Nonmyeloablative Allogeneic Stem Cell Transplant for the Treatment of Hematologic Disorders
Inclusion Criteria
Inclusion Criteria - Patient:
- AML, ALL,CML Chronic Phase, Accelerated Phase, or Blast Crisis, CLL, MDS, RELAPSED
NON-HODGKIN'S OR HODGKIN'S LYMPHOMA, Aplastic Anemia, Multiple Myeloma,
MYELOPROLIFERATIVE DISORDER (P Vera, CMML, ET
- Age less than 65 years
- Patients must have a healthy family member who is HLA-identical to the recipient or
has 1 antigen mismatch and who is willing to receive a course of G-CSF and undergo
2-4 daily leukaphereses
- Each patient must sign an informed consent and be willing to participate as a
research subject after having been advised of the nature and risk of the study prior
to entering protocol
Inclusion Criteria - Donor:
- Absence of hematologic or marrow function related diseases that interferes with the
collection of sufficient numbers of normal progenitor cells
- Absence of any medical condition that would pose a serious health risk by undergoing
peripheral blood stem cell harvest
- Negative HIV, HTLV-1, Hepatitis B surface antigen and Hepatitis C
- The donor must be blood relation. A prospective related donor must be at least
genotypically HLA-A, B, DR identical to the patient, but can differ for 1 HLA-locus.
Exclusion Criteria - Patient:
- Active CNS involvement
- Females who are pregnant or breast feeding
- ECOG performance status > 1. Karnofsky performance status < 80%
- LVEF < 40%
- Active viral, bacterial, or fungal infection
- Patients seropositive for HIV; HTLV -1
- Patients not providing informed consent
- Patients with known hypersensitivity to E. Coli derived product
Exclusion Criteria - Donor:
- A positive HIv infection or HTLV - 1 test or evidence of active/persistent viral
hepatitis infection. Presence of any medical condition that would pose a serious
health risk by undergoing peripheral blood stem cell harvest. Donors with known
hypersensitivity to E. Coli derived products.