About this trial
So this a Phase I study with primary objective to determine the feasibility and safety of combining post-transplant cyclophosphamide and urinary-derived human chorionic gonadotropin and epidermal growth factor (uhCG/EGF) as graft versus host disease prophylaxis in stem cell transplant with MMUDs Secondary objectives are to determine the incidence acute and chronic GVHD, progression-free survival , and overall survival
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with hematologic malignancy who have the indication for Allogeneic SCT and have no MRD or MUD.
Age 18-70 years old
Performance score of at least 80% by Karnofsky
Creatinine clearance should be >60 ml/min
Disqualifiers
Positive for HIV, HBsAg, HCV or other viral hepatitis or cirrhosis from any cause
Active or prior CNS leukemia, unless in complete remission for at least 2 months.
History of serious chronic mental disorder or drug-abuse accompanied by documented problems of compliance with therapeutic programs.
Uncontrolled infection
Trial design
Single group
Treatments tested in this trial
uhCG/EGF
DrugPTCY for 2 doses on day +3 and +4 after stem cell transplant followed by uhCG/EGF subcutaneously on day +7, +9 and +11 post stem cell transplant
Treatment groups
Trial outcomes
Primary outcomes
MTD
The maximum tolerated dose
Incidence and severity of dose limiting toxicity (DLTs)
The overall incidence and severity of DLTs for uhCG/EGF
Secondary outcomes
acute GVHD
Cumulative incidence of acute GVHD
Chronic GVHD
Cumulative incidence of chronic GVHD
Overall survival
Death from any cause will be considered an event. Surviving patients will be censored at the time of last follow up.
Disease free survival
Survival following allogeneic SCT without relapse or progression. Relapse or progression of disease, or death are considered events
Sponsors and contacts
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