Treatment regimen
| Day . | Treatment . |
|---|---|
| −23 | Alemtuzumab test dose 3 mg IV* |
| −22 | Alemtuzumab 10 mg IV† |
| −21 | Alemtuzumab 15 mg IV† |
| −20 | Alemtuzumab 20 mg IV† |
| −8 | Fludarabine 30 mg/m2 IV |
| −7 | Fludarabine 30 mg/m2 IV |
| −6 | Fludarabine 30 mg/m2 IV |
| −5 | Fludarabine 30 mg/m2 IV |
| −4 | Fludarabine 30 mg/m2 IV |
| −3 | Melphalan 140 mg/m2 IV; cyclosporine or tacrolimus dosed to maintain appropriate levels through day 100, and then tapered to day 180 |
| −2 | Rest |
| −1 | Rest |
| 0 | Bone marrow infusion |
| 1 | Methotrexate 7.5 mg/m2 IV |
| 3 | Methotrexate 7.5 mg/m2 IV |
| 6 | Methotrexate 7.5 mg/m2 IV |
| 7 | Methylprednisolone 1 mg/kg per day IV through day 28, and then taper granulocyte colony-stimulating factor 5 μg/kg body weight per day IV until absolute neutrophil count is ≥0.5 × 109/L for 3 consecutive days |
| Day . | Treatment . |
|---|---|
| −23 | Alemtuzumab test dose 3 mg IV* |
| −22 | Alemtuzumab 10 mg IV† |
| −21 | Alemtuzumab 15 mg IV† |
| −20 | Alemtuzumab 20 mg IV† |
| −8 | Fludarabine 30 mg/m2 IV |
| −7 | Fludarabine 30 mg/m2 IV |
| −6 | Fludarabine 30 mg/m2 IV |
| −5 | Fludarabine 30 mg/m2 IV |
| −4 | Fludarabine 30 mg/m2 IV |
| −3 | Melphalan 140 mg/m2 IV; cyclosporine or tacrolimus dosed to maintain appropriate levels through day 100, and then tapered to day 180 |
| −2 | Rest |
| −1 | Rest |
| 0 | Bone marrow infusion |
| 1 | Methotrexate 7.5 mg/m2 IV |
| 3 | Methotrexate 7.5 mg/m2 IV |
| 6 | Methotrexate 7.5 mg/m2 IV |
| 7 | Methylprednisolone 1 mg/kg per day IV through day 28, and then taper granulocyte colony-stimulating factor 5 μg/kg body weight per day IV until absolute neutrophil count is ≥0.5 × 109/L for 3 consecutive days |