drugset / Trial / NCT01410344
Allogeneic Transplant in HIV Patients (BMT CTN 0903)
Phase 2
Completed
20 enrolled
Medical College of Wisconsin
Blood and Marrow Transplant Clinical Trials Network · collabNational Cancer Institute (NCI) · collabNational Heart, Lung, and Blood Institute (NHLBI) · collabNational Marrow Donor Program · collab
NaSingle-groupOpen-labelTreatment
Summary
The rationale for this trial is to demonstrate the feasibility and safety of allogeneic HCT for patients with chemotherapy-sensitive hematological malignancies and coincident HIV-infection. In particular, the trial will focus on the 100-day non-relapse mortality as an indicator of the safety of transplant in this patient population. Correlative assays will focus upon the incidence of infectious complications in this patient population, the evolution of HIV infection and immunological reconstitution. Where feasible (and when this can be accomplished without compromise of either the donor quality or the timeliness of transplantation), an attempt will be made to identify donors who are homozygotes for the delta32 mutation for CCR5.
Timeline
- Start
- 2011-09
- Primary completion
- 2016-11
- Completion
- 2018-06
Publications
- Results Scott BL, Pasquini MC, Logan BR, Wu J, Devine SM, Porter DL, Maziarz RT, Warlick ED, Fernandez HF, Alyea EP, Hamadani M, Bashey A, Giralt S, Geller NL, Leifer E, Le-Rademacher J, Mendizabal AM, Horowitz MM, Deeg HJ, Horwitz ME. Myeloablative Versus Reduced-Intensity Hematopoietic Cell Transplantation for Acute Myeloid Leukemia and Myelodysplastic Syndromes. J Clin Oncol. 2017 Apr 10;35(11):1154-1161. doi: 10.1200/JCO.2016.70.7091. Epub 2017 Feb 13.
- Ambinder RF, Wu J, Logan B, Durand CM, Shields R, Popat UR, Little RF, McMahon DK, Cyktor J, Mellors JW, Ayala E, Kaplan LD, Noy A, Jones RJ, Howard A, Forman SJ, Porter D, Arce-Lara C, Shaughnessy P, Sproat L, Hashmi SK, Mendizabal AM, Horowitz MM, Navarro WH, Alvarnas JC. Allogeneic Hematopoietic Cell Transplant for HIV Patients with Hematologic Malignancies: The BMT CTN-0903/AMC-080 Trial. Biol Blood Marrow Transplant. 2019 Nov;25(11):2160-2166. doi: 10.1016/j.bbmt.2019.06.033. Epub 2019 Jul 4.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Busulfan | Small molecule | 6.4 mg/kg | Oral |
| Subject | Busulfan | Small molecule | 8 mg/kg | Oral |
| Subject | Busulfan | Small molecule | 12.8 mg/kg | Oral |
| Subject | Busulfan | Small molecule | 16 mg/kg | Oral |
| Subject | Busulfan | Small molecule | 260 mg/m2 | Oral |
| Subject | Busulfan | Small molecule | 520 mg/m2 | Oral |
| Subject | Cyclophosphamide | Other / unclassified | 120 mg/kg | — |
| Subject | Fludarabine | Small molecule | 120 mg/m2 | — |
| Subject | Fludarabine | Small molecule | 150 mg/m2 | — |
| Subject | Fludarabine | Small molecule | 180 mg/m2 | — |
| Subject | Melphalan | Small molecule | 140 mg/m2 | — |
| Subject | Melphalan | Small molecule | 150 mg/m2 | — |