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临床试验/EUCTR2019-004883-23-FR
EUCTR2019-004883-23-FR进行中(未招募)1 期

A phase I/II Study evaluating the safety and the efficacy of Human T Lymphoid Progenitor (HTLP) injection to accelerate immune reconstitution after umbilical cord blood (UCB) transplantation in adult patients with hematologic malignancies - HTLP-onco-adult

APHP0 个研究点开始时间: 2021年1月27日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
APHP

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Adults (=18 and <55 years old) at the time of inclusion
  • High risk AML in CR1 (with t(6;9), t(v; 11q23), t(9;22), Inv(3), t(3;3), abnormalities of 3q, monosomy 5, 7, 17, complex caryotype, monosomal caryotype, FLT3-ITD (Ratio =O.5) without NPM1 mutations)
  • AML with any adverse genetic abnormality, secondary or therapy related AML excluding good risk genetic abnormalities, or any poor risk feature
  • MRD+ patients after first line chemotherapy
  • Relapsed AML in CR2
  • Absence of a matched – related sibling donor (MSD) or a matched unrelated donor (MUD) 10/10
  • SORROR score = 3
  • Presence of two UCB units with the following criteria*: HLA- matched 6/8, 7/8 or 8/8 for HLA- A, -B, and DRB1 locus, no mismatch at HLA- C locus
  • Presence of at least one UCB unit with the following criteria*: = 3 x 107 TNC/kg and = 1.5 105 CD34+/kg pre- freezing AND HLA- matched 6/8, 7/8 or 8/8 for HLA- A, -B, and DRB1 locus, no mismatch at HLA- C locus
  • * For the UCB taken into HTLP culture, the UCB with fewer CD34+ cells number will be chosen, as expansion during HTLP culture has been proven to ensure the appropriate number of CD7+ needed for each dose.
  • The non- cultured UCB will be chosen to have a higher CD34+ cell content in order to enable long- term hematopoietic engraftment
  • No prior therapy with allogeneic stem cell transplantation
  • No treatment with another investigational drug within one month before inclusion
  • Patient affiliated to social security
  • Written, informed consent of the patient
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 10
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Active disease at the time of transplantation
  • Previous allogeneic stem cell transplantation
  • Any of the standard contraindications to allogeneic transplant
  • ?Left ventricular ejection fraction <50%
  • ?Abnormal biochemistry results (ALT/AST>10xULN, total bilirubin>2.5xULN, creatinin clearance <60ml/min)
  • ?Lung: DLCO < 50%
  • Inability to understand and provide informed consent
  • Concomitant infectious disease: HTLV-I, HIV-I or HIV-II
  • Pregnancy or breastfeeding for women of childbearing potential

研究者

发起方
APHP

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