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Intra-bone Cord Blood Transplantation in Patients With Haematological Malignancies

Phase 1
Conditions
High Risk Haematological Malignancies
Advanced Haematological Malignancies
Interventions
Procedure: Intrabone Allogeneic Transplant
Registration Number
NCT01613066
Lead Sponsor
Ospedale Santa Croce-Carle Cuneo
Brief Summary

Cord blood (CB) from an unrelated donor is increasingly used an alternative source of hematopoietic stem cells for adults with hematologic malignancies who lack an HLA-matched donor. However, the utilization of single-unit CB for transplantation of adult patients has been impeded by the low number of nucleated cells available from individual CB units. Direct intrabone CB injection (IBCBi) has been recently investigated as a solution to cell dose problem in adults, with the aims of minimizing non-specific loss of progenitors. We set up a phase I-II study to assess the safety and efficacy of CB transplantation by IBCBi in adult patients with advanced or high-risk hematological malignancies

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Advanced or High Risk Haematological Malignancies
  • Age 18-65 years
  • no suitable unrelated HLA-matched donors identified in a clinically useful time-frame
  • Informed consent
Exclusion Criteria
  • Active infectious disease at inclusion
  • HIV- positivity or active hepatitis infection
  • Impaired liver function (Bilirubin > upper normal limit; Transaminases > 3.0 x upper normal limit) at inclusion
  • Impaired renal function (Creatinine-clearance <60 ml/min; Serum Creatinine >1.5 x upper normal limit) at inclusion
  • Psychiatric diseases or conditions that might impair the ability to give informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TreatmentIntrabone Allogeneic TransplantPatients with high risk haematological malignancies
Primary Outcome Measures
NameTimeMethod
Time to neutrophil recovery28 days after transplantation
Secondary Outcome Measures
NameTimeMethod
Acute graft versus host disease100 days after transplantation
Overall SurvivalOne year after transplantation
Incidence of platelet engraftment100 days after transplantation
Chronic Graft Versus Host DiseaseOne year after transplantation

Trial Locations

Locations (1)

Azienda Ospedaliera S Croce e Carle

🇮🇹

Cuneo, Italy

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