About this trial
This is a phase II study of autologous transplant for patients with Hodgkin (HL) and non-Hodgkin lymphomas (NHL) including those who are HIV positive.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Eligible Diseases
Non-Hodgkin's Lymphoma (NHL)
Patients with chemo-sensitive histologically confirmed NHL will be eligible for this treatment protocol contingent on histologic sub-classification.
Patients in partial or complete remission following cell therapy will also be eligible.
Disqualifiers
Pregnant or breastfeeding: Females of childbearing potential must have a blood test or urine study within 14 days prior to registration to rule out pregnancy
Eligible for any higher priority transplant protocols
Chemotherapy resistant disease
Unrelated active infection
Trial design
Parallel
Treatments tested in this trial
Etoposide
DrugBEAM: 100 mg/m\^2 IV over 2 hours BID on Days -5, -4, -3, -2 \| CBV: 150 mg/m\^2 intravenously over 4 hours every 12 hours starting at 6 a.m. and 6 p.m. on Days -6, -5, -4
BCNU
DrugBEAM \& CBV: 300 mg/m\^2 IV over over 2 hours on Day -6
AraC
DrugBEAM: 100 mg/m\^2 IV over 1 hour BID on Days -5, -4, -3, -2
Melphalan
DrugBEAM: 140 mg/m\^2 IV over 20 minutes on Day -1
Peripheral blood stem cell transplantation
Procedure/SurgeryAll Arms: Day 0 infuse PBSC. All patients will have PBSC collected by leukapheresis. Mobilization will be done with G-CSF.
G-CSF
Biological/VaccineAll patients should receive G-CSF, 5 ug/kg/day IV as a bolus injection each evening beginning on day +5 until the ANC is \>2500 x 10\^9/L for 2 consecutive days. G-CSF will subsequently be restarted at 5 ug/kg/day SC or IV if the ANC falls below 1000/mm\^3
Cyclophosphamide
DrugCBV: 1.5 gm/M\^2 over 2 hours at 10 a.m. on Days -6, -5, -4, -3 \| CY/TBI: 60 mg/kg IV over 2 hours on Days -7, -6
Total Body Irradiation
RadiationCY/TBI: 165 cGy bid on Day -4, -3, -2, -1
Treatment groups
Trial outcomes
Primary outcomes
Progression Free Survival Comparison
Compare progression-free survival (PFS) at 3 years post-transplant for patients who received who received a radiation free preparative regimen to the prior study MT2004-24 where NHL subjects received total body irradiation (TBI) as part of their preparative regimen.
Secondary outcomes
Overall Survival
Incidence of survival
Treatment related mortality
Incidence of treatment related mortality
Treatment related mortality
Incidence of treatment related mortality
Secondary malignancies
Cumulative incidence of secondary malignancies
Sponsors and contacts
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