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NCT04314219RecruitingPhase 3

Comparing Post-Transplant Cyclophosphamide As GVHD Prophylaxis to Standard of Care for Acute Leukemia Patients

Comparing Post-Transplant Cyclophosphamide with Calcineurin Inhibitors As a GVHD Prophylaxis to Standard Care of Methotrexate and Calcineurin Inhibitors for Acute Leukemia Incorporating Patient Pharmacogenomics Profiling

Source: ClinicalTrials.gov · Last updated 13 Mar 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

This randomized clinical trial will evaluate two approaches of GvHD prophylaxis; the standard of care GVHD prophylaxis regimen (methotrexate/calcineurin inhibitors) and post-transplant cyclophosphamide with calcineurin inhibitors for their efficacy as a new GVHD prophylaxis strategy.

Status (registry)
Recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
264 (estimated)
First submitted
17 Mar 2020
Start date
15 Aug 2021
Primary completion date
31 Dec 2025
Lead sponsor
King Faisal Specialist Hospital & Research Center
NCT number
NCT04314219

What you commit to

  • Study type: Interventional · Phase 3
  • Planned participants: 264
  • From 15 Aug 2021 to the primary completion date, 31 Dec 2025
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Females with childbearing potential (FCBP) or men who have sexual contact with FCBP unwilling to use effective forms of birth control or abstinence for one year after transplantation

Other illness

  • Active disease
  • Patients with uncontrolled bacterial, viral, or fungal infections
  • Patients seropositive for HIV-1 or -2
  • Patients with active Hepatitis B or C viral replication by PCR
  • History of uncontrolled autoimmune disease or on active treatment

Lab values

  • Presence of fluid collection (ascites, pleural or pericardial effusion) that interferes with methotrexate clearance or makes methotrexate use contraindicated
  • Women who are pregnant (positive serum or urine βHCG) or breastfeeding

Age

  • Patients with prior malignancies, except resected non-melanoma skin cancer or treated cervical carcinoma in situ; cancer treated with curative intent ≥ 5 years previously will be allowed; cancer treated with curative intent \< 5 years previously will not be allowed.

Other

  • Karnofsky or Lansky Performance Score \< 70%.
  • Patients seropositive for HTLV-I or -II

Who the study is looking for

  • Patients with Acute Leukemias (AML, ALL) in morphologic complete remission with or without hematologic recovery
  • Patients must have a fully matched (8/8) related donor willing to donate peripheral blood stem cells and must meet institutional criteria for donation
  • Planned Myeloablative conditioning regimen
  • Cardiac function: ejection fraction at rest ≥ 50% by MUGA or TTE
  • Estimated creatinine clearance greater than 50 mL/minute
  • Pulmonary function: DLCO ≥ 50% (adjusted for hemoglobin), and FVC and FEV1 ≥ 50%
  • Liver function: total bilirubin \< 2x the upper limit of normal (unless elevated bilirubin is attributed to Gilbert's Syndrome) and ALT/AST \< 2.5x the upper normal limit
  • Signed informed consent

Age in the registry: 14 years to 65 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
King Faisal Specialist Hospital & Research Center
Coordinator of this site? Confirm its status
RiyadhSaudi ArabiaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.