Hematopoietic Stem Cell Transplantation Based on Pharmacokinetic and Pharmacodynamic Modeling - Full Text View

Purpose

In this study the investigators plan to develop a method to determine optimal busulfan dose through pharmacokinetic study.

Condition	Intervention	Phase
Hematopoietic Stem Cell Transplantation	Drug: Busulfan	Phase 1

Study Type:	Interventional
Study Design:	Endpoint Classification: Pharmacokinetics/Dynamics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment
Official Title:	Determination of Optimal Busulfan Dose Using Pharmacokinetic Modeling in Hematopoietic Stem Cell Transplantation

Resource links provided by NLM:

Drug Information available for: Busulfan

U.S. FDA Resources

Further study details as provided by Seoul National University Hospital:

Primary Outcome Measures:

To develop a method to determine optimal dose of busulfan through pharmacokinetic study in hematopoietic stem cell transplantation. [ Time Frame: For 4 days used Buslufan through pharmacokinetic study in hematopoietic stem cell transplantation ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

To evaluate survival, toxicities, engraftment rate of patients received optimal dose of busulfan. [ Time Frame: 1, 3, 6 and 12 months after transplantation ] [ Designated as safety issue: No ]

Estimated Enrollment:	30
Study Start Date:	December 2008
Study Completion Date:	February 2012
Primary Completion Date:	February 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Busulfan, Pharmacokinetic To develop a method to determine optimal dose of busulfan through pharmacokinetic study in hematopoietic stem cell transplantation.	Drug: Busulfan First dose: busulfan (120 mg/m2 ivs once daily) (if age<1 yr: 80 mg/ m2) Second to forth dose: according to the daily pharmacokinetic study

Detailed Description:

Busulfan is a highly toxic drug with narrow therapeutic window used for the conditioning of hematopoietic stem cell transplantation. High exposure is associated with systemic toxicity such as veno-occlusive disease (VOD) and underexposure is associated with graft failure or relapse. In this study we plan to develop a method to determine optimal busulfan dose through pharmacokinetic study.

Eligibility

Ages Eligible for Study:	up to 19 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Hematopoietic stem cell transplantation with busulfan based conditioning
Age: no limits.
Performance status: ECOG 0-2.
Patients must be free of significant functional deficits in major organs, but the following eligibility criteria may be modified in individual cases. 1. Heart: a shortening fraction > 30% and ejection fraction > 45%. 2. Liver: total bilirubin < 2 × upper limit of normal; ALT < 3 × upper limit of normal. 3. Kidney: creatinine <2 × normal or a creatinine clearance (GFR) > 60 ml/min/1.73m2.
Patients must lack any active viral infections or active fungal infection.
Appropriate donor is available: Matched in 6/6 of A, B, DR loci.
Patients (or one of parents if patients age < 19) should sign informed consent.

Exclusion Criteria:

Pregnant or nursing women.
Malignant or nonmalignant illness that is uncontrolled or whose control may be jeopardized by complications of study therapy.
Psychiatric disorder that would preclude compliance.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01018446

Locations

Korea, Republic of
Seoul National University Hospital
Seoul, Daehangno, Jongno-gu, Korea, Republic of, 101

Sponsors and Collaborators

Seoul National University Hospital

Investigators

Principal Investigator:

Hyoung Jin Kang, M.D., Ph.D

Seoul National University Hospital

More Information

No publications provided

Responsible Party:	Korea National Enterprise for Clinical Trials
ClinicalTrials.gov Identifier:	NCT01018446 History of Changes
Other Study ID Numbers:	SNUCH-SCT-0802
Study First Received:	November 20, 2009
Last Updated:	February 27, 2013
Health Authority:	Korea: Food and Drug Administration

Keywords provided by Seoul National University Hospital:

Hematopoietic stem cell transplantation with busulfan based conditioning

Additional relevant MeSH terms:

Busulfan
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Antineoplastic Agents, Alkylating

Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Myeloablative Agonists

ClinicalTrials.gov processed this record on May 23, 2013