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临床试验/EUCTR2008-005862-30-DE
EUCTR2008-005862-30-DE进行中(未招募)不适用

Pre-emptive therapy of acute graft versus host disease according to specific proteomic patterns after allogeneic hematopoietic stem cell transplantation. - PRE-GvHD

Medizinische Hochschule Hannover0 个研究点开始时间: 2008年12月15日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方

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

  • Written informed consent
  • All patients = 18 years on day +7 (+/- 3) after 1st allo-HSCT
  • Patients transplanted for: acute myeloid or lymphoid leukemia in CR (<5% leukemic blast cells in the bone marrow) or PR (<20% leukemic blast cells in the bone marrow); myelodysplastic and/or myeloproliferative syndromes: untreated, CR, PR; lymphomas: PR; chronic myeloid leukemia: CP; chronic lymphatic leukemia: CR, PR; multiple myeloma: CR, PR; severe aplastic anemia at the time of allogeneic HSCT
  • aGvHD prophylaxis with any combination of the following: e.g. cyclosporin A (CsA), methotrexate (MTX), mycophenolic acid (MMF), tacrolimus, sirolimus, everolimus and others with or with-out immunosuppressive antibodies (e.g. anti-thymocyte globulin (ATG))
  • Woman of childbearing potential must have a negative pregnancy test prior to HSCT
  • Sufficient contraceptive methods for men and women of reproductive age at the beginning of the study and during the study and consent of the patient to used a sufficient contraceptive method within 6 months after the end of the study. Permitted double contraceptive methods are implants, injection preparation, intrauterine devices, portal cap, sterilization, hysterectomy, condoms, spermicide, vasectomy and/or sexual abstinence.
  • Prior to randomization:
  • Positivity of aGvHD-specific proteomic pattern
  • (Patients enrolled, who can not be randomized, will be followed-up in the observational group).
  • 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 234
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 26

排除标准

  • Patients after = 2nd allo-HSCT
  • Patients transplanted in relapse of their underlying disease (AML, ALL: =20% leukemic blast cells in the bone marrow)
  • Transplantation with CD34+-enriched or ex vivo T-cell-depleted stem cells, transplantation from syngeneic or haploidentical or cord blood donors
  • Steroids as part of the acute GvHD prophylaxis
  • Pregnant or nursing women
  • Participation in an other therapeutic study within 30 days before and during this study
  • Prior to randomization:
  • Patients with acute GvHD grade II to IV
  • Acute renal failure (= 2x upper normal boundary of serum creatinine)
  • Serious, life-threatening infection at the time of sampling for aGvHD proteomic pattern
  • Relapse or progression of underlying disease
  • (Patients enrolled, who cannot be randomized, will be followed-up in the observational group).

研究者

发起方
Medizinische Hochschule Hannover

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