusion Criteria
  • Age: < 1year or > 50 year
  • Patients with an available 5-6/6 HLA-A, -B, -DRB1 matched sibling or other related donor
  • karnofsky performance score (> 12 yr) or lansky play performance(<12 yr) < 80
  • HIV positive patients.
  • Female patients who are pregnant or breast feeding
  • Life expectancy severely limited by diseases of vital organs other than the disease indication for transplant
  • Serious concurrent untreated infection e.g. active tuberculosis, mycoses or viral infection
  • Serious psychiatric/ psychological disorders
  • Absence of /inability to provide informed consent
  • Clinical or Paraclinical evidence of CNS or PNS involvement

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ExperimentalStem cell TransplantationStem cell Transplant using two unrelated umbilical cord blood units.
Primary Outcome Measures
NameTimeMethod
To determine the Benefit and Side Effects of Double Umbilical Cord Blood Units Stem Cell Transplantation in Hematologic MalignanciesUntil end of study
Secondary Outcome Measures
NameTimeMethod
Neutrophil and platelet engraftment1 year
Severity of acute graft-vs-host disease(GvHD1 year
Early transplant related mortality100 days
Overall and disease free survival at one years1 year

Trial Locations

Locations (1)

Hematology-Oncology & SCT Research Center

🇮🇷

Tehran, Iran, Islamic Republic of

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