Studying Blood Samples in Young Patients With Cytopenia After a Donor Stem Cell Transplant

NCT ID: NCT00898118

Last Updated: 2013-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

125 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-04-30

Brief Summary

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RATIONALE: Studying samples of blood from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer.

PURPOSE: This research study is looking at blood samples in young patients with cytopenia after undergoing a donor stem cell transplant.

Detailed Description

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OBJECTIVES:

Primary

* To study hematopoietic chimerism in whole blood and different cell populations (i.e., CD14, CD15, CD 56, CD3, and CD19) as well as in dendritic cells and regulatory T cells after allogeneic hematopoietic stem cell transplantation with reduced intensity conditioning in patients with refractory cytopenia.
* To compare the results of chimerism obtained with standard short tandem nucleotide polymorphism PCR (sensitivity 1%) with those obtained with single nucleotide polymorphisms PCR (sensitivity 0.1- 0.01%).

Secondary

* To evaluate the relationship between mixed chimerism and hematological engraftment, overall survival, and event-free survival.
* To study the impact of mixed chimerism in plasmacytoid dendritic and regulatory T cells on the incidence of acute and chronic graft-versus-host-disease.

OUTLINE: This is a multicenter study.

Peripheral blood is collected from patients and donors prior to hematopoietic stem cell transplantation (HSCT). Patients also undergo blood sample collection on days 30, 60, 100, and 180 after transplantation. Peripheral blood cells are enriched and separated into lineage-specific subpopulations (i.e., CD3, CD14, CD15, CD19, and CD56) which are then divided equally for either DNA isolation via PCR or for flow cytometry. DNA concentrations in pre-HSCT donor and patient samples and in post-HSCT subpopulation samples are determined using quantitative real-time PCR. Samples are also analyzed for quantification of chimerism and detection of genetic markers via short tandem repeats- and sequence nucleotide polymorphism-based chimerism analyses.

Conditions

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Leukemia Myelodysplastic Syndromes

Keywords

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refractory cytopenia with multilineage dysplasia childhood myelodysplastic syndromes previously treated myelodysplastic syndromes secondary myelodysplastic syndromes

Interventions

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polymerase chain reaction

Intervention Type GENETIC

flow cytometry

Intervention Type OTHER

laboratory biomarker analysis

Intervention Type OTHER

allogeneic hematopoietic stem cell transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosed with refractory cytopenia

* Hypocellular bone marrow and normal karyotype
* Underwent stem cell transplantation (SCT) from an HLA identical (8/8) sibling, an HLA identical (10/10) relative, or an HLA identical or single allelic disparate unrelated donor

* Received a preparative regimen including either thiotepa or fludarabine phosphate
* Concurrently enrolled on EWOG-MDS-2006

PATIENT CHARACTERISTICS:

* Not specified

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Working Group of MDS in Childhood

OTHER

Sponsor Role lead

Principal Investigators

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Peter Bader, MD

Role: PRINCIPAL_INVESTIGATOR

European Working Group of MDS in Childhood

Locations

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St. Anna Children's Hospital

Vienna, , Austria

Site Status RECRUITING

Ghent University

Ghent, , Belgium

Site Status RECRUITING

University Hospital Motol

Prague, , Czechia

Site Status RECRUITING

Aarhus Universitetshospital - Aarhus Sygehus

Aarhus, , Denmark

Site Status RECRUITING

European Working Group of MDS in Childhood

Freiburg im Breisgau, , Germany

Site Status RECRUITING

Universitaetskinderklinik - Universitaetsklinikum Freiburg

Freiburg im Breisgau, , Germany

Site Status RECRUITING

IRCCS "Casa Sollievo della Sofferenza"

South Giovanni Rotondo, , Italy

Site Status RECRUITING

Erasmus MC - Sophia Children's Hospital

Rotterdam, , Netherlands

Site Status RECRUITING

Akademia Medyczna im. Piastow Slaskich

Wroclaw, , Poland

Site Status RECRUITING

University Children's Hospital

Zurich, , Switzerland

Site Status RECRUITING

Countries

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Austria Belgium Czechia Denmark Germany Italy Netherlands Poland Switzerland

Facility Contacts

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Contact Person

Role: primary

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Contact

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Other Identifiers

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CDR0000587523

Identifier Type: REGISTRY

Identifier Source: secondary_id

EU-20808

Identifier Type: -

Identifier Source: secondary_id

EWOG-MDS-SCT RC RIC-06

Identifier Type: -

Identifier Source: org_study_id