Reduced intensity transplant protocol for hematologic malignancies

A Phase II Trial of Reduced Intensity Fludarabine and Total Body Irradiation-Based Conditioning Prior to Haplo-Identical Transplantation for Patients With Hematologic Malignancies

Northside Hospital, Inc. · NCT05417971

This study is testing a gentler transplant method using a specific combination of medications and radiation to see if it helps patients with blood cancers who have a matched donor.

Quick facts

Study typeObservational
Enrollment20 (estimated)
Ages18 Years and up
SexAll
SponsorNorthside Hospital, Inc. (other)
Drugs / interventionsfludarabine
Locations1 site (Atlanta, Georgia)
Trial IDNCT05417971 on ClinicalTrials.gov

What this trial studies

This trial evaluates the safety and efficacy of a reduced intensity conditioning protocol using fludarabine and intermediate-dose total body irradiation (TBI) prior to haplo-identical transplantation. The study focuses on patients with hematologic malignancies who have a matched related donor willing to provide peripheral blood stem cells. The approach aims to assess the outcomes of this transplant method in patients at high risk of relapse following non-myeloablative conditioning. The trial will monitor patient responses and potential complications associated with the treatment.

Who should consider this trial

Good fit: Ideal candidates are patients with hematologic malignancies requiring allogeneic transplantation and having a suitable matched related donor.

Not a fit: Patients with significant comorbidities or those who do not have a matched donor may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could improve transplant outcomes and reduce relapse rates in patients with hematologic malignancies.

How similar studies have performed: Other studies have shown promise with reduced intensity conditioning protocols, indicating potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Availability of 3/6 - 5/6 matched related donor with a negative HLA-cross match in the host vs. graft direction willing to donate peripheral blood stem cells
* KPS \>/= 70%
* Hematologic malignancy requiring allogeneic transplantation, with a predicted high risk of relapse following non-myeloablative, low intensity conditioning.

Exclusion Criteria:

* Poor cardiac function (LVEF \<45%)
* Poor pulmonary function (FEV, FVC, DLCO \<60%)
* Poor liver function (bilirubin \>/= 2.5mg/dL; AST or ALT \>3xULN)
* Poor renal function (creatinine clearance \<40mL/min)
* HIV-positive; active HepB or HepC
* Uncontrolled infection
* Pregnant female or not able to practice adequate contraception
* Debilitating medical or psychiatric illness which would preclude their giving informed consent

Where this trial is running

Atlanta, Georgia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Hematologic Malignancy

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.