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临床试验/ACTRN12614000290695
ACTRN12614000290695终止1 期

A phase I study of haploidentical haematopoietic stem cell transplantation with add-back of donor T cells transduced with inducible caspase 9 suicide gene in patients with poor risk haematological malignancies

Metro North Hospital and Health Service - Royal Brisbane and Womens’ Hospital0 个研究点目标入组 3 人开始时间: 2014年3月19日最近更新:
适应症

试验速览

阶段
1 期
状态
终止
发起方
入组人数
3

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 59 Years(—)
性别
All

入选标准

  • RECIPIENT INCLUSION:
  • *Lack of a fully HLA-matched or single-antigen mismatched (9/10 matched) related or unrelated donor
  • *Poor risk haematological malignancy defined as follows:
  • a.Acute myeloid leukaemia (AML)
  • i.High risk disease in first complete remission (CR1 )
  • -high risk features include poor risk cytogenetics, normal cytogenetics with Flt3-ITD mutation, and secondary AML
  • ii.Primary refractory after 2 induction cycles
  • iii.Relapsed disease in morphological remission
  • b.Acute lymphoblastic leukaemia (ALL)
  • i.CR1 with high risk cytogenetics (includes t(9;22), MLL/11q23 translocation)
  • ii.Second or greater CR
  • c.Chronic myeloid leukaemia (CML) beyond first chronic phase (>CP1)
  • d.Myelodysplastic syndrome (MDS) that is intermediate-2 or high risk according to International Prognostic Scoring system
  • *Life expectancy greater than 3 months
  • *Eastern Cooperative Oncology Group (ECOG) performance status less than 2 (Karnofsky more than 50%)
  • *Adequate organ function for allogeneic stem cell transplantation: bilirubin less than or equal to 30 micrometre, creatinine clearance more than or equal to 50ml/min/1.73m2, DLCOc more than or equal to 50% predicted, or left ventricular ejection fraction ( LVEF) more than or equal to 50%
  • *Able and willing to provide written informed consent
  • DONOR ELIGIBILITY:
  • *5/10 to 8/10 HLA-matched family member (first, second or third degree relative) aged 18-65 years old
  • *Seronegativity for Hepatitis B surface Ag, Hepatitis C antibody, and HIV antibody
  • *Able and willing to undergo venesection and/or additional apheresis procedure to donate T cells for post-transplant add-back

排除标准

  • RECIPIENT EXCLUSION:
  • *Active, uncontrolled infection
  • *Inadequate organ function for allogeneic stem cell transplantation: bilirubin more than 30 micrometre, creatinine clearance less than 50ml/min/1.73m2, DLCOc less than 50% predicted, or LVEF less than 50%
  • *Seropositivity for Hepatitis B surface Ag, Hepatitis C antibody, or HIV antibody
  • *Pregnant or breastfeeding, or patient with reproductive potential who is not willing to use adequate contraceptive precautions in the judgement of the investigator.
  • *Psychiatric illness or social circumstances that would limit compliance with study requirements

研究者

发起方
Metro North Hospital and Health Service - Royal Brisbane and Womens’ Hospital

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