Thiotepa-Containing Conditioning Regimen for Allogeneic HSCT in Chronic Myelomonocytic Leukemia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University People's Hospital

About this trial

This is a prospective, single-arm clinical study. It aims to evaluate the effectiveness and safety of a conditioning regimen containing thiotepa (in combination with busulfan and fludarabine, with or without ATG) of allogeneic hematopoietic stem cell transplantation (allo-HSCT) in patients with chronic myelomonocytic leukemia (CMML) who have an intermediate-2 or high-risk prognosis.

The main goal is to evaluate 1 year RFS and OS. Other goals include assessing engraftment, overall survival, transplant-related complications, and side effects. A total of 31 participants will be enrolled.

Eligibility criteria

Qualifiers

Age ≥ 18 years, any sex/gender.

Confirmed diagnosis of chronic myelomonocytic leukemia (CMML) according to the 2022 WHO classification.

Intermediate-2 or high-risk CMML based on CPSS or CPSS-mol score, and planned to receive allo-HSCT.

For haploidentical donor: at least 5/10 HLA match at HLA-A, -B, -C, -DQB1, and -DRB1.

Disqualifiers

Previous allogeneic HSCT for CMML that later relapsed.

Unwilling or unable to receive the study treatment regimen.

Active hepatitis B or C, or chronic active hepatitis; known human immunodeficiency virus (HIV) infection.

Active uncontrolled infection, including: hemodynamic instability related to infection, new or worsening signs/symptoms of infection, new infection lesions on imaging, or persistent fever without explanation despite no symptoms/signs.

Trial design

Treatments tested in this trial

  • TBF regimen

Treatment groups

31 Participants
are divided into 1 treatment group