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Interferon-α After DLI for the Prevention of Relapse

Phase 1
Conditions
Leukemia
Interventions
Other: Interferon Alfa-2b
Registration Number
NCT02568241
Lead Sponsor
Peking University People's Hospital
Brief Summary

This study aimed to evaluate the efficacy of interferon α after prophylactic donor lymphocyte infusion (DLI) among high-risk acute leukemia patients undergone unmanipulated blood and marrow transplantation. Hematopoietic stem cell transplantation (HSCT) is an effective treatment option for high-risk acute leukemia (AL). However, post-transplant relapse can occur in some patients, and the prognosis of these patients is usually very poor.Prophylactic DLI can decrease the risk of relapse of high-risk AL patients. Interferon α-2b exerts a relatively strong immunomodulatory effect. It can kill AL cells by regulating T-cell and/or natural killer cell functions.Consequently, interferon α-2b may have potential value for high-risk AL patients after transplantation. The study hypothesis: Using interferon α-2b after prophylactic DLI following hematopoietic stem cell transplantation in patients with high-risk AL can further reduce relapse rate and improve leukemia-free survival.

Detailed Description

High risk acute leukemia patients (except t(9;22)(q34; q11) cytogenetic abnormalities.) received interferon α-2b after prophylactic DLI at day 30-60 after unmanipulated blood and marrow transplantation. The end points were safety, leukemia-free survival, and immunologic response. Following time is 12 months.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
42
Inclusion Criteria
  • Patients who had high-risk acute leukemia after hematopoietic stem cell transplantation
Exclusion Criteria
  • Patients with t(9;22)(q34; q11) cytogenetic abnormalities;active graft-versus-host disease; active infection; organ failure, or relapse

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
interferon Alfa-2bInterferon Alfa-2bHigh-risk acute leukemia patients after hematopoietic stem cell transplantation receive interferon Alfa-2b after prophylactic DLI
Primary Outcome Measures
NameTimeMethod
Leukemia free survivalParticipants will be followed for an expected average of 3 years

Number of participants survived without leukemia at three years

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Peking University Institute of Hematology,Beijing

🇨🇳

Beijing, Beijing, China

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