A Phase I/II Study of Vaccination Against Minor Histocompatibility Antigens HA1 or HA2 After Allogeneic Stem Cell Transplantation for Advanced Hematologic Malignancies
Overview
- Phase
- Phase 1
- Intervention
- Fludarabine
- Conditions
- Preleukemia
- Sponsor
- University of Chicago
- Enrollment
- 1
- Locations
- 1
- Primary Endpoint
- To determine in HLA A2 positive patients with hematological malignancies undergoing transplantation from HLA-identical donors, if HA1/2-peptide vaccinations can induce or enhance short- and long-term allogeneic HA1/2-specific T cell immunity.
- Status
- Terminated
- Last Updated
- 12 years ago
Overview
Brief Summary
This is a clinical research study designed to evaluate whether the administration of a vaccine to patients after transplant consisting of a minor histocompatibility antigen (mHag peptide) mixed with G-CSF (a drug intended to stimulate the immune system) can stimulate increased graft versus leukemia (GVL) responses without causing graft-versus-host disease (GVHD).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Relapsed or refractory acute myelogenous or lymphoid leukemia.
- •Acute myeloid or lymphocytic leukemia in first remission at high-risk for recurrence.
- •Chronic myelogenous leukemia in accelerated phase or blast-crisis.
- •Chronic myelogenous leukemia in second or subsequent chronic phase
- •Recurrent or refractory malignant lymphoma or Hodgkin's disease
- •Multiple myeloma at high risk for disease recurrence.
- •Chronic lymphocytic leukemia, relapsed or with poor prognostic features.
- •Myeloproliferative disorder (polycythemia vera, myelofibrosis) with poor prognostic features.
Exclusion Criteria
- •Clinical progression.
- •Contra-indications for vaccination.
Arms & Interventions
Vaccine
Intervention: Fludarabine
Vaccine
Intervention: Melphalan
Vaccine
Intervention: Campath
Outcomes
Primary Outcomes
To determine in HLA A2 positive patients with hematological malignancies undergoing transplantation from HLA-identical donors, if HA1/2-peptide vaccinations can induce or enhance short- and long-term allogeneic HA1/2-specific T cell immunity.
Time Frame: 5 years
Secondary Outcomes
- To evaluate if HA1/2 peptide vaccination induces toxicity, especially acute GVHD after HLA-identical transplantation.(5 years)