跳至主要内容
临床试验/JPRN-jRCTs031180237
JPRN-jRCTs031180237已完成1 期

HLA-mismatched allogeneic hematopoietic stem cell transplantation for high-risk advanced hematological disease with the adjustments of immunosuppressants and low-dose alemtuzumab

Kanda Yoshinobu0 个研究点目标入组 27 人开始时间: 2019年3月12日最近更新:

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
27

研究概览

简要总结

The rate of the achievement of primary outcome measure was more than 80%, but the RR at 1 year was high. Most patients had uncontrollable, non-remission disease, and in addition, many patients had a history of previous allogeneic transplantation. These affected outcomes a lot, but we need to decrease a relapse rate by inducing new methods, such as the further reduction of immunosuppressants after transplantation and donor lymphocyte infusion (DLI) at the early phase after transplantation.

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 16age old 至 <= 70age old(—)
性别
All

入选标准

  • 1.Patients who do not have an available HLA-matched or one locus-mismatched related donor.
  • 2.Patients who have a two- or three-locus-mismatched haploidentical related donor in good condition. (This donor should precede an HLA-matched or one locus-mismatched related donor according to the disease status.)
  • 3.Patients who do not have an HLA-matched or one allele-mismatched unrelated donor, or patients whose disease status preclude time-consuming donor coordination.
  • 4.Patients with high-risk advanced hematological disease. Leukemia and malignant lymphoma in non-remission, MDS with more than 20% of blast, and relapsed disease after allogeneic transplantation are included in high-risk group.
  • 5.Patients who are 16 to 70 years old
  • 6.Patients in performance status of 0 or 1.
  • 7.Patients whose major organ functions are preserved.

排除标准

  • 1.Patients with poorly controlled active infection.
  • 2.Patients with coexistence of malignancy.
  • 3.Patients who are pregnant or nursing.
  • 4.Patients with serious mental disorder.
  • 5.Patients with HIV antibody positive.
  • 6.Patients who are allergic to drugs used in conditioning regimen or GVHD prophylaxis.

研究者

发起方
Kanda Yoshinobu

相似试验

已完成
不适用
HLA-mismatched allogeneic hematopoietic stem cell transplantation for high-risk advanced hematological disease with the adjustments of immunosuppressants and low-dose alemtuzumab.High-risk advanced hematological disease(leukemia and malignant lymphoma in non-remission, MDS with more than 20% of blast, and relapsed disease after allogeneic transplantation)
JPRN-UMIN000018298Division of Hematology, Saitama Medical Center, Jichi Medical University27
已完成
不适用
HLA-mismatched allogeneic hematopoietic stem cell transplantation for standard-risk advanced hematological disease using low-dose alemtuzumabStandard-risk advanced hematological disease(leukemia and malignant lymphoma in remission, MDS, IMF, and SAA)
JPRN-UMIN000018283Division of Hematology, Saitama Medical Center, Jichi Medical University12
已完成
2 期
HLA-mismatched HSCT for standard-risk hematological disease using low-dose alemtuzumab
JPRN-jRCTs031180238Kanda Yoshinobu12
已完成
不适用
HLA-mismatched allogeneic hematopoietic stem cell transplantation for advanced hematological malignancy using low-dose alemtuzumabadvanced hematological malignancy
JPRN-UMIN000007913Division of Hematology, Saitama Medical Center, Jichi Medical University14
已完成
2 期
Hematopoietic stem cell transplantation from a related donor with HLA-1 Ag mismatch in the graft-versus-host direction using anti-thymocyte globulin as a GVHD prophylaxis: multicenter phase II trial.Acute myeloid leukemia Acute lymphoblastic leukemia Adult T cell leukemia Chronic myelogenous leukemia Myelodysplastic syndrome Non-Hodgkin lymphoma Hodgkin lymphoma
JPRN-UMIN000011192HLA Working Group, the Japan Society for Hematopietic Cell Tranplantation. Research Grant for Allergic Disease and Immunology (H23-009) from the Japanese Ministry of Health, Labor, and Welfare.39