Education and Training
Non-myeloablative Allogeneic Transplantation for the Treatment of Multiple Myeloma
Mixed chimerism transplantation is an approach to allogeneic transplants that attempts to decrease regimen-related toxicity by using non-myeloablative preparatory regimens; establish mixed chimerism using low dose total body irradiation along with immunosuppression using cyclosporine and mycophenolate mofetil; suppress graft-vs-host and host-vs-graft reactions to allow a mixed chimeric state to be established, encourage tolerance and prevent graft-vs-host disease (GvHD) during the mixed chimerism period and use donor lymphocyte infusions to convert the patient to a full chimera while developing a graft-vs-tumor effect.
Stanford is currently not accepting patients for this trial.
Stanford Investigator(s):
Intervention(s):
- drug: cyclophosphamide
- drug: Melphalan
- procedure: Autologous hematopoietic cell transplant (Auto-HCT)
- procedure: Allogeneic hematopoietic cell transplant (Allo-HCT)
- drug: Filgrastim
- radiation: Total body irradiation (TBI)
- procedure: Cyclosporine (CSP)
- drug: Mycophenolate Mofetil (MMF)
Eligibility
PATIENT INCLUSION CRITERIA
- Multiple myeloma, early Stage II-III or relapsed / progression after initial treatment
of Stage I disease
- Patient has HLA-identical sibling donor
- Age ≤ 70 years
- No prior therapy which would preclude the use of low-dose total body irradiation
- Pathology review and diagnosis confirmation by Stanford University Medical Center
- Karnofsky performance status (KPS) > 70%
- DLCO ≥ 60% predicted
- ALT and AST < 2 x upper limit of normal (ULN)
- Total bilirubin < 2 mg/dL
- Serum creatinine < 2.0, or 24-hour creatinine clearance ≥ 60 mL/min
- HIV-negative
- Signed informed consent document
PATIENT EXCLUSION CRITERIA
- Smoldering multiple myeloma; monoclonal gammopathy of unknown significance; or primary
amyloidosis
- Severe psychological or medical illness
- Prior allogeneic hematopoietic cell transplantation
- Pregnant or lactating
ALLOGENEIC DONOR INCLUSION CRITERIA
- Age ≥ 17
- HIV-seronegative
- Signed informed consent document
ALLOGENEIC DONOR EXCLUSION CRITERIA
- Serious medical or psychological illness
- Pregnant or lactating
- Prior malignancies within the last 5 years, except for non-melanoma skin cancers
Ages Eligible for Study
18 Years - 70 Years
Genders Eligible for Study
All
Not currently accepting new patients for this trial
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
BMT Referrals
6507230822
Not Recruiting