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Fludarabine Phosphate, Low-Dose Total-Body Irradiation, and Donor Stem Cell Transplant Followed by Cyclosporine, Mycophenolate Mofetil, Donor Lymphocyte Infusion in Treating Patients With Hematopoietic Cancer


ABSTRACT: This clinical trial studies fludarabine phosphate, low-dose total-body irradiation, and donor stem cell transplant followed by cyclosporine, mycophenolate mofetil, and donor lymphocyte infusion in treating patients with hematopoietic cancer. Giving low doses of chemotherapy, such as fludarabine phosphate, and total body irradiation (TBI) before a donor peripheral blood stem cell transplant helps stop the growth of cancer cells. It may also keep the patient’s immune response from rejecting the donor’s stem cells. The donated stem cells may replace the patient’s immune cells and help destroy any remaining cancer cells (graft-versus-tumor effect). Giving an infusion of the donor’s T cells (donor lymphocyte infusion) after the transplant may help increase this effect. Sometimes the transplanted cells from a donor can also make an immune response against the body’s normal cells. Giving cyclosporine and mycophenolate mofetil after the transplant may stop this from happening.

DISEASE(S): Recurrent Childhood Small Noncleaved Cell Lymphoma,Lymphoma, Large-cell, Immunoblastic,Lymphoproliferative Disorders,Recurrent Childhood Anaplastic Large Cell Lymphoma,Childhood Burkitt Lymphoma,Recurrent Grade 1 Follicular Lymphoma,Myelodysplastic/myeloproliferative Neoplasm, Unclassifiable,Leukemia, Hairy Cell,Childhood Immunoblastic Large Cell Lymphoma,Refractory Chronic Lymphocytic Leukemia,Mycosis Fungoides,Previously Treated Myelodysplastic Syndromes,Recurrent Adult Burkitt Lymphoma,Immunoglobulin Light-chain Amyloidosis,Leukemia, T-cell,Lymphomatoid Granulomatosis,Leukemia, Myelomonocytic, Acute,De Novo Myelodysplastic Syndromes,Lymphoma, T-cell, Peripheral,Preleukemia,Lymphoma, B-cell, Marginal Zone,Nodal Marginal Zone B-cell Lymphoma,Childhood Diffuse Large Cell Lymphoma,Recurrent Small Lymphocytic Lymphoma,Lymphoma, T-cell, Cutaneous,Lymphoma, Follicular,Waldenstrom Macroglobulinemia,Recurrent Mantle Cell Lymphoma,Recurrent Childhood Acute Lymphoblastic Leukemia,Leukemia,Hodgkin Disease,Recurrent Adult Hodgkin Lymphoma,Mycoses,Childhood Grade Iii Lymphomatoid Granulomatosis,Recurrent Adult Lymphoblastic Lymphoma,Recurrent Childhood Large Cell Lymphoma,Leukemia, Myeloid, Acute,Leukemia, Myelomonocytic, Chronic,Stage Ii Multiple Myeloma,Leukemia, Large Granular Lymphocytic,Testicular Lymphoma,Lymphoma, T-cell,Myelodysplastic Syndromes,Leukemia, Myelomonocytic, Juvenile,Recurrent Adult Acute Myeloid Leukemia,Leukemia, Myeloid,Immunoblastic Lymphadenopathy,Stage Iii Multiple Myeloma,Refractory Multiple Myeloma,Recurrent Adult Diffuse Mixed Cell Lymphoma,Myeloid/nk-cell Acute Leukemia,Recurrent Adult T-cell Leukemia/lymphoma,Lymphoma, Non-hodgkin,Recurrent Adult Diffuse Large Cell Lymphoma,Lymphoma, B-cell,Extranodal Marginal Zone B-cell Lymphoma Of Mucosa-associated Lymphoid Tissue,Lymphoma, Large B-cell, Diffuse,Myeloproliferative Disorders,Myelodysplastic-myeloproliferative Diseases,Small Intestine Lymphoma,Refractory Hairy Cell Leukemia,Sezary Syndrome,T-cell Large Granular Lymphocyte Leukemia,Adult Nasal Type Extranodal Nk/t-cell Lymphoma,Splenic Marginal Zone Lymphoma,Carcinoma, Renal Cell,Lymphoma, Mantle-cell,Leukemia-lymphoma, Adult T-cell,Recurrent Adult Immunoblastic Large Cell Lymphoma,Recurrent Childhood Acute Myeloid Leukemia,Multiple Myeloma,Juvenile Myelomonocytic Leukemia,Leukemia, Mast-cell,Recurrent Childhood Lymphoblastic Lymphoma,Lymphoma, Extranodal Nk-t-cell,Plasmablastic Lymphoma,Burkitt Lymphoma,Chronic Myelomonocytic Leukemia,Recurrent Adult Diffuse Small Cleaved Cell Lymphoma,Acute Undifferentiated Leukemia,Post-transplant Lymphoproliferative Disorder,Recurrent Marginal Zone Lymphoma,Recurrent Adult Grade Iii Lymphomatoid Granulomatosis,Leukemia, Lymphocytic, Chronic, B-cell,Intraocular Lymphoma,Neoplasms, Plasma Cell,Recurrent Adult Acute Lymphoblastic Leukemia,Recurrent Grade 3 Follicular Lymphoma,Recurrent Renal Cell Cancer,Waldenström Macroglobulinemia,Recurrent Childhood Grade Iii Lymphomatoid Granulomatosis,Noncutaneous Extranodal Lymphoma,Angioimmunoblastic T-cell Lymphoma,Lymphoma, Large-cell, Anaplastic,Hepatosplenic T-cell Lymphoma,Leukemia, Lymphoid,Precursor Cell Lymphoblastic Leukemia-lymphoma,Recurrent Cutaneous T-cell Non-hodgkin Lymphoma,Lymphoma,Childhood Nasal Type Extranodal Nk/t-cell Lymphoma,Recurrent Mycosis Fungoides/sezary Syndrome,Childhood Myelodysplastic Syndromes,Anaplastic Large Cell Lymphoma,Primary Systemic Amyloidosis,Recurrent Grade 2 Follicular Lymphoma,Peripheral T-cell Lymphoma,Amyloidosis,Mast Cell Leukemia,Recurrent/refractory Childhood Hodgkin Lymphoma,Cutaneous B-cell Non-hodgkin Lymphoma

PROVIDER: 2005296 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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