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New combo therapy aims to beat relapsed blood cancers

NCT ID NCT04375631

First seen Mar 16, 2026 · Last updated Jun 23, 2026 · Updated 17 times

Summary

This phase 1 trial tests giving a powerful chemotherapy combination (CLAG-M or FLAG-Ida) immediately followed by a reduced-intensity stem cell transplant for adults with myeloid cancers that have come back or not responded to treatment. The goal is to find the best dose of total body irradiation to safely kill cancer cells and make room for donor stem cells. Up to 120 participants will be enrolled, and researchers will monitor for graft failure, disease progression, and side effects.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Fred Hutch/University of Washington Cancer Consortium

    RECRUITING

    Seattle, Washington, 98109, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Chemotherapy (cladribine, cytarabine, filgrastim, mitoxantrone or idarubicin, fludarabine) plus total body irradiation, followed by donor stem cell transplant

What this could lead to

If successful, this approach could offer a more effective treatment option for patients with myeloid cancers that have relapsed or not responded to standard therapy.

What could go wrong

This is an early phase 1 trial, so the main goal is finding a safe dose, not proving it works. There are serious risks like graft failure, severe graft-versus-host disease, and infections.

Conditions

The condition(s) this trial relates to.

acute biphenotypic leukemia acute myeloid leukemia chronic myelomonocytic leukemia myelodysplastic syndrome Myelodysplastic Syndromes

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.