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Alkylating agents

Combination Therapy for Blood Cancer

Phase 2
Waitlist Available
Led By Sophia Balderman
Research Sponsored by Roswell Park Cancer Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 6 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is studying how well fludarabine phosphate, cyclophosphamide, total body irradiation, and donor stem cell transplant work in treating patients with blood cancer.

Who is the study for?
This trial is for patients with various blood cancers or related conditions who have a suitable related half-matched (haploidentical) donor. They must be able to tolerate radiation, have decent organ function, and not be pregnant. Those with uncontrolled diseases, recent other treatments, or prior allogeneic transplants are excluded.
What is being tested?
The study tests if fludarabine phosphate and cyclophosphamide chemotherapy combined with total body irradiation followed by stem cell transplant from a half-matched donor can treat blood cancer effectively. It aims to see if this approach helps the bone marrow recover and fight cancer better.
What are the potential side effects?
Potential side effects include damage to organs from radiation, immune system reactions against the donor cells, infection risks due to weakened immunity post-transplant, chemotherapy-related nausea and hair loss, as well as possible heart or lung complications.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 6 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 6 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Relapse Rate
Secondary study objectives
Engraftment Rate
Overall Survival
Progression Free Survival
+3 more
Other study objectives
Immune Reconstitution
Lymphoid Chimerism Expressed as a Percentage of Donor Cells
Myeloid Chimerism Expressed as a Percentage of Donor Cells

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (fludarabine, cyclophosphamide, TBI, PBSCT)Experimental Treatment5 Interventions
Patients receive fludarabine phosphate IV over 30 minutes on days -6 to -2 and cyclophosphamide IV over 2 hours on days -6 and -5. Patients undergo TBI on days -1 and PBSCT on day 0.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cyclophosphamide
2010
Completed Phase 4
~2310
Peripheral Blood Stem Cell Transplantation
1997
Completed Phase 3
~1330
Fludarabine Phosphate
1997
Completed Phase 3
~2390
Total-Body Irradiation
1997
Completed Phase 3
~1180

Find a Location

Who is running the clinical trial?

Roswell Park Cancer InstituteLead Sponsor
412 Previous Clinical Trials
32,704 Total Patients Enrolled
Sophia BaldermanPrincipal InvestigatorRoswell Park Cancer Institute
Philip McCarthy, MDPrincipal InvestigatorRoswell Park Cancer Institute
1 Previous Clinical Trials
15 Total Patients Enrolled
~4 spots leftby Nov 2025