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Alkylating agents

TBI + Cyclophosphamide and Stem Cell Transplant for Scleroderma

Phase < 1
Recruiting
Led By Jeffrey Y Wong
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day 30 and day 100
Awards & highlights

Study Summary

This trial is testing the side effects and feasibility of a new way to give total body radiation therapy (IMRT) with the chemotherapy drug cyclophosphamide before stem cell transplant to treat severe systemic sclerosis.

Who is the study for?
This trial is for severe systemic sclerosis patients with good organ function and performance status, who can undergo total body irradiation (TBI) as part of a stem cell transplant. Participants must use birth control and be able to consent. Excluded are those with uncontrolled illnesses, prior radiation therapy without PI approval, or pregnant women due to potential harm.Check my eligibility
What is being tested?
The study tests the combination of intensity-modulated radiation therapy (IMRT) and cyclophosphamide before a stem cell transplant in treating severe systemic sclerosis. IMRT aims to precisely target the body while sparing normal organs from excessive radiation exposure.See study design
What are the potential side effects?
Potential side effects include damage to sensitive organs despite precise targeting by IMRT, typical chemotherapy-related issues like nausea, hair loss, fatigue from cyclophosphamide, and complications related to stem cell transplantation such as infection risk.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~day 30 and day 100
This trial's timeline: 3 weeks for screening, Varies for treatment, and day 30 and day 100 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Mean kidney dose
Mean lung dose
Secondary outcome measures
Dose homogeneity for lungs, kidneys, and total body
Transplant-related mortality

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (TBI using IMRT, cyclophosphamide, HSCT)Experimental Treatment4 Interventions
Patients undergo TBI using IMRT BID on days -5 and -4 in the absence of disease progression or disease progression. Patients then receive cyclophosphamide on days -3 and -2 and undergo HSCT on day 0 in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Allogeneic Hematopoietic Stem Cell Transplantation
2012
Completed Phase 2
~1200
Total-Body Irradiation
1997
Completed Phase 3
~1180
Cyclophosphamide
1995
Completed Phase 3
~3770
Intensity-Modulated Radiation Therapy
2010
Completed Phase 3
~2160

Find a Location

Who is running the clinical trial?

City of Hope Medical CenterLead Sponsor
567 Previous Clinical Trials
1,922,645 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,667 Previous Clinical Trials
40,926,117 Total Patients Enrolled
Jeffrey Y WongPrincipal InvestigatorCity of Hope Medical Center
8 Previous Clinical Trials
210 Total Patients Enrolled

Media Library

Cyclophosphamide (Alkylating agents) Clinical Trial Eligibility Overview. Trial Name: NCT04380831 — Phase < 1
Systemic Scleroderma Research Study Groups: Treatment (TBI using IMRT, cyclophosphamide, HSCT)
Systemic Scleroderma Clinical Trial 2023: Cyclophosphamide Highlights & Side Effects. Trial Name: NCT04380831 — Phase < 1
Cyclophosphamide (Alkylating agents) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04380831 — Phase < 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the current enrollment size of this clinical trial?

"Affirmative. The details accessible on clinicaltrials.gov reveal that this medical investigation, first posted in February 24th 2022, is actively looking for participants. Approximatively 15 study subjects need to be recruited from one centre."

Answered by AI

Am I eligible to contribute to this research endeavor?

"This trial is searching for 15 adult volunteers with scleroderma, systemic. To be eligible, the following requirements must be met: women of child-bearing potential and men are obligated to utilise satisfactory contraceptive measures (hormonal or barrier birth control methods or abstinence) prior to enrolment in the study and for a period of six months post completion; Karnofsky performance score (KPS) >= 70; Systemic sclerosis patients who would qualify as candidates for TBI-cyclophosphamide (Cy) therapy according to City of Hope's directives and standard operating protocols regarding autologous hematopoietic cell transplant;"

Answered by AI

Are there any reports of similar results from other Allogeneic Hematopoietic Stem Cell Transplantation experiments?

"Currently, 816 studies exploring Allogeneic Hematopoietic Stem Cell Transplantation are underway. Of those in operation, 154 trials have reached Phase 3 status. Philadelphia is the main hub for this research; however, 2832 other clinical sites throughout the world investigate potential treatments for Allogeneic Hematopoietic Stem Cell Transplantation."

Answered by AI

To what medical conditions may Allogeneic Hematopoietic Stem Cell Transplantation be a viable treatment option?

"Allogeneic Hematopoietic Stem Cell Transplantation is frequently employed in multiple sclerosis treatment and has been seen to be effective with mixed-cell type lymphoma, leukemia, myelocytic acute, and retinoblastoma."

Answered by AI

Are there any available openings for participants in this experiment?

"Confirmed. Clinicaltrials.gov reports that the study, initially posted on February 24th 2022 and most recently updated onMarch 7th of the same year, is currently seeking 15 individuals at a single site."

Answered by AI

Does this medical study permit individuals aged 35 and over to participate?

"This research project is seeking participants who are between 18 and 65 years of age."

Answered by AI
~3 spots leftby Dec 2024