Host Dendritic Cells in Allograft Patients

NCT ID: NCT00935597

Last Updated: 2010-10-29

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

Clinical Phase

PHASE1

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Brief Summary

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The purpose of this study is to assess preliminary efficacy and to determine the safety and feasibility of ex vivo generated dendritic cell (HDC) infusion with and without donor lymphocyte infusion (DLI) after allogeneic stem cell transplant (SCT). We also wish to establish the feasibility of apheresis shipment as well as vaccine shipment and stability in the population.

Detailed Description

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Conditions

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Relapsed Non-Hodgkin's Lymphoma Hodgkin's Disease Multiple Myeloma Chronic Lymphocytic Lymphoma

Keywords

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Relapsed Non-Hodgkin's Lymphoma Hodgkin's Disease Multiple Myeloma Chronic Lymphocytic Lymphoma Relapsed Non-Hodgkin's lymphoma (excluding follicular lymphoma and marginal zone lymphoma)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1

Patients with Minimal Residual Disease or Minimal Volume Relapse post allogeneic stem cell transplant will receive MSSM/BIIR HDC Vax-001 (Host Dendritic Cells) by infusion

Group Type EXPERIMENTAL

MSSM/BIIR HDC Vax-001 (Host Dendritic Cells)

Intervention Type BIOLOGICAL

Patients who have minimal residual disease or minimal volume relapse, and are at least four weeks post immunosuppression following allogeneic stem cell transplantation will receive a series of four HDC infusions (100,000 HDC/kg per infusion, one every four weeks(group 1). Those patients who have greater than minimal residual disease will receive HDC infusions, one every four weeks in conjunction with donor lymphocyte infusion (DLI) (group 2).

Group 2

Patients with greater than Minimal Residual Disease or Minimal Volume Relapse post allogeneic stem cell transplant will receive MSSM/BIIR HDC Vax-001 (Host Dendritic Cells) by infusion in conjunction with donor lymphocyte infusion (DLI)

Group Type EXPERIMENTAL

MSSM/BIIR HDC Vax-001 (Host Dendritic Cells)

Intervention Type BIOLOGICAL

Patients who have minimal residual disease or minimal volume relapse, and are at least four weeks post immunosuppression following allogeneic stem cell transplantation will receive a series of four HDC infusions (100,000 HDC/kg per infusion, one every four weeks(group 1). Those patients who have greater than minimal residual disease will receive HDC infusions, one every four weeks in conjunction with donor lymphocyte infusion (DLI) (group 2).

Interventions

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MSSM/BIIR HDC Vax-001 (Host Dendritic Cells)

Patients who have minimal residual disease or minimal volume relapse, and are at least four weeks post immunosuppression following allogeneic stem cell transplantation will receive a series of four HDC infusions (100,000 HDC/kg per infusion, one every four weeks(group 1). Those patients who have greater than minimal residual disease will receive HDC infusions, one every four weeks in conjunction with donor lymphocyte infusion (DLI) (group 2).

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age 18-70
* Ability to sign informed consent
* ECOG performance status ≤3
* Life expectancy \> 6 months
* Adequate cardiac function: MUGA or Echocardiogram demonstrating \>50% Ejection Fraction
* Adequate pulmonary function with DLCO \> 50%
* Adequate hepatic function

* Bilirubin ≤ 1.5mg/dl
* Alkaline phosphatase ≤5 times the upper limit of normal
* Aspartate aminotransferase (AST) or serum glutamic-oxaloacetic transferase (SGOT) ≤ 3 times the upper limit of normal
* Alanine aminotransferase (ALT) or serum glutamic pyruvic transaminase (SGPT) ≤ 3 times the upper limit of normal
* Adequate renal function Estimated creatinine clearance \> 40ml/min
* Diagnosis of one of the following

* Non-Hodgkin's lymphoma excluding Follicular lymphoma and Marginal Zone Lymphoma
* Hodgkin's lymphoma
* Multiple myeloma
* Chronic lymphocytic leukemia
* Eligible for allogeneic stem cell transplant with identified HLA-identical sibling (6/6 HLA match) or volunteer unrelated donor (8/8 allele HLA-matched (A, B, Cw, DRB1)
* Women of childbearing potential must have a negative serum pregnancy test prior to enrollment
* Women of childbearing potential must use effective means of birth control throughout the study.
* Men should not father a child while enrolled in the study. Effective means of birth control include condom, vasectomy or abstinence.

Exclusion Criteria

* Malignancies other than melanoma within five years of study entry, except carcinoma in-situ of the cervix or basal/squamous cell skin cancers
* Concurrent illnesses that would preclude survival \> 6 months other than the disease under study
* Pregnancy or nursing
* HIV infection
* Treatment with prior donor lymphocyte infusion
* Prior allogeneic stem cell transplant
* History of autoimmune diseases including systemic lupus erythematosus, rheumatoid arthritis and thyroiditis
* Active infections including fungal infections and viral hepatitis
* GVHD greater than grade I GVHD of the skin


* Malignancies other than melanoma within five years of study entry, except carcinoma in-situ of the cervix or basal/squamous cell skin cancers
* Concurrent illnesses that would preclude survival \> 6 months other than the disease under study.
* Pregnancy or nursing
* HIV infection
* Treatment with prior donor lymphocyte infusion
* Prior allogeneic stem cell transplant
* More than 4 prior relapses
* History of autoimmune diseases including systemic lupus erythematosus, rheumatoid arthritis and thyroiditis
* Active infections including fungal infections and viral hepatitis
* GVHD greater than grade I GVHD of the skin
* No cytotoxics will be given within 4 weeks of administration of the investigational cell therapy
* Patients cannot receive any investigational agents within 30 days prior to administration of the investigational cell therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role lead

Responsible Party

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Mount Sinai School of Medicine

Principal Investigators

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Keren Osman, M.D.

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Mount Sinai Medical Center

New York, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Keren Osman, MD

Role: CONTACT

Phone: (212)241-6021

Email: [email protected]

Linda Sacris, RN

Role: CONTACT

Phone: (212)824-7339

Email: [email protected]

Facility Contacts

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Keren Osman, MD

Role: primary

Other Identifiers

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08-0906

Identifier Type: -

Identifier Source: org_study_id