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Alternate Title Phase I/II Study of Autologous Peripheral Blood Stem Cell Transplantation Followed by Nonmyeloablative Allogeneic PBSC Transplantation in Patients With Refractory or Relapsed Lymphoma
Trial Description Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with autologous or syngeneic and allogeneic peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs to kill more tumor cells. This phase I/II trial is studying the side effects of autologous peripheral stem cell transplantation followed by allogeneic peripheral stem cell transplantation and to see how well they work in treating patients with refractory or relapsed lymphoma. Eligibility criteria include the following:
Final eligibility for a clinical trial is determined by the health professionals conducting the trial. Peripheral stem cells will be collected. Patients will receive chemotherapy once or twice a day for 2-6 days. Some patients will also receive total-body irradiation twice a day for 3 days. Peripheral stem cells will then be reinfused. Within 40-120 days, patients will receive cyclosporine by mouth twice a day for 60 days or 104 days plus total-body irradiation and infusion of donor stem cells on day 4. Some patients will receive an infusion of fludarabine on days 3-5. They will receive mycophenolate mofetil by mouth twice a day for up to 28 days or 96 days. Patients may receive an infusion of donor white blood cells every 65 days for up to four doses. Patients will be evaluated once a week for 3 months, at 4 and 6 months, every 6 months for 2 years, and then once a year until 5 years after transplantation. Important: For more details about this trial, refer to the Health Professional version of the trial summary. If you are interested in participating in a clinical trial, contact your doctor for a referral or call a trial contact person listed below. You may see the same contact person listed at more than one site, however, if you call the number listed you can ask to speak to the study coordinator or person involved with the specific trial you are interested in. If you have questions about cancer or clinical trials, call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237). General information about clinical trials, including risks, benefits, and costs, can be found on NCI's Web site. Trial Lead Organizations Fred Hutchinson Cancer Research Center
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