Sargramostim After Bone Marrow Transplantation in Treating Patients With Myelodysplastic Syndrome - Full Text View

Purpose

RATIONALE: Colony-stimulating factors, such as sargramostim, may increase the number of immune cells found in bone marrow or peripheral blood.

PURPOSE: Phase II trial to study the effectiveness of sargramostim after bone marrow transplantation in treating patients who have myelodysplastic syndrome.

Condition	Intervention	Phase
Leukemia Myelodysplastic Syndromes Myelodysplastic/Myeloproliferative Diseases	Drug: sargramostim	Phase II

MedlinePlus related topics:

Bone Marrow Transplantation Cancer Leukemia, Adult Acute Leukemia, Adult Chronic

Drug Information available for:

Sargramostim Granulocyte-macrophage colony-stimulating factor

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Open Label

Official Title:	Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) After T-Lymphocyte Depleted Allogeneic BMT for Myelodysplastic Syndromes

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

Study Start Date:

April 1999

Detailed Description:

OBJECTIVES:

Determine the effect of sargramostim (GM-CSF) on the progression-free 1-year survival of patients with myelodysplastic syndrome who have undergone T-cell-depleted CD34+ augmented allogeneic bone marrow transplantation.

OUTLINE: All patients receive elutriated, CD34+ stem cell augmented donor bone marrow according to another protocol on day 0.

Patients receive sargramostim (GM-CSF) subcutaneously on days 5-60.

Patients are followed on days 120, 180, 360 and periodically thereafter.

PROJECTED ACCRUAL: A total of 45 patients will be accrued for this study within 3-4 years.

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

DISEASE CHARACTERISTICS:

Cytologically proven myelodysplastic syndrome (MDS) of one of the following types:
- Refractory anemia with excess blasts (RAEB)
- RAEB in transformation
- Chronic myelomonocytic leukemia
- MDS with multiple chromosomal abnormalities
- MDS with life threatening cytopenias in at least 2 cell lines
  - Platelet count < 30,000/mm^3 OR
  - Absolute neutrophil count no greater than 1,000/mm^3 OR
  - Anemia requiring transfusion support
- Leukemia out of MDS (meet any of above requirements, but greater than 30% blasts in marrow)
No acute leukemia
Medically eligible for bone marrow transplant according to standard operating procedure of the Sidney Kimmel Cancer Center at Johns Hopkins Blood and Bone Marrow Transplant

PATIENT CHARACTERISTICS:

Age:

18 to 65

Performance status:

ECOG 0-1

Life expectancy:

Not specified

Hematopoietic:

See Disease Characteristics

Hepatic:

Not specified

Renal:

Not specified

Other:

No prior acute allergic reactions to sargramostim (GM-CSF)
Not pregnant
Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

Not specified

Chemotherapy:

Not specified

Endocrine therapy:

Not specified

Radiotherapy:

Not specified

Surgery:

Not specified

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00003961

Locations


United States, Maryland
	Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
	Baltimore, Maryland, United States, 21231

Sponsors and Collaborators

Sidney Kimmel Comprehensive Cancer Center

National Cancer Institute (NCI)

Investigators


Principal Investigator:	B. Douglas Smith, MD	Sidney Kimmel Comprehensive Cancer Center

More Information

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

Study ID Numbers:	CDR0000067160, JHOC-J9852, JHOC-98071505, NCI-G99-1544
First Received:	November 1, 1999
Last Updated:	July 23, 2008
ClinicalTrials.gov Identifier:	NCT00003961
Health Authority:	United States: Federal Government

Keywords provided by National Cancer Institute (NCI):

refractory anemia with excess blasts

refractory anemia with excess blasts in transformation

chronic myelomonocytic leukemia

de novo myelodysplastic syndromes

previously treated myelodysplastic syndromes

secondary myelodysplastic syndromes

refractory cytopenia with multilineage dysplasia

atypical chronic myeloid leukemia

myelodysplastic/myeloproliferative disease, unclassifiable

Study placed in the following topic categories:

Myelodysplastic syndromes

Chronic myelogenous leukemia

Precancerous Conditions

Chronic myelomonocytic leukemia

Refractory anemia

Hematologic Diseases

Leukemia, Myelomonocytic, Chronic

Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative

Myelodysplasia

Myelodysplastic Syndromes

Myeloproliferative Disorders

Anemia

Leukemia, Myeloid

Myelodysplastic myeloproliferative disease

Leukemia

Preleukemia

Anemia, Refractory

Leukemia, Myelogenous, Chronic, BCR-ABL Positive

Neoplasm Metastasis

Anemia, Refractory, with Excess of Blasts

Bone Marrow Diseases

Myelodysplastic-Myeloproliferative Diseases

Additional relevant MeSH terms:

Neoplasms

Pathologic Processes

Disease

Neoplasms by Histologic Type

Syndrome

ClinicalTrials.gov processed this record on November 30, 2008

Sponsors and Collaborators:	Sidney Kimmel Comprehensive Cancer Center National Cancer Institute (NCI)
Information provided by:	National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:	NCT00003961