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Trial registered on ANZCTR
Registration number
ACTRN12606000303549
Ethics application status
Not required
Date submitted
28/06/2006
Date registered
14/07/2006
Date last updated
18/06/2021
Date data sharing statement initially provided
18/06/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of engraftment kinetics following double unit umbilical cord blood transplantation in patients with life threatening haematological malignancy in whom stem cell transplant (SCT) offers the only prospect of cure.
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Scientific title
Evaluation of engraftment kinetics following double unit umbilical cord blood transplantation in patients with life threatening haematological malignancy in whom stem cell transplant (SCT) offers the only prospect of cure.
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Secondary ID [1]
280
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Australasian Leukaemia and Lymphoma Group (ALLG): ALLG BM08
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
High risk haematological malignancy
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Condition category
Condition code
Blood
1363
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0
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Haematological diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Double Unit Cord Blood Transplantation in patients with high risk haematological malignancy in whom SCT offers the only prospect of cure.
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Intervention code [1]
1177
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Treatment: Other
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To estimate the time to neutrophil and platelet engraftment of double unit unrelated cord blood transplantation in adult patients with high risk malignancy. Specifically, to analyse the ability of a two unit cord blood transplant with Filgrastim support to achieve timely engraftment.
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Assessment method [1]
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Timepoint [1]
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Donor chimerism at days 28, 56, 100, 180, 270 and 365 will be reported for each of these time points in the form of summary statistics
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Secondary outcome [1]
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To assess chimerism
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Assessment method [1]
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Timepoint [1]
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Chimerism will be measured at days 30, 60, 90, 180, 360, 540 and 730 post-transplantation.
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Secondary outcome [2]
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Graft vs host disease (GVHD)
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Assessment method [2]
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Timepoint [2]
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GVHD will be measured at the dates of diagnosis, histopathology and therapy with response and then on days 100, 180, 365.
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Secondary outcome [3]
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Toxicity and safety
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Assessment method [3]
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Timepoint [3]
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Toxicity and safety will be measured as clinically indicated.
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Secondary outcome [4]
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Disease free survival (DFS) and overall survival (OS)
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Assessment method [4]
3278
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Timepoint [4]
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Disease free survival and overall survival will be measured at days 28, 100, 180, 365, 730 and other timepoints as clinically indicated.
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Eligibility
Key inclusion criteria
1. H\Patients with high risk haematological malignancy in whom stem cell transplant offers the only prospect of cure, but do not have either a fully matched or one-antigen mismatched related donor or an identified suitable matched unrelated donor (URD).2. ECOG performance status 0-2. 3. Satisfactory major organ function- Cardiac function as measured by either a gated blood pool scan or echocardiogram showing left ventricular ejection fraction > 40%.- Pulmonary function as measured by a DLCO ³ 50% of normal.- Renal function as measured by a calculated or actual creatinine clearance > 30 ml/min.- Hepatic function as measured by a serum bilirubin greater than or equal to 30 micromol/l and transaminases greater than or equal to 2 x ULN. 4. Absence of severe uncontrolled infection. 5. Written informed consent given by recipient.
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Minimum age
Not stated
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients with a suitable matched related or unrelated donor in whom marrow or peripheral blood stem cells can be procured within a satisfactory time period.2. Patients who are positive for hepatitis B, hepatitis C or HIV.3. Pregnant or lactating women.4. No contraindication to use of any of the study drugs, including known sensitivity to E coli derived preparations.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Other reasons/comments
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Other reasons
subject to verification
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Date of first participant enrolment
Anticipated
1/09/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Amgen Australia
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Address [1]
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115 Cotham Rd, Kew VIC 3101
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Leukaemia and Lymphoma Group
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Address
35 Elizabeth St, Richmond VIC 3121
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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nil
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Address [1]
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Country [1]
1315
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Ethics approval
Ethics application status
Not required
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Summary
Brief summary
The use of umbilical cord blood (CB) as a source of haemopoietic stem cells (HSC) for transplantation is increasing. Advantages of using CB compared to other sources of HSC include a reduction in search time and procurement, a low risk of transmission of viral disease and a reduced incidence of graft versus host disease. Delayed engraftment, due to the low cell number in CB grafts, has emerged as the limiting factor to more widespread use of CB as a source of HSC. Transplantation of multiple CB units is one approach to overcome low cell numbers and preliminary results are encouraging. In this study, patients with high risk haematological malignancy who require a HSC transplant but do not have a related or unrelated donor will receive a double unit CB transplant. The study hypothesis is that transplantation of two cord blood units is feasible and safe to administer.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Dr Ian D Lewis
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Address
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Division of Haematology
Institute of Medical and Veterinary Science
Frome Road, Adelaide, SA 5000
Ph: 08-8222 3328; Fax: 08-8222 3162
E-Mail:
[email protected]
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Country
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Australia
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Phone
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+61 0882223328
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Fax
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+61 08-8222 3162
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Ian Lewis
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Address
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Haematology/Oncology, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000
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Country
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Australia
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Phone
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08-8222 3328
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Fax
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08-8222 3328
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Ian Lewis
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Address
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Haematology/Oncology Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Country
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Australia
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Phone
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08-8222 3328
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Fax
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08-8222 3328
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
12129
Study protocol
1432-(Uploaded-01-12-2020-13-04-20)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF