Efficacy and Safety of MTBF Conditioning Regimen for Salvageable Allo-HSCT in the Treatment of R/R AML

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorFirst Affiliated Hospital Xi'an Jiaotong University

About this trial

The primary objective of this study was to evaluate the efficacy of MTBF conditioning regimen of salvageable allo-HSCT in patients with relapsed or refractory acute myeloid leukemia. The secondary purpose of the study was to observe the safety of MTBF regimen in these patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The subjects voluntarily joined the study, signed the informed consent, had good compliance, and cooperated with the follow-up;

Age 18-65 years old (including upper and lower limits);

No gender limitation

Relapsed or refractory (R/R) acute myeloid leukemia can not achieve complete remission by chemotherapy, and has the indication of salvage allogeneic hematopoietic stem cell transplantation.

Disqualifiers

Hypersensitivity to any investigational drug or its components;

Uncontrolled systemic diseases (e.g. active infections, uncontrolled hypertension, diabetes, etc.)

Long QTc syndrome or QTc interval>480 ms;

Complete left bundle branch block, II or III degree atrioventricular block;

Trial design

Design model

Single group

Treatments tested in this trial

  • MTBF regimen

    Drug

    The subjects will be treated with mitoxantrone hydrochloride liposome combined with thiotepa, busulfan and fludarabine as conditioning regimen prior to allo-HSCT. Mitoxantrone hydrochloride liposome 24mg/m\^2 ivgtt d-7; Ctepide 5mg/kg ivgtt d-6\~-5; Busulfan 0.8mg/kg q6h ivgtt d-4\~-2; Fludarabine 50mg/m\^2 ivgtt d-4\~-2.

Treatment groups

37 Participants
are divided into 1 treatment group
Group A: MTBF regimen groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Recurrence rate

Disease activity in patients after transplantation

Time frame
2 years post transplantation

Secondary outcomes

1

Incidence and Severity of non-hematological adverse events (NCI CTCAE v5.0)

The incidence and severity of non-hematological adverse events were evaluated using NCI CTCAE v5.0 criteria.

Time frame
from the beginning of the conditioning regimen to 2 years post transplantation
2

Neutrophil recovery time

Peripheral blood neutrophil count (ANC) ≥0.5×10\^9/L for three consecutive days without blood transfusion support

Time frame
1 month post transplantation
3

Platelet recovery time

Peripheral blood platelet (PLT) ≥20×10\^9/L for three consecutive days without blood transfusion support.

Time frame
1 month post transplantation
4

OS

Overall survival

Time frame
From date of diagnosis until the end of follow-up or the date of death from any couse. Time rage: 6 months post transplantation, 12 months post transplantation.

Other outcomes

1

aGVHD

The incidence of acute graft versus host disease

Time frame
At day 100 post transplantation

Locations

This trial has no locations.

Sponsors and contacts

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