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For patients with acute myeloid leukemia (AML) or myelodyspasia syndrome undergoing allo-HSCT, the conditioning regimen will be 5-day Fludarabine, 2-day Busulifan and 2-day melphalan
For patients with acute myeloid leukemia (AML) or myelodyspasia syndrome undergoing allo-HSCT, the conditioning regimen will be Fludarabine (30mg/m2, d-7 to d-3) + Busulifan 3.2mg/kg (d-7 to d-6) + melphalan 70mg/m2 (d-4 and d-3). The GVHD prophylaxis will be PT-CY (Cyclophosphamide 50mg/kg d+3 and d+4) + low-dose ATG (2.5mg/kg) on d+15.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Flu-Bu-Mel | Experimental | Fludarabine 150mg/m2 + Busulfan 3.2mg/kg 2 days + melphalan 50-70mg/m2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Flu-Bu-Mel | Drug | 5-day fludarabine + 2-day busulfan (3.2mg/kg) + 2-day melphalan (50-70mg/m2) |
|
| Measure | Description | Time Frame |
|---|---|---|
| disease-free survival (DFS) | From transplantation to documentation of death or relapse or progression | 1 year after transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival (OS) | From transplantation to documentation of death due to any causes | 1 year after transplantation |
| Relapse rate | From transplantation to documentation of relapse or progression |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jion HU | Head BMT program, Rui Jin Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Blood & Marrow Transplantation Center, RuiJin Hospital | Shanghai | 200025 | China | |||
| Shanghai No6 Hospital |
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| 1 year after transplantation |
| non-relapse mortality (NRM) | From transplantation to documentation of death not due to disease relapse or progression | 1 year after transplantation |
| acute graft versus host disease (aGVHD) | Incidence of documented grade II-IV acute GVHD | day 180 after transplantation |
| chronic graft versus host disease (cGVHD) | Incidence of documented moderate to severe chronic GVHD | 1 year after transplantation |
| relapse free survival (GRFS) | From transplantation to documentation of death, III-IV aGVHD, moderate to severe chronic GVHD and relapse | 1 year after transplantation |
| Shanghai |
| China |