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Tacrolimus and Mycophenolate Mofetil in Preventing Graft-Versus-Host Disease in Patients Who Have Undergone Total-Body Irradiation With or Without Fludarabine Phosphate Followed by Donor Peripheral Blood Stem Cell Transplant for Hematologic Cancer


ABSTRACT: This phase II trial studies how well tacrolimus and mycophenolate mofetil works in preventing graft-versus-host disease in patients who have undergone total-body irradiation (TBI) with or without fludarabine phosphate followed by donor peripheral blood stem cell transplant for hematologic cancer. Giving low doses of chemotherapy, such as fludarabine phosphate, and TBI before a donor peripheral blood stem cell transplant helps stop the growth of cancer cells. It also stops the patient’s immune system from rejecting the donor’s stem cells. The donated stem cells may replace the patient’s immune system and help destroy any remaining cancer cells (graft-versus-tumor effect). Sometimes the transplanted cells from a donor can also make an immune response against the body’s normal cells. Giving tacrolimus and mycophenolate mofetil after the transplant may stop this from happening.

DISEASE(S): Recurrent Childhood Small Noncleaved Cell Lymphoma,Stage Iiib Mycosis Fungoides/sezary Syndrome,Essential Thrombocythemia,Stage Ib Mycosis Fungoides/sezary Syndrome,Stage Iv Adult Diffuse Mixed Cell Lymphoma,Childhood Burkitt Lymphoma,Stage Iv Adult Immunoblastic Large Cell Lymphoma,Stage Ivb Mycosis Fungoides/sezary Syndrome,Mycosis Fungoides,Stage Iv Adult Lymphoblastic Lymphoma,Stage Iii Adult Burkitt Lymphoma,Previously Treated Myelodysplastic Syndromes,Lymphomatoid Granulomatosis,Lymphoma, T-cell, Peripheral,Stage Iv Childhood Anaplastic Large Cell Lymphoma,Stage I Adult Immunoblastic Large Cell Lymphoma,Noncontiguous Stage Ii Grade 3 Follicular Lymphoma,Adult Acute Myeloid Leukemia With Inv(16)(p13;q22),Adult Acute Myeloid Leukemia With Del(5q),Stage Iv Adult Burkitt Lymphoma,Waldenstrom Macroglobulinemia,Stage I Childhood Anaplastic Large Cell Lymphoma,Recurrent Mantle Cell Lymphoma,Relapsing Chronic Myelogenous Leukemia,Recurrent Childhood Acute Lymphoblastic Leukemia,Chronic Phase Chronic Myelogenous Leukemia,Recurrent Adult Hodgkin Lymphoma,Contiguous Stage Ii Adult Diffuse Large Cell Lymphoma,Recurrent Childhood Large Cell Lymphoma,Stage Ii Multiple Myeloma,Stage Iib Mycosis Fungoides/sezary Syndrome,Contiguous Stage Ii Grade 2 Follicular Lymphoma,Untreated Adult Acute Myeloid Leukemia,Blast Crisis,Noncontiguous Stage Ii Adult Diffuse Mixed Cell Lymphoma,Recurrent Adult Acute Myeloid Leukemia,Immunoblastic Lymphadenopathy,Stage Ii Childhood Large Cell Lymphoma,Refractory Multiple Myeloma,Noncontiguous Stage Ii Small Lymphocytic Lymphoma,Stage Iii Childhood Small Noncleaved Cell Lymphoma,Stage Iv Grade 2 Follicular Lymphoma,Contiguous Stage Ii Small Lymphocytic Lymphoma,Stage Iv Cutaneous T-cell Non-hodgkin Lymphoma,Noncontiguous Stage Ii Adult Diffuse Large Cell Lymphoma,Stage I Grade 2 Follicular Lymphoma,Lymphoma, B-cell,Stage I Chronic Lymphocytic Leukemia,Stage Iii Chronic Lymphocytic Leukemia,Contiguous Stage Ii Adult Lymphoblastic Lymphoma,Stage Iv Adult T-cell Leukemia/lymphoma,Contiguous Stage Ii Adult Immunoblastic Large Cell Lymphoma,Leukemia, Myeloid, Chronic-phase,Noncontiguous Stage Ii Adult Immunoblastic Large Cell Lymphoma,Refractory Hairy Cell Leukemia,Sezary Syndrome,Stage Ii Childhood Small Noncleaved Cell Lymphoma,Adult Nasal Type Extranodal Nk/t-cell Lymphoma,Stage Iii Childhood Anaplastic Large Cell Lymphoma,Untreated Adult Acute Lymphoblastic Leukemia,Splenic Marginal Zone Lymphoma,Stage I Childhood Lymphoblastic Lymphoma,Noncontiguous Stage Ii Adult Burkitt Lymphoma,Leukemia-lymphoma, Adult T-cell,Stage Iii Adult Diffuse Small Cleaved Cell Lymphoma,Recurrent Childhood Acute Myeloid Leukemia,Stage Iv Mantle Cell Lymphoma,Multiple Myeloma,Stage I Adult Diffuse Mixed Cell Lymphoma,Lymphoma, Extranodal Nk-t-cell,Untreated Childhood Acute Myeloid Leukemia And Other Myeloid Malignancies,Stage Iii Childhood Lymphoblastic Lymphoma,Stage I Mantle Cell Lymphoma,Recurrent Adult Diffuse Small Cleaved Cell Lymphoma,Stage Iii Grade 1 Follicular Lymphoma,Adult Acute Myeloid Leukemia With T(8;21)(q22;q22),Stage Iii Adult Diffuse Mixed Cell Lymphoma,Adult Acute Myeloid Leukemia With 11q23 (mll) Abnormalities,Recurrent Marginal Zone Lymphoma,Stage I Adult Lymphoblastic Lymphoma,Neoplasms, Plasma Cell,Recurrent Adult Acute Lymphoblastic Leukemia,Stage Iii Grade 2 Follicular Lymphoma,Waldenström Macroglobulinemia,Recurrent Childhood Grade Iii Lymphomatoid Granulomatosis,Angioimmunoblastic T-cell Lymphoma,Polycythemia,Lymphoma, Large-cell, Anaplastic,Stage Iii Mantle Cell Lymphoma,Noncontiguous Stage Ii Grade 2 Follicular Lymphoma,Stage Iii Grade 3 Follicular Lymphoma,Adult Acute Myeloid Leukemia With T(16;16)(p13;q22),Stage Iv Adult Diffuse Small Cleaved Cell Lymphoma,Leukemia, Prolymphocytic,Noncontiguous Stage Ii Grade 1 Follicular Lymphoma,Noncontiguous Stage Ii Adult Lymphoblastic Lymphoma,Lymphoma,Childhood Nasal Type Extranodal Nk/t-cell Lymphoma,Recurrent Mycosis Fungoides/sezary Syndrome,Childhood Myelodysplastic Syndromes,Recurrent/refractory Childhood Hodgkin Lymphoma,Cutaneous B-cell Non-hodgkin Lymphoma,Stage I Adult Burkitt Lymphoma,Blastic Phase Chronic Myelogenous Leukemia,Lymphoma, Large-cell, Immunoblastic,Lymphoproliferative Disorders,Stage I Adult Diffuse Small Cleaved Cell Lymphoma,Recurrent Childhood Anaplastic Large Cell Lymphoma,Stage Iva Mycosis Fungoides/sezary Syndrome,Neoplasms,Recurrent Grade 1 Follicular Lymphoma,Stage I Small Lymphocytic Lymphoma,Stage Iv Chronic Lymphocytic Leukemia,Contiguous Stage Ii Adult Diffuse Small Cleaved Cell Lymphoma,Contiguous Stage Ii Marginal Zone Lymphoma,Leukemia, Hairy Cell,Stage I Childhood Large Cell Lymphoma,Childhood Immunoblastic Large Cell Lymphoma,Refractory Chronic Lymphocytic Leukemia,Stage I Grade 1 Follicular Lymphoma,Stage Ii Cutaneous T-cell Non-hodgkin Lymphoma,Stage I Childhood Small Noncleaved Cell Lymphoma,Recurrent Adult Burkitt Lymphoma,Leukemia, T-cell,De Novo Myelodysplastic Syndromes,Stage Iv Childhood Small Noncleaved Cell Lymphoma,Preleukemia,Lymphoma, B-cell, Marginal Zone,Stage Iiia Mycosis Fungoides/sezary Syndrome,Leukemia, Myelogenous, Chronic, Bcr-abl Positive,Thrombocythemia, Essential,Stage Iv Childhood Large Cell Lymphoma,Nodal Marginal Zone B-cell Lymphoma,Recurrent Small Lymphocytic Lymphoma,Childhood Diffuse Large Cell Lymphoma,Lymphoma, T-cell, Cutaneous,Contiguous Stage Ii Grade 3 Follicular Lymphoma,Stage I Adult Diffuse Large Cell Lymphoma,Stage Iii Adult T-cell Leukemia/lymphoma,Lymphoma, Follicular,Stage Iii Adult Diffuse Large Cell Lymphoma,Leukemia, Myeloid, Accelerated Phase,Stage Iii Cutaneous T-cell Non-hodgkin Lymphoma,Stage Ii Chronic Lymphocytic Leukemia,Stage Iii Childhood Large Cell Lymphoma,Childhood Chronic Myelogenous Leukemia,Contiguous Stage Ii Grade 1 Follicular Lymphoma,Leukemia,Hodgkin Disease,Mycoses,Recurrent Adult Lymphoblastic Lymphoma,Leukemia, Myeloid, Acute,Testicular Lymphoma,Stage I Grade 3 Follicular Lymphoma,Noncontiguous Stage Ii Mantle Cell Lymphoma,Contiguous Stage Ii Adult Diffuse Mixed Cell Lymphoma,Stage Iv Childhood Lymphoblastic Lymphoma,Lymphoma, T-cell,Myelodysplastic Syndromes,Stage Iv Grade 3 Follicular Lymphoma,Leukemia, Myeloid,Noncontiguous Stage Ii Marginal Zone Lymphoma,Stage Iii Multiple Myeloma,Untreated Childhood Acute Lymphoblastic Leukemia,Stage Ia Mycosis Fungoides/sezary Syndrome,Recurrent Adult Diffuse Mixed Cell Lymphoma,Recurrent Adult T-cell Leukemia/lymphoma,Contiguous Stage Ii Mantle Cell Lymphoma,Childhood Acute Lymphoblastic Leukemia In Remission,Lymphoma, Non-hodgkin,Recurrent Adult Diffuse Large Cell Lymphoma,Stage Ii Childhood Anaplastic Large Cell Lymphoma,Stage I Adult T-cell Leukemia/lymphoma,Extranodal Marginal Zone B-cell Lymphoma Of Mucosa-associated Lymphoid Tissue,Lymphoma, Large B-cell, Diffuse,Stage Iv Adult Diffuse Large Cell Lymphoma,Small Intestine Lymphoma,Childhood Acute Myeloid Leukemia In Remission,Stage I Marginal Zone Lymphoma,Lymphoma, Mantle-cell,Polycythemia Vera,Adult Acute Myeloid Leukemia In Remission,Recurrent Adult Immunoblastic Large Cell Lymphoma,Stage Iv Grade 1 Follicular Lymphoma,Recurrent Childhood Lymphoblastic Lymphoma,Contiguous Stage Ii Adult Burkitt Lymphoma,Plasmablastic Lymphoma,Stage Ii Adult T-cell Leukemia/lymphoma,Stage I Cutaneous T-cell Non-hodgkin Lymphoma,Burkitt Lymphoma,Stage Iii Adult Immunoblastic Large Cell Lymphoma,Post-transplant Lymphoproliferative Disorder,Stage I Multiple Myeloma,Stage Iii Marginal Zone Lymphoma,Stage Ii Childhood Lymphoblastic Lymphoma,Recurrent Adult Grade Iii Lymphomatoid Granulomatosis,Intraocular Lymphoma,Leukemia, Lymphocytic, Chronic, B-cell,Noncontiguous Stage Ii Adult Diffuse Small Cleaved Cell Lymphoma,Recurrent Grade 3 Follicular Lymphoma,Primary Myelofibrosis,Accelerated Phase Chronic Myelogenous Leukemia,Adult Acute Lymphoblastic Leukemia In Remission,Noncutaneous Extranodal Lymphoma,Stage Iv Marginal Zone Lymphoma,Thrombocytosis,Hepatosplenic T-cell Lymphoma,Leukemia, Lymphoid,Prolymphocytic Leukemia,Precursor Cell Lymphoblastic Leukemia-lymphoma,Recurrent Cutaneous T-cell Non-hodgkin Lymphoma,Stage Iv Small Lymphocytic Lymphoma,Anaplastic Large Cell Lymphoma,Recurrent Grade 2 Follicular Lymphoma,Stage Iii Small Lymphocytic Lymphoma,Peripheral T-cell Lymphoma,Adult Acute Myeloid Leukemia With T(15;17)(q22;q12),Stage Iii Adult Lymphoblastic Lymphoma,Stage Iia Mycosis Fungoides/sezary Syndrome

PROVIDER: 2011224 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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2020-02-18 | GSE145408 | GEO