High Dose Chemotherapy and Autologous Stem Cell Rescue for Primary Amyloidosis
High Dose Chemotherapy and Autologous Stem Cell Rescue for Primary Amyloidosis
To evaluate the role of high dose therapy and autologous hematopoietic cell transplant for amyloidosis.
To learn about the use of high dose chemotherapy followed by transplantation using peripheral blood stem cells.
Inclusion Criteria:1. Primary amyloidosis
2. Age < 75 years.
3. Patients must have their pathology reviewed and the diagnosis confirmed at Stanford University Medical Center.
4. Patients who have undergone bone marrow transplantation previously will not be eligible.
5. Patients must have a Karnofsky performance status greater than 70%.
6. Patients must have a serum creatinine less than 2 mg/dl or creatinine clearance greater than 30 ml/min, bilirubin less than 2 mg/dl, transaminases less than two times normal, left ventricular ejection fraction >45% on echocardiography, cardiac index > 1.8 liters/min/m^2 and pulmonary function tests demonstrating FEV1 and DLCO > 60%.
7. Patients must be HIV negative.
8. Pregnant or lactating women will not be eligible to participate.
9. Patients must provide signed informed consent.
10. Patients with multiple myeloma and amyloid are eligible.
Exclusion Criteria:1. prior blood or marrow transplant