Overview

Peripheral Stem Cell Transplantation in Treating Patients With Hematologic Cancer

Status:
Completed
Trial end date:
2002-12-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Peripheral stem cell transplantation may be able to replace immune cells that were destroyed by chemotherapy or radiation therapy used to kill tumor cells. PURPOSE: Phase II trial to study the effectiveness of peripheral stem cell transplantation from related donors to prevent graft-versus-host disease in treating patients with hematologic cancer.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
University of Maryland
University of Maryland, Baltimore
Collaborator:
University of Maryland Greenebaum Cancer Center
Treatments:
Antilymphocyte Serum
Cyclophosphamide
Melphalan
Criteria
DISEASE CHARACTERISTICS: Patients with HLA identical family donors and any one of the
following conditions documented by marrow aspiration and biopsy: -Acute leukemia refractory
to induction treatment or after 1 or more relapses -Acute myeloid leukemia with t(9;22),
-5/5q-, -7/7q-, and 11q23 involvement in first remission (not M4 or M5) -Acute lymphocytic
leukemia with t(9;22) or t(4;11) in first remission -Myelodysplastic syndrome with greater
than 5% bone marrow blasts -Chronic myeloid leukemia in accelerated phase or nonlymphoid
blast crisis -Myeloma, chronic lymphocytic leukemia, non-Hodgkin's lymphoma, or Hodgkin's
disease refractory to 2 lines of standard treatment or progression on standard treatment No
evidence of active extramedullary disease

PATIENT CHARACTERISTICS: Age: Any age Performance status: Karnofsky 70-100% Life
expectancy: Greater than 8 weeks Hematopoietic: Not specified Hepatic: Bilirubin less than
2.0 mg/dL SGOT no greater than 4 times upper limit of normal and not increasing for 2-4
weeks prior to transplant Renal: Creatinine less than 2 times normal and not increasing for
2-4 weeks prior to transplant OR Creatinine clearance greater than 60 mL/min
Cardiovascular: LVEF greater than 50% by MUGA Pulmonary: DLCO greater than 50% Other: Not
HIV positive Not pregnant or nursing Fertile patients must use effective contraceptive

PRIOR CONCURRENT THERAPY: See Disease Characteristics