UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000457
Receipt number R000000551
Scientific Title A prospective non-randomised phase II study to assess the safety and efficacy of melphalan combined with fludarabine as a reduced conditioning regimen for unrelated bone marrow transplantation for hematological malignancies (C-SHOT 0505)
Date of disclosure of the study information 2006/07/31
Last modified on 2017/02/06 09:18:47

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Basic information

Public title

A prospective non-randomised phase II study to assess the safety and efficacy of melphalan combined with fludarabine as a reduced conditioning regimen for unrelated bone marrow transplantation for hematological malignancies (C-SHOT 0505)

Acronym

A phase II study of melphalan combined with fludarabine for UBMT (C-SHOT 0505)

Scientific Title

A prospective non-randomised phase II study to assess the safety and efficacy of melphalan combined with fludarabine as a reduced conditioning regimen for unrelated bone marrow transplantation for hematological malignancies (C-SHOT 0505)

Scientific Title:Acronym

A phase II study of melphalan combined with fludarabine for UBMT (C-SHOT 0505)

Region

Japan


Condition

Condition

Acute myeloid leukemia, Acute lymphocytic leukemia, Chronic myelogenous leukemia, Myelodysplastic syndrome, Chronic myelomonocytic leukemia

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The purpose of this study is to assess the safety and efficacy of melphalan combined with fludarabine as a reduced intensity-conditioning regimen for patients ineligible for conventional preparative regimen due to high age between 40 and 55 years or even under 40 years with significant co-morbidity who receive unrelated bone marrow transplantation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Overall survival at 100 days after transplantation

Key secondary outcomes

Time to hematopoietic recovery, grade of treatment-related toxicity, incidence and severity of acute GVHD, incidence and severity of chronic GVHD, overall survival at 1-year after transplantation, disease-free survival at 1-year after transplantation


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

Interventions/Control_1

Fludarabine 25mg/square meter for 5 days and melphalan 90mg/square meter for 2 days will be used as conditioning regimen. Subsequently, bone marrow graft from unrelated donor will be transplanted under immunosuppressive treatment with short-term methotrexate and tacrolimus.

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

16 years-old <=

Age-upper limit

55 years-old >

Gender

Male and Female

Key inclusion criteria

(1)Either patients with AML or ALL or CML or MDS or CMMOL (except CML in blast crisis), (2)(a)Age between 40 and 55 years and, 1.Hematopoietic stem cell transplantation-specific comorbidity index (HCT-CI) is 0-2 point at one month before the transplantation, (b)Age under 40 years, 1.serum bilirubin 1.5-3.0mg/dl or AST/ALT 2XULN and 5xULN, 2.serum creatinin 1.5-2.0mg/dl, 3.left ventricular ejection fraction 30-50%, 4.past history of cardiac event, 5.PaO2 50-90mmHg without oxygen inhalation, (3) Available of HLA-A/B/DRB1 identical or DRB1-genotypical or DR-serological 1-locus mismatched unrelated bone marrow donor, (4) First high dose therapy with hematopoietic stem cell support including auto transplantation, (5)PS 0-2, (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)history of administration of anti-neoplastic agent within 4 weeks before transplantation (4)30% or more tumor cells of total nucleated cell count in bone marrow specimen before 28 days of registration (5)Pregnant or during breast feeding, (6)Uncontrolled another neoplastic disease, (7)Uncontrolled active psychiatric disease,(8)Uncontrolled active infection, (9)central nervous system involvement of tumor cells (10)Allergic history to drugs used in the present conditioning regimen or GVHD prophylaxis regimen, (11) Available of a suitable related donor, (12)Patients suggested as ineligible by their attending physician

Target sample size

54


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshihisa Morishita

Organization

JA Aichi Konan Kosei Hospital

Division name

Department hematology and oncology

Zip code


Address

137 Omatsubara,Takaya-cho,Konan,Aichi,Japan

TEL

0587-56-4155

Email

m59@mb.ccnw.ne.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tetsuya Nishida

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Hematology and Oncology

Zip code


Address

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

TEL

052-744-2145

Homepage URL

http://www.c-shot.or.jp/study/0505

Email

tnishida@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 07 Month 31 Day


Related information

URL releasing protocol

http://www.c-shot.or.jp/study/0505/outline/

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

No longer recruiting

Date of protocol fixation

2006 Year 07 Month 21 Day

Date of IRB


Anticipated trial start date

2006 Year 08 Month 01 Day

Last follow-up date

2014 Year 10 Month 01 Day

Date of closure to data entry

2014 Year 12 Month 01 Day

Date trial data considered complete

2015 Year 02 Month 01 Day

Date analysis concluded

2015 Year 04 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 07 Month 31 Day

Last modified on

2017 Year 02 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000551


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name