UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000409
Receipt number R000000499
Scientific Title A multi institutional phase II trial of peripheral blood stem cell transplantation for adult T cell leukemia/lymphoma following reduced intensity conditioning regimen.
Date of disclosure of the study information 2006/05/01
Last modified on 2018/05/07 23:07:27

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Basic information

Public title

A multi institutional phase II trial of peripheral blood stem cell transplantation for adult T cell leukemia/lymphoma following reduced intensity conditioning regimen.

Acronym

A multi institutional phase II trial of peripheral blood stem cell transplantation for adult T cell leukemia/lymphoma following reduced intensity conditioning regimen (ATL-NST-3).

Scientific Title

A multi institutional phase II trial of peripheral blood stem cell transplantation for adult T cell leukemia/lymphoma following reduced intensity conditioning regimen.

Scientific Title:Acronym

A multi institutional phase II trial of peripheral blood stem cell transplantation for adult T cell leukemia/lymphoma following reduced intensity conditioning regimen (ATL-NST-3).

Region

Japan


Condition

Condition

Adult T cell leukemia/lymphoma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the safety and effectiveness of peripheral blood stem cell transplantation for Lymphoma type or acute type of adult T cell leukemia/lymphoma following reduced intensity conditioning regimen.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Over all survival rate at 2 years after transplantation.

Key secondary outcomes

1.Over all survival and progression free survival rate at 100 day after transplantation (at d100).
2.Achievement of complete chimera (Donor derived cell above 90% at d90).
3.Over all survival rate at d180
4.Over all survival and progression free survival rate at d365.
5.Progression free survival at 2 year after transplantation.
6.Time to progression and survival.
7.Toxicity due to conditioning regimen and drugs for acute GVHD prophylaxis.
8.Incidence and Severity of GVHD.
9.Relationship between time to onset of GVHD and chimera.
10.Retationship of GVHD, and anti tumor effect, overall survival or progression free survival rate.
11.Incidence of relapse and Infectious disease.
12.Anti viral (HTLV-1) effect.
13.Relationship between donor status for HTLV-1 infection (carrier or non-carrier) and anti tumor effect or anti viral effect.
14.Effectiveness and toxicity of donor lymphocyte infusion for mixed chimera.
15.Anti ATL effect of discontinuation of immunosuppressant after relapse of the disease.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Peripheral blood stem cell transplantation for adult T cell leukemia/lymphoma following reduced intensity conditioning regimen.

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

50 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) ATL patients whose disease is controlled by the chemotherapy to CR, PR or NC status.
(2) HLA matched related donor.
(3) Patient must fulfill the following criteria; 1.Age is between 50 and 70 years. 2.A patient ranging age 20 to 49 years is eligible if he (she) fulfills one or more criteria of organ dysfunction described bellow (a) to (d). (a) Resting ejection fraction between 50 and 60% by UCG. (b) SaO2 90 to 95% in room air. (c) Serum Cr level between 1.5 mg/dL and 2.0 mg/dL. (d) T.Bil level between 1.5mg/dL and 2.0 mg/dL or GPT over 3 times of upper limit, under 4 times.
(4) ECOG performance status 0 or 1.
(5) Written informed consent from the patient.
(6) Life expectancy beyond 3 months is anticipated by certain treatment.

Key exclusion criteria

(1) A patient is uneligible if he (she) has (a) to (d). (a) Resting ejection fraction bellow 50% by UCG. (b) SaO2 bellow 90% in room air. (c) Serum Cr level above 2.0 mg/dL. (d) CCr bellow 20 mL/min/m2. (e) T.Bil level above 2.0 mg/dL or GPT over 4 times of upper limit.
(2) Uncontrollable active infection.
(3) Active CNS lesion at registration.
(4) Woman who is pregnant, possibly pregnant or breast feeding
(5) On or taking major tranquilizer, antidepressant, antimanic.
(6) History of adverse reaction for the agents included in the protocol in conditioning (fludarabine, buslufan), in GVHD prophylaxis (Cyclosporine, steroids) and G-CSF.
(7) Recipient of previous allogeneic hematopoietic stem cell transplantation.
(8) Positive for HIV antibody.
(9) Positive for HBs antigen.
(10) Uncontrollable disease by the chemotherapy.
(11) Have an active cancer.
(12) Patients evident negative monoclonality of HTLV-1 by southern blot analysis.

Target sample size

35


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Jun Okamura

Organization

National Hospital Organization Kyushu Cancer Center

Division name

Division of Clinical Research

Zip code


Address

3-1-1 Notame Minami-ku Fukuoka-city, Japan

TEL

092-541-3231

Email

jyokamur@nk-cc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ilseung Choi

Organization

National Hospital Organization Kyushu Cancer Center

Division name

Division of Hematology

Zip code


Address

3-1-1 Notame Minami-ku Fukuoka-city, Japan

TEL

092-541-3231

Homepage URL


Email

ilchoi@nk-cc.go.jp


Sponsor or person

Institute

Grant for anticancer project from Ministry of Health, Welfare, and Labor of Japan

Institute

Department

Personal name



Funding Source

Organization

Grant for anticancer project from Ministry of Health, Welfare, and Labor of Japan.

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


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

九州がんセンター(福岡県)


Other administrative information

Date of disclosure of the study information

2006 Year 05 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


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 10 Month 01 Day

Date of IRB


Anticipated trial start date

2006 Year 03 Month 01 Day

Last follow-up date

2013 Year 03 Month 01 Day

Date of closure to data entry

2013 Year 03 Month 01 Day

Date trial data considered complete

2013 Year 11 Month 01 Day

Date analysis concluded

2014 Year 08 Month 10 Day


Other

Other related information



Management information

Registered date

2006 Year 04 Month 24 Day

Last modified on

2018 Year 05 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000499


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name