MedPath

Haploidentical stem cell transplantation for paediatric patients with thalassemia major

Not Applicable
Conditions
Thalassemia major
Haematological Disorders
Beta thalassaemia
Registration Number
ISRCTN54428419
Lead Sponsor
Shenzhen Children's Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
200
Inclusion Criteria

1. Age 2 to 18 years
2. Diagnosed with thalassemia major
3. Indication of haematopoietic stem cell transplantation
4. A cardiac ejection fraction of >50%; normal pulmonary function tests and pulmonary examination results; and normal kidney function

Exclusion Criteria

1. Uncontrolled bacterial, viral, or fungal infections before transplant
2. Severe liver and heart overload: liver MR T2* value > 1.4 ms or heart MR T2* value > 10 ms
3. Any other restriction for transplant

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> 1. Overall survival (OS) using Kaplan-Meier estimator at 2 years<br> 2. Thalassemia-free survival (TFS) using R at 2 years<br>
Secondary Outcome Measures
NameTimeMethod
<br> 1. Engraftment: myeloid engraftment (absolute neutrophils count = 0.5×10^9/L for 3 consecutive days) at day +30<br> 2. Transplant-related mortality: using Kaplan-Meier estimator at 2 years<br> 3. Cumulative incidence of acute graft versus host disease (GVHD): acute GVHD by day +180. The classification of aGVHD is determined using either Glucksberg scoring system or IBMTR scoring system<br> 4. Cumulative incidence of chronic GVHD by 2 years. The classification of cGVHD is determined according to the overall severity chronic GVHD grading system<br> 5. Cumulative incidence of sinusoidal obstruction syndrome (SOS, also known as hepatic veno-occlusive disease, VOD): cumulative incidence of SOS/VOD at day +180<br> 6. Cumulative incidence of infectious complications: cumulative incidence of bacterial, fungal, and viral infections by 2 years<br>
© Copyright 2025. All Rights Reserved by MedPath