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No longer recruiting (closed or complete)Last updated: 22 January 2024

SCRAMBLE: This phase I trial will involve infusion of donor blood or marrow cells in patients with Acute Myeloid Leukaemia (AML), following consolidation chemotherapyChemotherapy Followed by Infusion of Partially HLA Matched Unrelated Donor Cells for Patients With AML Who Are Ineligible for Stem Cell Transplantation

Trial purpose

Medical clipboardCancer treatment

Tumor type

Blood Cancers Haematological

Age

People18+

Trial acronym

SCRAMBLE

Clinical summary

Summary

A phase 1 study of infusion of partially HLA matched unrelated donor blood or marrow cells (microtransplantation) following consolidation chemotherapy in patients with AML that are not suitable for allogenic stem cell transplantation. To determine the safety and tolerability of co-administration of partially HLA antigen matched unrelated donor cryopreserved donor lymphocytes (microtransplantation) with chemotherapy for patients with high risk acute myeloid leukaemia ineligible or unsuitable for high dose chemotherapy and stem cell transplantation.

Conditions

This trial is treating people with Acute Myeloid Leukaemia

Eligibility

Inclusion

  1. Newly diagnosed AML not considered suitable for allogenic stem cell transplant on the basis of age or co-morbidities
  2. Complete morphological remission following 1-2 cycles of induction chemotherapy consisting of an anthracycline/cytosine arabinoside combination
  3. Availability of cryopreserved donor stem cells or bone marrow with appropriate HLA matching
  4. Adequate hepatic and renal function
  5. Estimated life expectancy of at least 6 months
  6. Patient has given informed consent or in the event of a patient not able to give informed consent, consent has been given according to hospital procedures in force at the time of trial

Exclusion

  1. Patient not in morphological remission following 2 cycles of induction chemotherapy
  2. Use of fludarabine or other purine analogue during remission induction or use of any major immunosuppressive medication or any other immunomodulatory agent including thalidomide, lenalidomide, or azacitidine immediately prior to concurrent with administration of chemotherapy for AML or during or in the 3 months after administration of partially HLA matched 3rd party cells
  3. Absence of a cryopreserved donor stem cell or bone marrow product with appropriate matching
  4. Presence of significant hepatic, renal or other major organ dysfunction
  5. Uncontrolled infection or bleeding prior to commencement of consolidation chemotherapy
  6. Privately insured in or outpatient on the day the consent is signed and the days that cryopreserved partially HLA matched donor cells are infused

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

University of Sydney

Scientific Title

Chemotherapy Followed by Infusion of Partially HLA Matched Unrelated Donor Cells for Patients With AML Who Are Ineligible for Stem Cell Transplantation

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