the efficacy of the regimen as determined by engraftment rate and establishment of donor hematopoietic chimerism at day +28 and day +70.
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 85 | 40 – 100 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 90 | 45 – 100 |
Last reviewed · How we verify
Safety and Efficacy of Pentostatin and Low Dose TBI With Allogenic Peripheral Blood Stem Cell Transplant
Phase 2 trial testing Pentostatin in Acute Myelogenous Leukemia in 76 participants. Completed in 30 December 2008.
| Lead sponsor | University of Nebraska |
|---|---|
| Phase | Phase 2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 76 |
| Start date | 8 December 2000 |
| Primary completion | 30 December 2008 |
| Estimated completion | 30 December 2008 |
| Sites | 1 location across United States |
University of Nebraska
Adults 19 to 75, any sex, with Acute Myelogenous Leukemia or Acute Lymphocytic Leukemia. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
the efficacy of the regimen as determined by engraftment rate and establishment of donor hematopoietic chimerism at day +28 and day +70.
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 85 | 40 – 100 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 90 | 45 – 100 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 40 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 29 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 2 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 2 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 6 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 1 |
Incidence of acute and chronic graft-versus-host disease. Acute GVHD usually occurs during the first three months following transplant. Chronic GVHD usually develops after the third month post-transplant.
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 31 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 33 |
event-free and overall survival at 12 months
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 52 |
| Group | Value | 95% CI |
|---|---|---|
| Cohort I | 59 |
Rate of return of immune cells after allogeneic transplantation
| Group | Value | 95% CI |
|---|---|---|
| Study Baseline | 13 | 0.5 – 45 |
| Day + 28 Post Transplant | 7 | 0 – 28 |
| Group | Value | 95% CI |
|---|---|---|
| Study Baseline | 5 | 0.01 – 25 |
| Day + 28 Post Transplant | 3.5 | 0 – 13 |
| Group | Value | 95% CI |
|---|---|---|
| Study Baseline | 5 | 0 – 31 |
| Day + 28 Post Transplant | 1.7 | 0.02 – 8.3 |
Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Cohort I |
|---|---|---|
| decreased WBC | Blood and lymphatic system disorders | — |
| decreased ANC | Blood and lymphatic system disorders | — |
| fever | General disorders | — |
| decreased platelets | Blood and lymphatic system disorders | — |
| decreased hgb | Blood and lymphatic system disorders | — |
| hypokalemia | Gastrointestinal disorders | — |
| decreased leukocyte | Blood and lymphatic system disorders | — |
| klebsiella | Cardiac disorders | — |
| reddened catheter site | Infections and infestations | — |
| herpes simplex | Immune system disorders | — |
| Yeast infection | Renal and urinary disorders | — |
| increased LDH | Hepatobiliary disorders | — |
| pulmonary embolism | Blood and lymphatic system disorders | — |
| azotemia | Renal and urinary disorders | — |
| atubular necrosis | Renal and urinary disorders | — |
Most-reported serious reactions: decreased WBC, decreased ANC, fever, decreased platelets, decreased hgb, hypokalemia, decreased leukocyte, klebsiella.
Data from ClinicalTrials.gov NCT00571662 adverse events section.
This is a continuation of a pilot study which is now regarded as a phase II trial with a plan to enroll an additional 40 patients (20 related and 20 unrelated donor transplants) with hematological malignancy assessing the safety and efficacy of a minimally myelosuppressive regimen with pentostatin and low-dose total body irradiation (TBI) followed by allogeneic peripheral blood stem cell transplantation (alloPSCT).
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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