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| Name | Class |
|---|---|
| Gilead Sciences | INDUSTRY |
| Institut Cancerologie de l'Ouest | OTHER |
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Determination of the maximum tolerated dose (MTD) of fractionated RIT with epratuzumab radiolabeled with yttrium-90 (90Y-epratuzumab) preceding a reduced conditioning regimen FB2A2 before allogeneic stem cell transplantation.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 90Y-DOTA-Epratuzumab IgG/Epratuzumab IgG | Drug | 2 injections of 90Y-DOTA- hLL2 IgG- hLL2 IgG at day -21 and day -14. (The 2 drugs are mixted in the same infusion) |
| |
| Busulfan | Drug | Between the last injection of 90Y-DOTA- hLL2 IgG/hLL2 IgG (J-14) and the allogeneic stem cell transplantation | ||
| allogeneic stem cell transplantation. | Biological | At Day 0 | ||
| Fludarabine | Drug | Between the last injection of 90Y-DOTA- hLL2 IgG/hLL2 IgG (J-14) and the allogeneic stem cell transplantation | ||
| Thymoglobulines | Biological | Between the last injection of 90Y-DOTA- hLL2 IgG/hLL2 IgG (J-14) and the allogeneic stem cell transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of the maximum tolerated dose (MTD) | Patient toxicity will be evaluated according to NTCAE V4 criteria. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | Month 12 | |
| Disease free survival at one year post-transplant | Month 12 | |
| Incidence of relapse at 1 year post-transplant |
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Inclusion Criteria:
Exclusion Criteria:
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| Month 12 |
| Non relapse mortality at day 100 post-transplant | Day 100 |
| Non relapse mortality at one year post-transplant | Month 12 |
| Hematologic reconstitutions post-transplant | Biological follow-up | Month 3 |
| Immune reconstitutions post-transplant | Biological follow-up | Month 3 |
| Incidence of acute and chronic GVHD | Month 3 and 12 |
| Chimerism post-transplant | Blood sample and/or bone marrow analysis by molecular biology | Month 3 |
| Residual disease post-transplant | by flow cytometry analysis | Month 3 and Month 12 |
| Toxicity of RIT | biological follow up and physical examination | Week 6 and Month 12 |
| Tolerance of RIT | biological follow up and physical examination | Week 6 and Month 12 |
| Immunization analysis : detection of antibody anti epratuzumab | By ELISA assay | Month 12 |
| 90Y-DOTA-Epratuzumab blood pharmacokinetics | Detection of the radioactivity within the patient's blood samples | Month 2 |
| Dosage of FLT3-ligand in plasma and correlation with efficacy and toxicity of RIT | by biological assay | Month 12 |
| ID | Term |
|---|---|
| D002066 | Busulfan |
| C024352 | fludarabine |
| ID | Term |
|---|---|
| D002072 | Butylene Glycols |
| D006018 | Glycols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D008698 | Mesylates |
| D000476 | Alkanesulfonates |
| D017738 | Alkanesulfonic Acids |
| D000473 | Alkanes |
| D006839 | Hydrocarbons, Acyclic |
| D006838 | Hydrocarbons |
| D013451 | Sulfonic Acids |
| D013456 | Sulfur Acids |
| D013457 | Sulfur Compounds |
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