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临床试验/2024-513325-23-00
2024-513325-23-00招募中2 期

FIBRAPLO - Haplo-identical transplantation in patients with myleofibrosis : A phase 2 prospective multicentric prospective study

Assistance Publique Hopitaux De Paris19 个研究点 分布在 1 个国家目标入组 28 人开始时间: 2024年7月23日最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
28
试验地点
19
主要终点
The main criteria of judgement is disease- and rejection-free survival 12 months after HSCT.

研究概览

简要总结

The main objective is disease-free survival and without rejection one year after haplo-identical transplantation in patients with primary or secondary myelofibrosis.

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  •  Patients aged between 18 and 70 years
  •  Primary myelofibrosis or myelofibrosis secondary to essential thrombocythemia or polycythemia Vera proven by marrow biopsy
  • The myelofibrosis should combine at least 2 of the following criteria: o constitutional symptoms: weight loss > 10% in one year, fever (without infection), recurrent muscle, bone or join pains, extreme fatigue o anemia with hemoglobin < 10 gr/dL or red blood cell transfusion requirement o thrombocytopenia < 100 G/L o peripheral blast count > 1% at least found 2 times o white blood cell count > 25 G/L (before a cytoreductive treatment) o Karyotype: +8, -7/7q-, i(17q), -5, 5q-, 12p-, inv(3), 11q23
  •  Performance status according to ECOG at 0, 1 or 2
  •  With health insurance coverage
  •  Having signed a written informed consent
  •  Women agreed to take nomegestrol acetate as contraception during and up to 6 months after treatment by treosulfan
  •  Men agreed not to conceive child during and up to 6 months after treatment by treosulfan

排除标准

  •  Myelofibrosis transformed into acute leukemia
  •  Pregnant woman or breastfeeding
  •  Contraindications to treosulfan o Hypersensitivity to the active substance o Active non-controlled infectious disease o Fanconi anaemia and other DNA breakage repair disorders o Administration of live vaccine
  •  Contraindications or any circumstance that precludes the use of the drugs involved in the protocol (especially Thiotepa and Fludarabine)
  •  Poor performance status with ECOG 3 or more
  •  Cardiac failure with EF < or = 50% currently or in the past (even if corrected after treatment)
  •  Renal failure with creatininemia > 130 µmol/L or clearance < 50ml/min
  •  Respiratory function altered with vital capacity < 70% or forced expired volume < 70%
  •  Biological significant liver abnormalities; ASAT or ALAT> 2 x normal range, bilirubin > 1,5 x normal range
  •  HLA matched donor available
  •  Tutorship or curatorship
  •  Unwilling or unable to comply with the protocol

结局指标

主要结局

The main criteria of judgement is disease- and rejection-free survival 12 months after HSCT.

The main criteria of judgement is disease- and rejection-free survival 12 months after HSCT.

次要结局

  • incidence of acute grade 2-4 and grade 3-4 GVHD according to the modified Glucksberg classification
  • incidence of chronic GVHD (limited vs extensive) at 12 months according to the revised Seattle criteria
  • neutrophil engraftment on day 60 post-transplantation, engraftment is defined as neutrophil count at 0.5G/L or higher for more than 3 consecutive days after transplantation, it should be confirmed by a donor chimerism
  • latelet recovery: first day of platelet > 20G/L without transfusion the last 7 days assessed on day 100
  • overall survival at 12 months
  • on-relapse mortality at 12 months
  • incidence of relapse/progression at 12 months
  • incidence of rejection at 12 months
  • infection incidence at 100 days, 12 months (annexe for infection)
  • cytokine profile during transplantation (day-7 +/- 1 jour, J0 and day J7 +/- 1 jour )
  • impact of genetic alterations on overall survival at 12 months and non-relapse mortality at 12 months

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Dr. Marie ROBIN

Scientific

Assistance Publique Hopitaux De Paris

研究点 (19)

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