About this trial
Children, adolescents, and young adults with malignant and non-malignant conditionsundergoing an allogeneic stem cell transplantation (AlloSCT) will have the stem cells selected utilizing α/β CD3+/CD19+ cell depletion. All other treatment is standard of care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
ALL:ALL high risk including one or more of the following: (t(9;22) or 11q23 chromosomal abnormality, primary induction failure (<15% blasts at time of registration), mixed phenotype acute leukemia (MPAL), persistent MRD (<0.01% by flow or persistent abnormal karyotype detected by cytogenetics) or hypodiploidy (44 chromosomes)) in first remission ' ALL in second remission and beyond;
AML: History of AML induction/reinduction Failure (<15% blasts at time of registration); AML in CR1 with poor cytogenetics (i.e. 12p, 5a, -7, FLT3 mutation/duplication, t(9;11) and others); AML with persistent minimal residual disease (MRD) in CR1(<0.01% on flow or persistent abnormal karyotype detected by cytogenetics); AML CR2 or beyond; AML in refractory relapse but ≤15% bone marrow leukemia blasts; Therapy-related AML
High Risk Myelodysplastic syndrome (MDS) 4 Lymphoma: Hodgkin (HL) or Non-Hodgkin (NHL): HL or NHL in induction failure; HL or NHL in PR1 or PR2 ; HL or NHL in CR2 or subsequent remission
Disqualifiers
Females who are pregnant or breast-feeding are not eligible.
Patients with documented uncontrolled infection at the time of study entry are not eligible.
Karnofsky/Lansky (age appropriate) Performance Score <60
Demonstrated lack of compliance with medical care
Trial design
Single group
Treatments tested in this trial
alpha beta depletion
Drugdonor cells will be collected and subsequently undergo α/β CD3+/CD19+ cell depletion.
Treatment groups
Trial outcomes
Primary outcomes
incidence of adverse events related to administration of α/β CD3+/CD19+ cell depleted stem cells
patients will be monitored for any adverse events related to administration of α/β CD3+/CD19+ cell depleted stem cells
Secondary outcomes
incidence of hematpoitic engraftment following Allogeneic stem cell transplantation (AlloSCT) utilizing α/β CD3+/CD19+ cell depletion
patients will have routine chimerism performed to monitoring engraftment of donor cells
incidence of GVHD following Allogeneic stem cell transplantation (AlloSCT) utilizing α/β CD3+/CD19+ cell depletion
patients will be monitored post transplant for signs of acute and chronic GVHD
Sponsors and contacts
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Mitchell Cairo
Lead sponsor
New York Medical College
Sponsor institution