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Image Guided total marrow lymphoid irradiation (TMLI)for blood cancer

Phase 1
Conditions
Health Condition 1: C910- Acute lymphoblastic leukemia [ALL]
Registration Number
CTRI/2019/02/017648
Lead Sponsor
Christian Medical College Vellore Investigator initiated Academic study
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patients with acute lymphoblastic leukemia requiring TBI based conditioning.

Age between 12 - 60 years

Exclusion Criteria

Age < 12 years

Use of matched unrelated or haplo-identical donors Creatinineclearance <30ml/min

Active infections at the time of transplant

Cardiac ejection fraction < 50%

Abnormal liver function (Total bilirubin, SGOT or SGPT) > 3 times ULN.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
SafetyofadministeringescalateddosesofTMLIincombinationwith Cyclophosphamide based on grade 4 toxicity to major organsTimepoint: 28 days, 2 years, 3 years
Secondary Outcome Measures
NameTimeMethod
Engraftmentratesandchimerismatday28 <br/ ><br>Overallincidenceofacuteandchronicgraftversushostdisease. <br/ ><br>Relapse rates within the first 3 years <br/ ><br>Three year overall and disease free survival <br/ ><br>Time taken for contouring of the target volumes and OARs. <br/ ><br>Time taken to deliver one fraction of radiation (machine in â?? machine out time) <br/ ><br>including the treatment positioning, position verification using Cone Beam CT(CBCT) on the treatment machine and treatment delivery.Timepoint: 3 Years
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