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Graft-Versus-Host Disease Prevention in Treating Patients Who Are Undergoing Bone Marrow Transplantation

This study has been completed.

Sponsored by: Fred Hutchinson Cancer Research Center
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00002456
  Purpose

RATIONALE: Bone marrow transplantation may be able to replace immune cells that were destroyed by chemotherapy used to kill tumor cells. Sometimes the transplanted cells can make an immune response against normal tissues. Methotrexate and cyclosporine may prevent this from happening.

PURPOSE: Phase III trial to study the effectiveness of treatment with methotrexate and cyclosporine after bone marrow transplantation to provide protection against acute graft-versus-host disease.


Condition Intervention Phase
Graft Versus Host Disease
Leukemia
Lymphoma
Drug: cyclosporine
Drug: methotrexate
Procedure: allogeneic bone marrow transplantation
Phase III

MedlinePlus related topics:   Bone Marrow Transplantation    Cancer    Leukemia, Adult Acute    Leukemia, Adult Chronic    Leukemia, Childhood    Lymphoma   

Drug Information available for:   Methotrexate    Cyclosporine    Cyclosporin   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Supportive Care
Official Title:   Postgrafting Methotrexate and Cyclosporine for the Prevention of Graft-Versus-Host Disease

Further study details as provided by National Cancer Institute (NCI):

Study Start Date:   May 1986

Detailed Description:

OBJECTIVES: I. Determine the efficacy of a combination of methotrexate and cyclosporine, administered after grafting, to prevent the development of acute graft versus host disease (GVHD) in patients undergoing allogeneic bone marrow transplantation.

OUTLINE: Patients receive methotrexate IV on days 1,3,6, and 11. Patients also receive cyclosporine IV twice a day until the patient is eating, then it is administered orally twice a day. Cyclosporine begins on day -1 and continues until day 180. The dose is reduced beginning on day 50.

PROJECTED ACCRUAL: Accrual will continue until further notice.

  Eligibility
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS: Ongoing bone marrow transplantation from HLA-matched siblings or HLA non-identical family members or unrelated donor

PATIENT CHARACTERISTICS: Age: Any age Performance status: Not specified Life expectancy: Not severely limited by disease other than leukemia Hematopoietic: Not specified Hepatic: No severe hepatic disease Renal: No history of hemorrhagic cystitis No renal disease Cardiovascular No symptomatic cardiac disease Other: No contraindication to the use of cyclosporine or methotrexate

PRIOR CONCURRENT THERAPY: No concurrent experimental treatment on other GVHD prophylaxis studies

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00002456

Locations
United States, Washington
Fred Hutchinson Cancer Research Center    
      Seattle, Washington, United States, 98109

Sponsors and Collaborators
Fred Hutchinson Cancer Research Center

Investigators
Study Chair:     Rainer F. Storb, MD     Fred Hutchinson Cancer Research Center    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000074146, FHCRC-267.01, FHCRC-267.00, NCI-V86-0145
First Received:   November 1, 1999
Last Updated:   July 23, 2008
ClinicalTrials.gov Identifier:   NCT00002456
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
recurrent childhood acute lymphoblastic leukemia  
childhood non-Hodgkin lymphoma  
recurrent childhood lymphoblastic lymphoma  
recurrent childhood acute myeloid leukemia  
recurrent adult acute myeloid leukemia  
recurrent adult acute lymphoblastic leukemia
relapsing chronic myelogenous leukemia
refractory chronic lymphocytic leukemia
recurrent adult non-Hodgkin lymphoma
graft versus host disease

Study placed in the following topic categories:
Leukemia, Lymphoid
Cyclosporine
Chronic myelogenous leukemia
Clotrimazole
Graft versus host disease
Miconazole
Lymphoma, small cleaved-cell, diffuse
Leukemia, Myeloid, Acute
Cyclosporins
Acute lymphoblastic leukemia, adult
Leukemia
Methotrexate
Acute myeloid leukemia, adult
Lymphoma
Acute myelocytic leukemia
Chronic lymphocytic leukemia
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immunoproliferative Disorders
Tioconazole
Acute myelogenous leukemia
Leukemia, Myeloid
Lymphoblastic lymphoma
Recurrence
Homologous wasting disease
Folic Acid
Lymphatic Diseases
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Graft vs Host Disease
Lymphoproliferative Disorders
Leukemia, B-Cell

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Neoplasms by Histologic Type
Immune System Diseases
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Reproductive Control Agents
Folic Acid Antagonists
Abortifacient Agents, Nonsteroidal
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Antifungal Agents
Therapeutic Uses
Abortifacient Agents
Antirheumatic Agents
Dermatologic Agents
Nucleic Acid Synthesis Inhibitors

ClinicalTrials.gov processed this record on November 20, 2008




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