Spots Global Cancer Trial Database for Chemotherapy With CD133+ Select Autologous Hematopoietic Stem Cells for Children With Solid Tumors and Lymphomas

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Trial Identification

Brief Title: Chemotherapy With CD133+ Select Autologous Hematopoietic Stem Cells for Children With Solid Tumors and Lymphomas

Official Title: Busulfan and Melphalan With Autologous Hematopoietic Stem Cell Support With Positively-Selected CD133+ Hematopoietic Cells for Children With High Risk Solid Tumors and Lymphomas

Study ID: NCT00152126

Conditions

Neuroblastoma

Central Nervous System Tumors

Lymphomas

Wilms Tumor

Interventions

Stem Cell Transplantation

Busulfan, Melphalan

Study Description

Brief Summary: Studies have provided evidence that residual microscopic malignant cells in autologous bone marrow or blood stem cell grafts can contribute to posttransplant relapse. Researchers are currently exploring different methods in an attempt to purify or "purge" the stem cell product to minimize the risk of tumor contamination. The CD133+ antigen is a protein contained on or "expressed" on numerous cells in the human body including specific hematopoietic progenitor (blood forming) cells. However, this antigen is not expressed on certain cancer cells including neuroblastoma. A technique using the investigational CliniMACS cell sorting device has been developed in an effort to filter out only those stem cells that express this CD133+ antigen in order to infuse a hematopoietic stem cell product with no tumor contamination potential. The primary objective of this study is to establish safety of treating patients with a high dose chemotherapy regimen of Busulfan and Melphalan followed by autologous CD133+ hematopoietic stem cell support. Transplants recipients are expected to achieve engraftment as defined by an absolute neutrophil count of greater than or equal to 500/mm3 for three consecutive days by day 42-post infusion. Thus, safety of the treatment plan will be evaluated in terms of failure to engraft by this specific time period.

Detailed Description: Secondary objectives for this protocol include the following: * To describe CD133+ graft content post-selection and to describe the yield and purity of CD133+ content of the graft obtained. * To describe the negative selection efficiency of this strategy by assessing the processed product for tumor specific markers, when applicable. * To characterize the proliferation of clonal progeny of CD133+ cells. * To characterize lymphocyte and hematopoietic reconstitution (including the kinetics of platelet engraftment) in these patients. * To estimate one-year disease-free and overall survival in these transplant recipients.