A non-myeloablative treatment strategy and uniform selection criteria will enable patients with a variety of low grade B-Cell malignancies to attain long term disease control without unacceptably high treatment related mortality.
Non myeloablative transplant aims to achieve the immunological advantage of graft versus tumor effect as conventional myeloablative therapy without causing high treatment related toxicities. Non myeloablative transplant has been gaining wider acceptance as a way to achieve longer disease free and over all survival in patients with low grade B-cell malignancies, which otherwise is an incurable disease. Recent studies of non-myeloablative HSCT have demonstrated the powerful effect of graft versus leukemia alone against myeloma and other malignant B-cell malignancies if the transplant is performed for low grade, low volume disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
5
Fludarabine 30 mg/m2/day x 3 days
TBI 200cGy x1 dose on transplant day
On Day 0 pts will received an infusion of HLA matched sibling donor stem cells. Dose is determined by the volume of cells obtained from donor. Minimum dose is 2x10\*6 CD34+ cells per kilogram of recipient weight.
University of Alabama in Birmingham BMT/CT Program Outpatient Clinic
Birmingham, Alabama, United States
Progressive Free Survival Post Transplant
subjects surviving without disease progression at 100 days after transplant as evidenced by decreased disease and no new disease showing on radiologic scans and / or bone marrow pathology.
Time frame: 100 days post transplant
Progressive Free Survival Post Transplant
Subjects surviving without disease progression 180 days after transplant as evidenced by decreased disease and no new disease showing on radiologic scans and / or bone marrow pathology.
Time frame: 180 days post transplant
Progressive Free Survival Post Transplant
Subjects surviving without disease progression 365 days after transplant as evidenced by decreased disease and no new disease showing on radiologic scans and / or bone marrow pathology.
Time frame: 365 days post transplant
Progression Free Survival Post Transplant
Subjects surviving without disease progression 2 years after transplant as evidenced by no new disease showing on radiologic scans and / or bone marrow pathology.
Time frame: 2 years post transplant
Non-relapse Treatment Related Mortality
Death related to treatment without relapse within 100 days after transplant
Time frame: Within 100 days post transplant
Number of Participants With Detectable Donor Chimerism at up to 100 Days Post Transplant
Measured by number of participants that have chimerism study results that show the number of donor cells and the number of recipient cells present in the blood after post-transplant lymphocyte infusions continue to be predominately either donor or recipient.
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Time frame: Post transplant up to 100 days post transplant
Composite Incidence of Acute and Chronic Graft Versus Host Disease
Time frame: Up to 100 days post transplant.