Cord Blood Transplantation in Children and Young Adults With Hematologic Malignancies
Memorial Sloan Kettering Cancer Center
Summary
The purpose of this study is to find out whether Cord Blood Transplantation/CBT as the first or second transplant is an effective treatment for children and young adults with blood cancer.
Eligibility
- Age range
- Up to 26 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: A patient cannot be considered eligible for this study unless ALL of the following conditions are met. ° Disease type Cohort 1, High Risk Disease: Patients with age ≤ 26 years at the time of informed consent with no available and suitably matched related or unrelated donor within 4 weeks, with one of the following diagnoses: I. Acute myelogenous leukemia (AML): * Complete first remission (CR1) with blast count \< 5% by bone marrow morphology at high risk for relapse such as any of the following: * Known prior diagnosis of myelodysplasia (MDS) * High risk cytogenet…
Interventions
- BiologicalCord Blood Units
Cord Blood \[(HPC(CB)\] products are minimally manipulated unrelated allogeneic cord blood units that have been collected, processed and stored in public Cord Blood banks
- RadiationTotal Body Irradiation
Hyper-fractionated TBI is administered by a linear accelerator at a dose rate of \<20 cGy/minute. Treatment planning begins with simulation.
- DrugCyclophosphamide
Cyclophosphamide is an alkylating agent that prevents cell division by cross-linking DNA strands and decreasing DNA synthesis.
- DrugFludarabine
Fludarabine phosphate is rapidly dephosphorylated to 2- fluoro-ara- A and then phosphorylated intracellularly by deoxycytidine kinase to the active triphosphate, 2- fluoro-ara-ATP
- DrugClofarabine
Clofarabine, a purine (deoxyadenosine) nucleoside analog, is metabolized to clofarabine 5'-triphosphate.
- DrugBusulfan
Locations (7)
- Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)Basking Ridge, New Jersey
- Memorial Sloan Kettering Monmouth (Limited Protocol Activities)Middletown, New Jersey
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)Montvale, New Jersey
- Memorial Sloan Kettering Suffolk - Commack (Limited Protocol Activities)Commack, New York
- Memorial Sloan Kettering Westchester (Limited Protocol Activities)Harrison, New York
- Memorial Sloan Kettering Cancer Center (All Protocol Activities)New York, New York