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临床试验/NCT00897260
NCT00897260已完成不适用

Umbilical Cord Blood Transplantation as Treatment of Adult Patients With Hematologic Disorders

University of British Columbia1 个研究点 分布在 1 个国家目标入组 27 人开始时间: 2009年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
已完成
入组人数
27
试验地点
1
主要终点
To determine the safety and efficacy of multiple cord blood transplantation in patients with hematological malignancy.

研究概览

简要总结

To determine the time to and rate of hematologic engraftment following unrelated umbilical cord blood transplantation in adults with one or two cord blood units using total body irradiation and fludarabine as the transplant conditioning regimen and cyclosporine/MMF as graft-versus-host disease prophylaxis.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Patients must have a histologically confirmed diagnosis at The Vancouver General Hospital or the BCCA-Vancouver.
  • Eligible patients will have one of the following underlying diseases:
  • High risk acute lymphoblastic leukemia (ALL) in first complete remission, with high risk being defined by the presence of t(4;11), t(9;22) or t(1;19) or patients presenting with extreme hyperleukocytosis (WBC >100x109/L) or failure to achieve a complete remission after standard induction therapy.
  • Acute myeloid leukemia (AML) in first complete remission with high risk cytogenetics or failure to achieve complete remission after standard induction therapy. ALL or AML in second or subsequent remission
  • Myelofibrosis with myeloid metaplasia.
  • Chronic myeloid leukemia in chronic (failed interferon and/or Gleevec) or accelerated phase.
  • Myelodysplastic syndrome with IPSS risk category >Int-1
  • Aplastic anemia
  • Non-Hodgkin's lymphoma, chronic lymphocytic leukemia or Hodgkin's disease in relapse or second or subsequent remission.
  • Multiple Myeloma
  • No active central nervous system (CNS) disease.
  • No 9/10 or better HLA antigen matched related donor or VUD available.
  • The patient's condition precludes waiting to search and find a VUD in the Unrelated Donor Registries
  • Acceptance of standard blood product support
  • Adequate organ function as defined by current Leukemia/BMT Program of BC standards (Appendix 10.1)
  • Karnofsky performance status ≥ 80 (Appendix 10.2)

排除标准

  • Active infection
  • Pregnancy
  • Significant psychiatric disorder
  • Progressive disease

研究组 & 干预措施

1

Experimental

干预措施: Umbilical Cord Blood Transplantation as Treatment of Adult Patients with Hematologic Disorders (Procedure)

结局指标

主要结局

To determine the safety and efficacy of multiple cord blood transplantation in patients with hematological malignancy.

时间窗: 1 year

次要结局

  • To determine the 100-day treatment related mortality (TRM), complete remission rate and the 2-year progression free and overall survival rate for patients under going this treatment.(100 days)
  • To determine the incidence of grades II-IV and grades III-IV acute GVHD and incidence of limited and extensive chronic GVHD.(1 year)
  • To measure time to immunologic reconstitution as defined by normal numbers of T and B-cells and normal immunoglobulin synthesis(1 year)
  • To determine rate of hematologic engraftment following umbilical cord blood transplantation with 1-2 cord blood units using total body irradiation & fludarabine as transplant conditioning regimen & cyclosporine/MMF as graft-vs-host disease prophylaxis(1 year)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Donna E. Hogge

Principal Investigator

University of British Columbia

研究点 (1)

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