Softer chemo before stem cell transplant aims to save more blood cancer patients
NCT ID NCT00841724
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Researchers test a gentler conditioning regimen before allogeneic stem cell transplantation in adults with blood cancers. The goal is to see if this reduced-toxicity approach lowers the risk of death within the first year after transplant. Participants receive fludarabine, busulfan, and thymoglobuline before receiving donor stem cells. The trial also tracks complications and overall survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A gentler chemotherapy and antibody combination (fludarabine, busulfan, and thymoglobuline) given before donor stem cell transplant
- What this could lead to
- If it works, this gentler preparation could make donor stem cell transplants safer and more tolerable for adults with blood cancers, potentially extending the option to those who cannot handle standard high-dose treatment.
- What could go wrong
- This is a Phase 2 trial with 82 participants, so results may not hold in larger studies. The regimen still carries risks of infection, graft-versus-host disease, and the transplant may fail to cure the cancer.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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82 people
The number who actually took part.
- Start date
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Jan 2009
- Finished
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Jan 2012
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients affiliated to a social security reimbursement system * Adults (men or women) aged between 18 and 65 years * Negative test for pregnancy * ECOG 0-1 or Karnofsky Index ≥ 70% * Availability of an HLA-identical sibling donor, or an HLA-matched unrelated donor (10/10 HLA compatibility in A, B, C, DRB1, DQB1 (a single allelic mismatch at the level of Cw can be accepted) * Life expectancy \> 6 months * Signed informed consent * Diagnosis of an hematological malignancy that is considered to be eligible for an allogeneic stem cell transplantation Exclusion Criteria: * Pregnant woman or not willing to take effective contraception * Classical contra-indications to the allogeneic stem cell transplantation procedure * Any contra-indication to the use of the drugs contained within the conditioning regimen according to the summary of product characteristics * Patients aged \< 50 years and deemed to be eligible for a "standard" or conventional myeloablative conditioning regimen * An HLA-matched sibling donor who has a contra-indication for stem cell mobilization and collection * History of uncontrolled psychiatric condition * Patients who have participated to another trial testing an experimental drug within one month prior to inclusion in this protocol.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CHU de Bordeaux
Pessac, 33604, France
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CHU de Nantes
Nantes, 44093, France
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Institut Paoli Calmettes
Marseille, 13273, France
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