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临床试验/ISRCTN53325562
ISRCTN53325562已完成2 期

A prospective randomised, phase II study to investigate the efficacy and safety of pre-emptive cytomegalovirus (CMV) adoptive cellular therapy in patients receiving allogeneic haematopoietic stem cell transplant from an unrelated donor

Cell Medica Ltd (UK)0 个研究点目标入组 36 人开始时间: 2008年8月19日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
36

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 22/02/2011:
  • 1. Age 16 years or older
  • 2. CMV-seropositive allogeneic T cell depleted (alemtuzumab-containing conditioning regimen) HSCT recipient with CMV-seropositive unrelated donor
  • 3. Patient informed consent
  • 4. Prepared to undergo additional study procedures as per study schedule
  • 5. Patient has undergone counselling about risk
  • 6. Donor engraftment (neutrophils > 0.5x10^9/l) (to be assessed prior to CMV-specific T-cell infusion)
  • 7. Single positive CMV PCR result (and to be assessed prior to CMV-specific T-cell infusion)
  • 8. The donor will be selected from the Anthony Nolan Trust registry or other donor registries that have approved the protocol and consent procedure.
  • 9. Donor must have met requirements of EU Tissue and Cells Directive (2004/23/EC) as amended and the UK statutory instruments pursuant therein.
  • 10. Healthy, CMV-seropositive donor - having passed medical for stem cell donation
  • 11. Subject and donor must have negative serology for HIV, hepatitis B and C, syphilis
  • 12. HLA type A*0101, A*0201, A*2402, B*0702, B*0801, B*3501
  • 13. Donor informed consent for stem cell mobilisation leucapheresis and storage
  • Previous inclusion criteria:
  • 1. Both males and females, aged 16 years or over
  • 2. Patients considered fit for allogeneic peripheral blood stem cell transplant
  • 3. Sibling or matched unrelated allogeneic peripheral blood stem cell transplant (PBSCT) using alemtuzemab
  • 4. CMV-seropositive patient and donor
  • 5. Patients and donor sharing at least one of the following HLA alleles:- HLA-A*0101, HLA*0201, HLA-A*1101, HLA-A*2402, HLA-B*0702, HLA-B*0801, HLA-B*3502
  • 6. Patient willing and able to give consent and comply with trial protocol

排除标准

  • Current exclusion criteria as of 22/02/2011:
  • 1. Pregnant or lactating women
  • 2. Co-existing medical problems that would place the patient at significant risk of death due to GVHD or its sequelae
  • 3. HIV infection
  • 4. Active acute GVHD > Grade I (to be assessed prior to CMV-specific T-cell infusion)
  • 5. Concurrent use of systemic corticosteroids (to be assessed prior to CMV-specific T-cell infusion)
  • 6. Organ dysfunction (to be assessed prior to CMV-specific T-cell infusion ) as measured by:
  • 6.1. Creatinine > 200 uM/l
  • 6.2.Bilirubin > 50 uM/l
  • 6.3.Alanine transferase > 3x upper limit of normal
  • 7. Donor pregnant or lactating
  • 8. Donor platelets < 50x10^9/l
  • Previous exclusion criteria:
  • 1. Donors whose stem cells have already been collected and cryopreserved prior to transplant
  • 2. Patients whose donor stem cell harvests are <4.0 x 10^6 CD34 cells/kg will not proceed with the study
  • 3. Bone marrow transplants

研究者

发起方
Cell Medica Ltd (UK)

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