Pilot Trial of Allogeneic Blood or Marrow Transplantation for Primary Immunodeficiencies

PHASE2RecruitingINTERVENTIONAL
Enrollment

254

Participants

Timeline

Start Date

November 19, 2015

Primary Completion Date

December 31, 2031

Study Completion Date

December 31, 2036

Conditions
Primary T-cell Immunodeficiency DisordersCommon Variable ImmunodeficiencyImmune System DiseasesAutoimmune LymphoproliferativeLymphoproliferative Disorders
Interventions
DRUG

Immunosuppression Only Conditioning -Closed with amendment L

Pentostatin 4 mg/m2/day IV on days -9 and -5, cyclophosphamide 5 mg/kg orally daily on days -9 through -2 (Closed with amendment L)

DRUG

Reduced Intensity Conditioning

pentostatin 4 mg/m2/day IV on days -11 and -7, cyclophosphamide 3 mg/kg orally daily on days -11 through -4; busulfan IV, pharmokinetically dosed, on days -3 and -2.

DRUG

Myeloablative Conditioning-Closed with amendment L

Pentostatin 4 mg/m2/day IV on days -13 and -9, low-dose cyclophosphamide orally daily on days -13 through -6; busulfan IV, pharmokinetically dosed, on days -5, -4, -3, and -2. (Closed with amendment L)

DRUG

GVHD Prophylaxis

High-dose, post-transplantation cyclophosphamide (PTCy) 25-50 mg/kg on days +3 and +4, sirolimus 6 mg on days +5 through +90, and mycophenolate mofetil (MMF) on days +5 through 0, +18, +25, or +35 depending on treatment arm and cohort.

PROCEDURE

Allo BMT

Allogeneic blood or marrow transplantation

Trial Locations (2)

20892

RECRUITING

National Institutes of Health Clinical Center, Bethesda

55413-1753

RECRUITING

National Marrow Donor Program, Minneapolis

All Listed Sponsors
lead

National Cancer Institute (NCI)

NIH