To evaluate the outcome of hematopoietic stem cell transplantation using targeted busulfan, fludarabine, etoposide conditioning regimen in childhood and adolescent ALL.
Busulfan is a highly toxic drug with narrow therapeutic window used for the conditioning of hematopoietic stem cell transplantation. High exposure is associated with systemic toxicity such as veno-occlusive disease (VOD) and underexposure is associated with graft failure or relapse. In this study the investigators plan to improve the outcome of hematopoietic stem cell transplantation by using optimal busulfan dose through pharmacokinetic study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
38
First dose: busulfan (120 mg/m2 ivs once daily) (if age\<1 yr: 80 mg/ m2) Second to forth dose: according to the daily pharmacokinetic study
Seoul National University Hospital
Seoul, Daehangno, Jongno-gu, South Korea
RECRUITING1-year event free survival after hematopoietic stem cell transplantation.
To evaluate 1-year event free survival after hematopoietic stem cell transplantation.
Time frame: at 1 year
Engraftment rate
To evaluate engraftment rate
Time frame: 1, 3, 6 and 12 months after transplantation
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