About this trial

This is a Phase II study of allogeneic hematopoietic stem cell transplant (HCT) using a myeloablative preparative regimen (of either total body irradiation (TBI); or, fludarabine/busulfan for patients unable to receive further radiation). followed by a post-transplant graft-versus-host disease (GVHD) prophylaxis regimen of post-transplant cyclophosphamide (PTCy), tacrolimus (Tac), and mycophenolate mofetil (MMF).

Eligibility criteria

Qualifiers

Age: ≤ 60 years of age

Performance Status: Karnofsky ≥ 70%, Lansky play score ≥ 70

Consent: Voluntary written consent (adult or legally authorized representative; or parental/guardian)

Renal: Creatinine <2x upper limit of normal. Patients above this limit must have creatinine clearance ≥ 40 ml/min/1.73m2 as determined by an age-appropriate method, such as cystatin C GFR.

Disqualifiers

Chemotherapy refractory large cell and high grade NHL (i.e., progressive disease after > 2 salvage regimens)

CML in blast crisis

Large cell lymphoma, mantle cell lymphoma and Hodgkin disease that is progressing on salvage therapy.

Evidence of progressive disease by imaging modalities or biopsy - persistent PET activity, though possibly related to lymphoma, is not an exclusion criterion in the absence of CT changes indicating progression.

Trial design

Treatments tested in this trial

  • HSCT with TBI Regimen
  • HSCT with Non-TBI Regimen

Treatment groups

300 Participants
are divided into 2 treatment groups

Locations

1
Masonic Cancer Center at University of Minnesota55337, MinneapolisMinnesota, United States

Sponsors and collaborators

Masonic Cancer Center, University of Minnesota

Lead sponsor