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Extracorporeal Photopheresis in Children and Young Adults With Refractory Acute Graft Versus Host Disease

Phase 2
Conditions
Graft Versus Host Disease
Registration Number
NCT00824954
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

Purpose : to evaluate the efficacy of ECP in children with refractory acute GVHD This study addresses patients with persistent GVHD after steroid and/or monoclonal antibody therapy

Detailed Description

One arm. Six sessions in two weeks. Classification in complete response (resolution of all signs of GVHD), partial response (improvement of at least one grade) or absence of response (Glucksberg criteria). Tapering depending on patient condition during weeks 2 to 10. Final evaluation at week 10. Steroid therapy tapering at the discretion of the investigator.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • 0 to 30 years
  • Acute GVHD refractory to steroids (disease progression after 2 days or absence of response after 4 days) and/or second line therapy (absence of response after 8 days)
  • patient consent and/or parent consent
Exclusion Criteria
  • less of 10 kgs BW
  • clinical or biological state precluding the apheresis
  • previous GVHD therapy with anti-lymphocyte serum (excepted in the conditioning regimen)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
GVHD gradingduring weeks 2 to 10
Secondary Outcome Measures
NameTimeMethod
Overall survival Incidence of chronic GVHDduring weeks 2 to 10

Trial Locations

Locations (1)

CHU Clermont-Ferrand

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Clermont-Ferrand, France

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