CD8+ T Cell Depletion for GVHD Prophylaxis After Peripheral Blood Stem Cell Transplantation
CD8+ T Cell Depletion as Graft Versus Host Disease Prophylaxis After HLA-Matched Unrelated Donor Non-myeloablative Peripheral Blood Stem Cell Transplantation
1 other identifier
interventional
30
1 country
2
Brief Summary
The purpose of this trial is to determine if selectively removing only a small subset of T cells, called CD8+ T cells, is safe and if it can reduce the risk of graft versus host disease (GVHD) without losing the anti-cancer effects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2005
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
May 25, 2006
CompletedFirst Posted
Study publicly available on registry
June 2, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2009
CompletedMarch 16, 2012
March 1, 2012
1.5 years
May 25, 2006
March 15, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To assess the initial engraftment of HLA matched unrelated donor mobilized peripheral blood stem cells depleted of CD+8 cells.
2 years
Secondary Outcomes (3)
To assess sustained engraftment
2 years
to determine the incidence of GVHD
2 years
to assess disease relapse.
2 years
Interventions
CD8 depleted product Given through central line after treatment with fludarabine and busulfex intravenously for 4 days
Eligibility Criteria
You may qualify if:
- Hematologic malignancies that are candidates for allogeneic non-myeloablative stem cell transplantation
- AML or ALL in first or subsequent remission, or in resistant or untreated relapse with marrow blast \< 20% of cellularity
- CML in first or subsequent chronic phase, or accelerated phase
- Myelodysplastic syndrome with \< 20% marrow blasts
- NHL or Hodgkin's lymphoma in second or greater remission, or partial remission after salvage therapy, and in patients with marrow involvement, \<20% involvement in BM
- CLL RAI stage 2-4, which has progressed after initial fludarabine containing therapy, and BM involvement of \< 20%
- Multiple myeloma stage II-III, in first or subsequent plateau phase with \<20% BM plasma cells
- Available unrelated donor who is fully HLA matched at HLA-A,B,C and DRB1
- Age 18 or greater
- Performance status 0-2
- Life expectancy of \> 100 days
- No HLA-matched related donor available
You may not qualify if:
- Myeloproliferative disorders other than CML
- MDS with myeloproliferative features, or CMML
- High grade Burkitts or Burkitts-like Non-Hodgkin's lymphoma
- Prior allogeneic stem cell transplant
- Active CNS involvement with disease
- Uncontrolled infection
- Pregnancy
- Evidence of HIV infection
- Heart failure uncontrolled my medications
- Total bilirubin \> 2.0 mg/dl that is due to hepatocellular dysfunction
- AST \> 2 x institutional upper limit of normal
- Serum creatinine \> 2.0 mg/dl
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Dana-Farber Cancer Institutelead
- Brigham and Women's Hospitalcollaborator
Study Sites (2)
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, 02115, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vincent T. Ho, MD
Dana-Farber Cancer Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
May 25, 2006
First Posted
June 2, 2006
Study Start
September 1, 2005
Primary Completion
March 1, 2007
Study Completion
March 1, 2009
Last Updated
March 16, 2012
Record last verified: 2012-03