UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020655
Receipt number R000023840
Scientific Title A phase II study of haploidentical transplantation with post-transplantation cyclophosphamide following myeloablative conditioning
Date of disclosure of the study information 2016/01/20
Last modified on 2017/10/05 09:53:47

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Basic information

Public title

A phase II study of haploidentical transplantation with post-transplantation cyclophosphamide following myeloablative conditioning

Acronym

JSCT Haplo16 MAC

Scientific Title

A phase II study of haploidentical transplantation with post-transplantation cyclophosphamide following myeloablative conditioning

Scientific Title:Acronym

JSCT Haplo16 MAC

Region

Japan


Condition

Condition

hematologic malignancies

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate safety and efficacy of HLA haploidentical peripheral blood stem cell transplantation using 150mg/m2 of fludarabine, 12.8mg/kg of intravenous busulfan and 4Gy of total body irradiation or 90mg/m2 of fludarabine and 12Gy of total body irradiation in patients who have no HLA-matched related or unrelated donor.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The incidence of grade III-IV acute GVHD at 100 days

Key secondary outcomes

1. Engraftment at 100 days.
2. The incidence of acute GVHD and chronic GVHD at 100 days, 1 year, and 2 years.
3. Non-relapse mortality at 100 days, 1 year, and 2 years.
4. The incidence of relapse at 100 days, 1 year, and 2 years.
5. Disease-free survival at 100 days, 1 year, and 2 years.
6. Overall survival at 100 days, 1 year, and 2 years.
7. The incidence of infectious event at 100 days, 1 year, and 2 years.
8. GVHD free, relapse free survival (GRFS) at 100 days, 1 year, and 2 years.
9. The proportion of patients who stopped immunosuppressive drugs within 1 year and 2 year.
10. Noninfectious fever within 7 days after transplantation
11. Grade 3-4 non-hematologic toxicity within 100 days.
12. Subgroup analysis subgroup analysis according to conditioning regimen.
13. Subgroup analysis subgroup analysis according to disease risk index (DRI)


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

The preparative regimen will consist of :
Fludarabine 30mg/m2 IV Days -6, -5, -4, -3, -2
Busulfan 3.2mg/kg IV Days -6, -5, -4, -3
Total body irradiation (TBI) 4Gy Day -1
or
Fludarabine 30mg/m2 IV Days -6, -5, -4
TBI 12Gy Day -3, -2, -1

The GVHD prophylaxis regimen will consist of :
Cyclophosphamide 50mg/kg IV days 3, 4
Tacrolimus IV beginning Day 5 with dose adjusted to maintain a level of 5-15 ng/ml
Mycophenolate mofetil 15mg/kg po TID beginning Day5, maximum dose 1 g po TID.

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

15 years-old <=

Age-upper limit

60 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients who have hematologic malignancies and who are eligible for allogeneic stem cell transplantation following myeloablative conditioning
2. Any disease status
3. Age: 15-60 years old
4. Performance status: 0-2
5. Patients with adequate physical function (Cardiac, Hepatic, Renal, Pulmonary).
6. Patients who have no HLA-matched related donor.
7. Patients who have no HLA-matched related donor.
8. Patients who give written informed consent to participate in the study.

Key exclusion criteria

1. Patients who are positive for HIV antibody.
2. Patients with active other malignancies.
3. Patients with active infectious disease.
4. Women who are pregnant, of childbearing potential, or lactating.
5. Patients who experienced serious hypersensitivity or anaphylaxis to cyclophosphamide, fludarabine, tacrolimus, mycophenolate mofetil.
6. Patients who has a prior history of allogeneic transplantation.
7. Positive anti-donor HLA antibody.
8. Patients who need chemotherapy within 13 days before transplantation.
9. Patients who are not eligible for this study at the discretion of the investigator.

Target sample size

42


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Junichi Sugita

Organization

Hokkaido University Hospital

Division name

Department of Hematology

Zip code


Address

060-8638 Sappor

TEL

011-

Email

jsct-office@umin.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Junichi Sugita

Organization

JSCT

Division name

Haplo16 DC

Zip code


Address

104-0031

TEL

03-6225-2025

Homepage URL


Email

jsct-office@umin.ac.jp


Sponsor or person

Institute

JSCT

Institute

Department

Personal name



Funding Source

Organization

Resarch Foundation for Community Medicine

Organization

Division

Category of Funding Organization

Non profit foundation

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

2016 Year 01 Month 20 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

No longer recruiting

Date of protocol fixation

2016 Year 01 Month 31 Day

Date of IRB


Anticipated trial start date

2016 Year 04 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 01 Month 20 Day

Last modified on

2017 Year 10 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023840


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name