Low Dose of Interleukin-2 Following Allogeneic Unmanipulated Blood and Marrow Transplantation in Treating Patients With Standard Risk Hematologic Malignancy
Standard risk patients over 15 years old(except Ph+ ALL, AML t(8;21) and T-ALL) undergone
unmanipulated blood and marrow transplantation following day 60 post-transplantation were
randomized into treated group (with low dose IL-2 treatment) or controlled group (without
any intervention post-transplantation). The end points were safety and clinical and
immunologic response.Following time is 24 months.
Primary Outcome Measures:
*To determine the feasibility and efficacy of administering an 6 course of subcutaneous IL-2
in this patient population. [ Time Frame: 2 years ]
Secondary Outcome Measures:
*To assess the immunologic impact of ultra-low dose subcutaneous IL-2 in patients after
transplantation [ Time Frame: 2 years ] Estimated Enrollment:360 Study Start Date:Jan 2012
Estimated Study Completion Date:Jan 2016
Intervention Details Description:
*Drug: Interleukin-2 Dose will vary depending upon when participant enters the trial: Given
as a daily injection under the skin for 8 weeks.
Detailed Description:
- Patients receive low dose interleukin-2(Daily 1×106 IU per square meter of body-surface
area) on days 60 after unmanipulated blood and marrow transplantation. Interleukin-2
treatment repeats every 14 days for 6 courses in the absence of disease progression or
unacceptable toxicity.
- Participants will be seen periodically while they are receiving IL-2. Physical exams
and blood tests will be performed weekly for the first two weeks and then every other
week until the completion of 6 course therapy.
Eligibility Ages Eligible for Study:15 Years and older Genders Eligible for Study:Both
Accepts Healthy Volunteers:No Criteria
Inclusion Criteria:
- Standard risk of Recipients of allogeneic stem cell transplantation with myeloablative
conditioning regimens
- Standard risk of Recipients: CR1 or CR 2 of AML/ALL before transplantation
- Ph+ ALL,AML with t(8;21) and T-ALL were excepted
- Patients were at least 60 days post-transplantation
- Bone marrow monitoring was still Complete Remission (CR) and minor residual disease
(MRD) was negative
- 15 years of age or older
- No serious infection
Exclusion Criteria:
- Exposure to any other clinical trials prior to enrollment
- Active malignant disease relapse
- Active, uncontrolled infection
- Inability to comply with IL-2 treatment regimen
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
To determine the feasibility and efficiency of administering 6 courses of subcutaneous IL-2 in these patients population.
investigate the incidences of severe GVHD and pancytopenia after IL-2 application to evaluate the safety of this drug. observe the drug toxicity based on common toxicity criteria (CTC,version 3.0). compare the relapse rate and incidence of positive MRD between two groups to evaluate the efficiency of IL-2 application.
2 years
Yes
Xiaojun Huang, MD
Principal Investigator
Peking University Institute of Hematology
China: Ministry of Health
PUPH IRB [2012] (09)
NCT01517347
January 2012
January 2016
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