UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000325
Receipt number R000000419
Scientific Title A dose finding study of melphalan combined with fludarabine as a reduced conditioning regimen for unrelated bone marrow transplantation
Date of disclosure of the study information 2006/02/07
Last modified on 2011/10/21 11:56:40

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Basic information

Public title

A dose finding study of melphalan combined with fludarabine as a reduced conditioning regimen for unrelated bone marrow transplantation

Acronym

A dose finding study of melphalan combined with fludarabine for UBMT (C-SHOT 0502)

Scientific Title

A dose finding study of melphalan combined with fludarabine as a reduced conditioning regimen for unrelated bone marrow transplantation

Scientific Title:Acronym

A dose finding study of melphalan combined with fludarabine for UBMT (C-SHOT 0502)

Region

Japan


Condition

Condition

Acute myeloid leukemia, Acute lymphocytic leukemia, Chronic myelogenous leukemia, Myelodysplastic syndrome,Non-Hodgkin Lymphoma, Hodgkin Lymphoma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The purpose of this study is to determine the recommended dose of melphalan combined with fludarabine as a reduced intensity-conditioning regimen inducing a rapid and proper engraftment for patients with an age between 40 and 65 years who receive unrelated bone marrow transplantation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2

Explanatory

Developmental phase

Phase I


Assessment

Primary outcomes

Achievement of full donor chimerism of T-cells at 28 days post-transplant

Key secondary outcomes

(1) Disease-free survival after transplantation, (2) Overall survival after transplantation, (3) Chimerism of each cell fraction after transplantation, (4) Incidence and severity of acute GVHD, (5) Incidence and severity of chronic GVHD, (6) Grade of treatment-related toxicity, (7) Time to hematopoietic recovery


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Dose determination of melphalan to attain the full-donor chimerism of 28 days post-transplant by using the modified continual reassessment method

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

(1) Either patients with AML or ALL or CML or MDS or NHL or HL (except primary induction failure of acute leukemia), (2) More than 2 courses of intensive chemotherapy prior to transplantation, (3) 1.Age between 40 and 65 years and, (a)Karnofsky score equal to or less than 70 or (b)Hematopoietic stem cell transplantation-specific comorbidity index (HCT-CI)equal to or more than one point at one month before the transplantation, 2.Age between 55 and 65 years, (4) Available of HLA-identical or DRB1-mismatched unrelated bone marrow donor, (5) First high dose therapy with hematopoietic cell support including auto transplantation, (6) Written informed consent to participate the trial

Key exclusion criteria

(1) Positive for HIV antibody and/or HBs antigen and/or HCV antibody, (2) Graft manipulation such as T cell depletion, (3) Pregnant or during breast feeding, (4) Uncontrolled psychiatric disease, (5) Uncontrolled active infection, (6) Allergic history to drugs used in the present conditioning regimen or GVHD prophylaxis regimen, (7) Available of a suitable related donor, (8) Impaired organ function, (a) left ventricular ejection fraction smaller than 40%,(b) DLCO/FEV1.0/TLC equal to or less than 30%, (c) Total bil equal to or more than 2xULN (NCI-CTCAE Grade 3), (d) AST/ALT equal to or more than 5xULN (NCI-CTCAE Grade 3), (e) serum creatinine equal to or more than 3xULN (NCI-CTCAE Grade 3), (f) Karnofsky score equal to or less than 50

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshihisa Morishita

Organization

JA Aichi Showa Hospital

Division name

Department of Hematology/Oncology

Zip code


Address

46 Nobaku, Nobaku-cho, Konan, Aichi, Japan

TEL

0587-56-4155

Email



Public contact

Name of contact person

1st name
Middle name
Last name Seitaro Terakura

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Hematology and Oncology

Zip code


Address

65 Tsurumai, Showa-ku, Nagoya, Aichi, Japan

TEL

052-744-2145

Homepage URL

http://www.c-shot.or.jp/study/0502

Email

tseit@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya Blood and Marrow Transplantation Group

Institute

Department

Personal name



Funding Source

Organization

Nagoya Blood and Marrow Transplantation Group

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 02 Month 07 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 12 Month 26 Day

Date of IRB


Anticipated trial start date

2006 Year 02 Month 01 Day

Last follow-up date

2009 Year 04 Month 01 Day

Date of closure to data entry

2009 Year 05 Month 01 Day

Date trial data considered complete

2009 Year 06 Month 01 Day

Date analysis concluded

2009 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 02 Month 06 Day

Last modified on

2011 Year 10 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000419


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name