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Phase 2 Study of a Reduced-toxicity Myeloablative Conditionning Regimen Using Fludarabine and Full Doses of iv Busulfan in Pediatric Patients Not Eligible for Standard Myeloablative Conditioning Regimens


Phase 2
12 Months
18 Years
Open (Enrolling)
Both
Hematologic Malignancy

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Trial Information

Phase 2 Study of a Reduced-toxicity Myeloablative Conditionning Regimen Using Fludarabine and Full Doses of iv Busulfan in Pediatric Patients Not Eligible for Standard Myeloablative Conditioning Regimens


Inclusion Criteria:



- Children and adolescents aged over 12 months and under 18 years

- Availability of an HLA identical family donor or an HLA-matched unrelated donor
(10/10 or 9/10 if the mismatch level is at the level of HLACw)

- Informed consent signed by legal representative and confirmed by children (if
applicable)

- Diagnosis of a hematologic malignancy which is a candidate for allo-HSCT, but not
eligible for standard or conventional myeloablative conditioning regimens because of
high risk for toxicity. Are considered as criteria of non-eligibility for standard or
conventional myeloablative conditioning: a history of autologous or allogeneic stem
cell transplantation, comorbidities or medical history predictive of a prohibitive
rate of TRM and toxicity with the use of standard high dose chemotherapy and / or
radiotherapy as judged by the referring physician (details provided in the full
protocol).

Exclusion Criteria:

- Patient has been administered any other systemic chemotherapeutic drug (including
Gemtuzumab) within 21 days prior to trial enrollment and start of the conditioning
regimen. Hydroxyurea is permitted if indicated to control induction refractory
disease, and IT chemotherapy is allowed if indicated as maintenance treatment for
previously diagnosed leptomeningeal disease, that has been in remission for at least
3 months prior to enrollment on this study.

- Active infection. Protocol PI will be final arbiter if there is uncertainty
regarding whether a previous infection is resolved.

- Children and adolescents who are not older than 12 months and under 18 years

- A donor who is HLA mismatched at the level of more than one locus.

- Poor performance status (Lansky < 50%)

- Life expectancy is severely limited by concomitant illness and expected to be <12
weeks.

- Left ventricular ejection fraction < 30%. Uncontrolled arrhythmias or symptomatic
cardiac disease.

- Symptomatic pulmonary disease. FEV1, FVC and DLCO <30% of expected corrected for
hemoglobin.

- Creatinine clearance less than 30 mL/m per 1.73 m2 or requiring dialysis

- Evidence of chronic active hepatitis or cirrhosis. If positive hepatitis serology,
discuss with Study Chairman and consider liver biopsy.

- Effusion or ascites >1L prior to drainage.

- HIV-positive.

- Female pregnancy

- Absence of effective contraception among boys and girls of childbearing potential
(that contraception should be continued until 6 months after stopping treatment)

- Breastfeeding

- Patient's legal representative, parent(s) or guardian not able to sign informed
consent.

- children's refusal

- Hypersensitivity to rabbit proteins, to the active substance or to any of the
excipients of experimental products

Type of Study:

Interventional

Study Design:

Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Transplant-related mortality (TRM)

Outcome Description:

Evaluation of the cumulative incidence of TRM at 12 months after transplantation

Outcome Time Frame:

12 months

Safety Issue:

Yes

Principal Investigator

Mohamad MOHTY, Professor

Investigator Role:

Principal Investigator

Investigator Affiliation:

Nantes University Hospital

Authority:

France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)

Study ID:

11/6-N

NCT ID:

NCT01572181

Start Date:

February 2012

Completion Date:

March 2015

Related Keywords:

  • Hematologic Malignancy
  • Neoplasms
  • Hematologic Neoplasms

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