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临床试验/EUCTR2013-005508-33-IT
EUCTR2013-005508-33-IT进行中(未招募)不适用

Clinical phase II trial to compare Treosulfan-based conditioning therapy with Busulfan-based conditioning prior to allogeneic haematopoietic stem cell transplantation (HSCT) in paediatric patients with non-malignant diseases - Treosulfan-based versus Busulfan-based conditioning in paediatric patients with non-malignant diseas

medac GmbH0 个研究点目标入组 100 人开始时间: 2015年5月21日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
medac GmbH
入组人数
100

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

  • 1. Non-malignant disease indicated for first myeloablative allogeneic HSCT, including inborn errors of metabolism, primary immunodeficiencies, haemoglobinopathies and bone marrow failure syndromes.
  • 2. First allogeneic HSCT.
  • 3. Available matched sibling donor (MSD), matched family donor (MFD) or matched unrelated donor (MUD). For bone marrow (BM) and peripheral blood (PB) match is defined as at least 9/10 allele matches after four digit typing in human leucocyte antigen (HLA)-A, -B, -C, –DRB1 and DQB1 antigens. For umbilical cord blood (UCB) match is defined as at least 5/6 matches after two digit typing in HLA-A and -B and four digit typing in DRB1 antigens.
  • 4. Age at time of registration from 28 days to less than 18 years of age.
  • 5. Lansky (patients <16 years of age) or Karnofsky (patients = 16 years of age) performance score of at least 70%.
  • 6. Written informed consent of the parents/legal guardians and patient’s assent/consent according to national regulations.
  • 7. Female patients of child-bearing potential or partner of male patients with child-bearing potential must use a highly effective method of contraception (pearl index < 1%) such as complete sexual abstinence, combined oral contraceptive, hormone intrauterine contraceptive device (IUCD), vaginal hormone ring, transdermal contraceptive patch, contraceptive implant or depot contraceptive injection in combination with a second method of contraception like a condom or a cervical cap / diaphragm with spermicide or surgical sterilisation (vasectomy) in male patients or male partners during the study and at least six months thereafter.
  • 8. Negative pregnancy test for females of child-bearing potential.
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 100
  • F.1.2 Adults (18-64 years) no
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Second or later HSCT.
  • 2. HSCT from mismatched donor (less than 9/10 BM/peripheral blood stem cells (PBSC) or less than 5/6 matched cord donor).
  • 3. Preterm newborn infants (<37 weeks gestational age) and term newborn infants aged 0 – 27 days at time of registration.
  • 4. Obese paediatric patients with body mass index weight (kg)/[height (m)]² > 30 kg/m².
  • 5. Diagnosis of Fanconi anaemia and other chromosomal breakage disorders, radiosensitivity disorders (deoxyribonucleic acid (DNA) Ligase 4, Cernunnos- X-ray repair cross-complementing protein 4 (XRCC4) like factor (XLF), Nijmegen Breakage Syndrome (NBS)) and Dyskeratosis Congenita.
  • 6. Treatment with cytotoxic drugs within 10 days prior to day 7.
  • 7. Impaired liver function indicated by Bilirubin > three times the upper limit of normal (ULN) or aspartate aminotransferase/alanine aminotransferase (AST/GOT, ALT/GPT) > five times ULN or active infectious hepatitis.
  • 8. Impaired renal function indicated by estimated glomerular filtration rate ([GFR], according to the Schwartz formula) < 60 mL/min/1.73m2.
  • 9. Impaired cardiac function: severe cardiac insufficiency indicated by left ventricular ejection fraction (LVEF) ? 35%.
  • 10. Requirement for supplementary continuous oxygen.
  • 11. Severe active infection requiring deferral of conditioning.
  • 12. Human immunodeficiency virus (HIV) positivity.
  • 13. Severe concomitant illness, comorbidity or condition that would severely limit life expectancy.
  • 14. Known pregnancy, breast feeding.
  • 15. Known hypersensitivity to Treosulfan, Busulfan, Fludarabine and/or Thiotepa.
  • 16. Participation in another interventional clinical study with an experimental drug, within four weeks prior to patient inclusion.

研究者

发起方
medac GmbH

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