CMC-544 and Allogeneic Transplantation for CD22 Positive-Lymphoid Malignancies
Part of paid clinical trials in Houston, Texas.
- Sponsor
- M.D. Anderson Cancer Center
- Study ID
- NCT01664910
- Phase
- PHASE1/PHASE2
- Status
- Completed
Conditions
- Hematopoietic and Lymphoid Cell Neoplasm
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 70 Years
- Healthy Volunteers
- Not accepted
Interventions
- Allogeneic Bone Marrow Transplantation — PROCEDUREUndergo allogeneic BM transplant
- Allogeneic Hematopoietic Stem Cell Transplantation — PROCEDUREUndergo allogeneic PBSC or BM transplant
- Anti-Thymocyte Globulin — BIOLOGICALGiven IV
- Bendamustine Hydrochloride — DRUGGiven IV
- Fludarabine Phosphate — DRUGGiven IV
- Inotuzumab Ozogamicin — BIOLOGICALGiven IV
- Methotrexate — DRUGGiven IV
- Peripheral Blood Stem Cell Transplantation — PROCEDUREUndergo allogeneic PBSC transplant
- Rituximab — BIOLOGICALGiven IV
- Tacrolimus — DRUGGiven IV or PO
Study Details
This phase I/II trial studies the side effects and the best dose of inotuzumab ozogamicin when given together with fludarabine phosphate, bendamustine hydrochloride, and rituximab before donor stem cell transplant in treating patients with lymphoid malignancies. Giving chemotherapy drugs, such as fludarabine phosphate and bendamustine hydrochloride, before a donor peripheral blood stem cell transplant helps stop the growth of cancer cells or abnormal cell and helps stop the patient's immune system from rejecting the donor's stem cells. Immunotherapy with monoclonal antibodies, such as inotuzumab ozogamicin and rituximab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. Sometimes the transplanted cell from a donor can make an immune system response against the body's normal cells. Giving fludarabine phosphate and bendamustine hydrochloride before the transplant together with anti-thymocyte globulin and tacrolimus may stop this from happening.
Key Dates
- Start date
- Oct 29, 2012
- Status verified
- Jun 2024
- Primary completion
- Jun 28, 2023
- Completion
- Jun 28, 2023
Study Design
- Enrollment
- 27 participants (actual)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Treatment (transplant)Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0.
Primary Outcome Measure
Maximum-tolerated Dose (MTD) of Inotuzumab Without DLT [ Time Frame: Up to 30 days ]
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| M D Anderson Cancer Center | Houston | Texas | 77030 | - |
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