Chinese Herbal Medicine for Immune Reconstitution Following HSCT in Acute Leukemia Patients
An Open Label, Non-randomized, Clinical Study of Chinese Medicine, Sheng-Yu-Tang, for Immune Reconstitution Following Peripheral Blood Stem Cell Transplantation in >CR1 (Complete Remission) and Refractory Acute Leukemia Patients
1 other identifier
interventional
18
1 country
1
Brief Summary
The treatment options for high-risk acute leukemia patients are limited and these patients are often opt for hematopoietic stem cell transplant (HSCT). However studies show that prognosis following this last-resort therapy is bleak. At times, less than 70% of post-HSCT relapsed AML and ALL patients even achieve complete remission; median overall survival of these cohorts might not reach one year; and 3-year post-HSCT survival rates might be less than 20%. The investigators plan to recruit acute leukemia patients from CMUH which are planned to receive HSCT, and follow the rate and quality of their immune reconstitution. As intervention, part of the patients will receive a Chinese medicine herbal formula, which they will take for 6 months.Differences between the 1-year post-HSCT condition of patients will be examined.
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 Oct 2015
Typical duration for not_applicable
1 active site
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
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 16, 2015
CompletedFirst Posted
Study publicly available on registry
October 20, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedOctober 27, 2017
October 1, 2017
1.8 years
October 16, 2015
October 26, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Peripheral blood Immune reconstitution
1 year
Secondary Outcomes (7)
Minimal residual disease (MRD)
1 year
Bone marrow Immune reconstitution
1 year
complete blood count
1 year
opportunistic infection
1 year
GvHD
1 year
- +2 more secondary outcomes
Other Outcomes (1)
Wang Q. constitution in Chinese medicine questionnaire
1 year
Study Arms (2)
Sheng-Yu-Tang
EXPERIMENTALTreatment group will receive standard of care, as well as: 2-3 months post-HSCT, patients will be administered the herbal formula Sheng-Yu-Tang (聖愈湯), which they will receive for 6 months. The herbal formula will be provided from a GMP herbal company and will be given in granulated form.
Control
NO INTERVENTIONControl group will receive standard of care
Interventions
Granulated formula will be prescribed by KO DA Pharmaceutical co., LTD (科達) composition of formula is as follows: Radix Rehmanniae Praeparata 4g Radix Paeoniae Alba 4g Radix Astragali 4g Radix Ginseng 4g Radix Angelice Sinensis 2g Rhizoma Chuanxiong 2g (for preperation method and concentration ratio's please refer to manufacturers information) patients will be required to take 4.2gr, t.i.d (total of 12.6gr per day)
Eligibility Criteria
You may qualify if:
- Discharged from hospital.
- Diagnosed with ALL, AML or MDS-AML.
- Received allogeneic or haploidentical peripheral blood HSCT.
- Willing to supply blood samples for analysis.
- Willing to comply with all study interventions and follow-ups.
You may not qualify if:
- unable, due to known allergy or any other reason, to orally take Chinese Herbal Medicine.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
China Medical University Hospital
Taichung, 404, Taiwan
Related Publications (1)
Fleischer T, Chang TT, Chiang JH, Yen HR. A Controlled Trial of Sheng-Yu-Tang for Post-Hematopoietic Stem Cell Transplantation Leukemia Patients: A Proposed Protocol and Insights From a Preliminary Pilot Study. Integr Cancer Ther. 2018 Sep;17(3):665-673. doi: 10.1177/1534735418756736. Epub 2018 Feb 11.
PMID: 29431027DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Hung-Rong Yen, M.D., Ph.D.
China Medical University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr. Hung-Rong Yen, MD, PhD
Study Record Dates
First Submitted
October 16, 2015
First Posted
October 20, 2015
Study Start
October 1, 2015
Primary Completion
August 1, 2017
Study Completion
August 1, 2017
Last Updated
October 27, 2017
Record last verified: 2017-10