Nonmyeloablative Stem Cell Transplant in Elderly
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Purpose
The study aimed to evaluate the efficacy of a nonmyeloablative conditioning consisting of fludarabine and total body irradiation in patients older than 60 years of age
| Condition | Intervention | Phase |
|---|---|---|
|
Hematological Malignancies |
Procedure: stem cell transplant |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Nonmyeloablative Allogeneic Stem Cell Transplantation in Elderly Patients With Hematological Malignancies:Results From the GITMO (Gruppo Italiano Trapianto Midollo Osseo)Multicenter Prospective Clinical Trial |
- overall survival
- progression-free survival
- transplant-related mortality
- acute GVHD
- chronic GVHD
| Enrollment: | 50 |
| Study Start Date: | March 2000 |
| Study Completion Date: | March 2007 |
| Primary Completion Date: | March 2007 (Final data collection date for primary outcome measure) |
A total of 35 patients with hematological malignancies were treated with fludarabine (30 mg/m2 x 3-5 days) and 200 cCy TBI followed by allogeneic hematopoietic stem cell transplantation (HSCT) from a matched-sibling donor.
Neutrophil recovery occurred in 89% of the patients at a median time of 15 days. On day +30, 10 patients had > 95% donor chimerism, and 21 patients had mixed chimerism. The cumulative probabilities of grade II-IV acute GVHD and chronic GVHD were 51% and 84% respectively. Transplant-related mortality at 100 days and 1 year was 5% and 9% respectively. The probabilities of 1-year overall (OS) and progression-free survival (PFS) were 55% and 47% respectively. The estimated 1-year probability of OS and PFS for patients in early disease stages were 87% and 74% respectively , which were significantly higher than the survival and PFS estimates of 12% obtained in patients with advanced disease stages at the time of transplant
Eligibility| Ages Eligible for Study: | 60 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients with myeloid or lymphoid malignancy who were > 60 years old potentially treatable with stem cell transplant
Exclusion Criteria:
- lack of an HLA-identical sibling donor
Contacts and Locations| Italy | |
| Ospedale San Giovanni Battista | |
| Torino, Italy, 10126 | |
| Principal Investigator: | michele falda, md | ospedale san giovanni battista |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00382759 History of Changes |
| Other Study ID Numbers: | 012000 |
| Study First Received: | September 29, 2006 |
| Last Updated: | July 31, 2009 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Neoplasms Hematologic Neoplasms Neoplasms by Site Hematologic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013