Reduced Intensity Haploidentical Bone Marrow Transplant for High-Risk Solid Tumors
This study is looking at a new approach for people aged 1 to 50 with very high-risk solid tumors that have returned or spread. It combines reduced intensity chemotherapy (using cyclophosphamide, fludarabine, low dose total body irradiation, and melphalan) with a bone marrow transplant from a half-matched donor (haploidentical BMT). After the transplant, you would receive cyclophosphamide and a shorter course of tacrolimus. The main goal is to see if this treatment is safe and practical, specifically by tracking serious side effects and a condition called graft-versus-host disease (GVHD) within the first 120 days. This approach aims to use your donor's immune cells to fight the cancer. The study plans to enroll 60 participants.
- Study design
- This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll 60 participants.
- What's involved
- You would need a central venous catheter placed for medications and blood products. Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- The study will assess safety for up to 120 days after the transplant.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Reduced Intensity Haploidentical BMT for High Risk Solid Tumors
At a glance
Conditions
Where it's being run
3 sites across 2 statesStudy leadership
- Heather Symons, MD, MHS · PRINCIPAL_INVESTIGATOR · Johns Hopkins University
Who to contact
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What this trial measures
- Safety of Shortened duration of tacrolimus as assessed by number of participants with NRM and Grade III-IV acute GVHD at Day 120up to 120 Days
Safety of shortened duration immunosuppression assessed by the number of participants with non-relapse mortality (NRM) and grade III-IV acute graft versus host disease (Przepiorka criteria stages the degree of organ involvement in the skin, liver and gastrointestinal (GI) tract, based on severity, with Stage 1+ being least sever and Stage 4+ being most severe. Grading of acute GVHD is as follows: Grade I (skin involvement stages 1+ to 2+, with no liver or GI involvement), Grade II (skin involvement stages 1+ to 3+, liver 1+, GI tract 1+), Grade III (skin involvement stages 2+ to 3+, liver 1+, GI tract 2+ to 4+), Grade IV (skin involvement stages 4+, liver 4+))