Clinical trial · Interventional
Engineered Donor Stem Cell Transplant in Treating Patients With Hematologic Malignancies
Phase I Clinical Trial Using an Engineered Peripheral Blood Graft for Haploidentical Transplantation
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This pilot phase I trial studies the side effects of engineered donor stem cell transplant in treating patients with hematologic malignancies. Sometimes the transplanted cells from a donor can make an immune response against the body's normal cells (called graft-versus-host disease). Using T cells specially selected from donor blood in the laboratory for transplant may stop this from happening.
Conditions
Conditions (16)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Acute Lymphoblastic Leukemia | Acute Lymphoblastic Leukemia | ONTOLOGY_EXACT | 0.98 |
| Acute Myeloid Leukemia | Acute Myeloid Leukemia | CURATED_BROADER | 0.80 |
| Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome | Acute Myeloid Leukemia Arising from Previous Myelodysplastic Syndrome | ONTOLOGY_EXACT | 0.98 |
| Aplastic Anemia | — | UNRESOLVED | — |
| Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive | Blast Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive | ALIAS | 0.90 |
| Chronic Myelomonocytic Leukemia | Chronic Myelomonocytic Leukemia | ONTOLOGY_EXACT | 0.98 |
| Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive | Chronic Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive | ALIAS | 0.90 |
| Lymphoblastic Lymphoma |
Interventions
Interventions (9)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Cyclophosphamide | Drug | Cyclophosphamide | ALIAS |
| Filgrastim | Biological | Filgrastim | ALIAS |
| Fludarabine Phosphate | Drug | Fludarabine | ALIAS |
| Laboratory Biomarker Analysis | Other | — | UNRESOLVED |
| Melphalan | Drug | Melphalan | ALIAS |
| Peripheral Blood Stem Cell Transplantation | Procedure | — | UNRESOLVED |
| Rituximab | Biological | Rituximab | ALIAS |
| Tacrolimus | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Treatment (peripheral blood stem cell transplantation)
- description
- Patients receive melphalan IV over 30 minutes on day -6 and fludarabine phosphate IV over 1 hour on days -6 to -3. Patients undergo TBI on day -2 and CD45RA depleted peripheral blood stem cell transplantation on day 0. Patients also receive cyclophosphamide IV over 3 hours on days 3-4. Beginning on day 5, patients receive tacrolimus IV for 2 weeks and PO for at least 4 months. Beginning on day 7, patients receive filgrastim SC daily. Patients with CD20 positive lymphoma may receive rituximab IV on days -13, -6, 1, and 8.
- interventionNames
- Drug: Cyclophosphamide
- Biological: Filgrastim
- Drug: Fludarabine Phosphate
- Other: Laboratory Biomarker Analysis
- Drug: Melphalan
- Procedure: Peripheral Blood Stem Cell Transplantation
- Biological: Rituximab
- Drug: Tacrolimus
- Radiation: Total-Body Irradiation
Primary outcomes (1)
- measure
- Incidence of treatment failure defined as primary graft failure, grade 3-4 acute graft versus host disease (aGVHD), or non-relapse mortality
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria: * Lack of a human leukocyte antigen (HLA) matched related donor, lack of an immediately available 8/8 HLA matched unrelated donor * Patients must be diagnosed with a high-risk and/or advanced hematologic malignancy defined as one of the following * Acute lymphocytic leukemia (ALL) in complete remission (CR)1 with high-risk features including adverse cytogenetic such as t(9;22), t(1;19), t(4;11), or MLL gene rearrangements; in second or greater morphologic remission; persistent minimal residual disease * Acute myeloid leukemia (AML) in CR1 with intermediate-risk disease and persistent detectable minimal residual disease (MRD), or with high-risk features defined as: greater than 1 cycle of induction therapy required to achieve remission; preceding myelodysplastic syndrome (MDS) or myeloproliferative disease; presence of FLT3 mutations or internal tandem duplications, DNMT3a, TET2, MLL-partial tandem duplication (PTD), ASXL1, PHF6; FAB M6 or M7 classification; adverse cytogenetics including: -5, del 5q, -7, del7q, abnormalities involving 3q, 9q, 11q, 20q, 21q, 17, +8, complex (\> 3 abnormalities) * Patients with AML must have less than 10% bone marrow blasts and \< 100/mcL absolute peripheral blood blast count * Patients with AML in CR2, subsequent CR or with active disease at transplant (\< 10% bone marrow blasts) * MDS with International Prognostic Scoring System (IPSS) intermediate-2 or higher, therapy-related MDS or chronic myelomonocytic leukemia (CMML) * Aplastic anemia with absolute neutrophil count (ANC) \< 1,000 and transfusion dependent after failed immunosuppression therapy * Chronic myeloid leukemia (CML) \>= 1st chronic phase, after failed \>=2 lines of tyrosine kinase inhibitors; patients who progressed to blast phase must be in morphologic remission at transplant * Relapsed Hodgkin's disease or non-Hodgkin's lymphoma (NHL) * Patients with chemo-sensitive chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) with persistent or recurrent disease after fludarabine-based regimens with \< 25% involvement by CLL/SLL cells * Patients with lymphoblastic lymphoma in remission or after partial response to chemotherapy * Patients with poor prognosis multiple myeloma by cytogenetics del13, del 17p, t(4;14) or t(14;16) or hypodiploidy, with advanced disease (stage \>= 2) and /or relapsed after autologous stem cell transplant * Zubrod performance status 0-1 or Karnofsky performance status \> 70%; patients \> 50 years will have to have a Sorror Comorbidity Index =\< 3 * Available haploidentical donor willing and eligible to undergo a peripheral blood collection * Left ventricular ejection fraction (LVEF) \> 40% * Bilirubin =\< 1.5 mg/dl (unless Gilbert's syndrome), alanine aminotransferase (ALT) or aspartate aminotransferase (AST) =\< 200 IU/ml for adults; conjugated (direct) bilirubin \< 2 x upper limit of normal * Serum creatinine clearance \>= 50 ml/min (calculated with Cockcroft-Gault formula) * Diffusing capacity for carbon monoxide (DLCO) \>= 45% predicted corrected for hemoglobin * Patient or patient's legal representative must provide written informed consent Exclusion Criteria: * Human immunodeficiency virus (HIV) positive; active hepatitis B or C * Patients with active infections; the principal investigator (PI) is the final arbiter of the eligibility * Liver cirrhosis with greater than grade 1 stage 1 inflammation/fibrosis * Uncontrolled central nervous system (CNS) involvement by tumor cells within the past 2 months * History of another primary malignancy that has not been in remission for at least 3 years; (the following are exempt from the 3-year limit: nonmelanoma skin cancer, fully excised melanoma in situ \[stage 0\], curatively treated localized prostate cancer, and cervical carcinoma in situ on biopsy or a squamous intraepithelial lesion on PAP smear) * Positive beta human chorionic gonadotropin (HCG) test in a woman with child bearing potential defined as not post-menopausal for 12 months or no previous surgical sterilization * Inability to comply with medical therapy or follow-up
References
Publications (0)
Data not yet available