Prophylactic Infusion of Donor Lymphocytes in Cord Blood Transplantation

NCT ID: NCT02328885

Last Updated: 2021-12-08

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

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2017-03-22

Brief Summary

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Pilot, multicentric, open-label, single-arm, phase I-II clinical trial to evaluate the safety and efficacy of a novel Umbilical Cord Blood Transplantation (UCBT) platform, that consists of a UCBT of the 80 fraction, followed by a Donor Lymphocyte Infusion (DLI) of the 20 fraction (between 60 and 90 days after transplantation).

Detailed Description

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Multicenter, open-label, single-arm, phase I-II pilot study in which a minimum of 20 patients will enter the study with the primary objective to assess the safety and secondary objective to assess efficacy in relation to immune reconstitution followed by a new platform of treatment consisting of initial cord blood unit 80 fraction transplantation, followed by a prophylactic donor lymphocyte infusion (DLI) of the fraction 20 of the cord blood unit. The second infusion will take place between 60 and 90 days after transplantation.

Conditions

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Leukemia

Keywords

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high-risk acute leukemia graft versus leukemia DLI UCBT

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

DLI
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental

DLI of the 20 fraction of the UCBT

Group Type EXPERIMENTAL

DLI of the 20 fraction of the UCBT

Intervention Type DRUG

Administration of 20 fraction of the UCBT

Interventions

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DLI of the 20 fraction of the UCBT

Administration of 20 fraction of the UCBT

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

At the time of transplantation:

* Patients under 60 years with proposal UCBT according to assistance protocol
* Diagnosis of high-risk acute leukemia with an indication of allogenic transplantation
* Frozen UCB bag split into two bags: one with the 80% of the product and another with the 20%
* Presence of at least 1.2E9 total nucleated cells and\> 1E5 CD34 / kg and\> 6E6 CD34 + in fraction 80%
* 4/6 or better compatibility taking Human Leukocyte Antigen (HLA) HLA-A, HLA-B by antigenic resolution and DRB1 by allelic resolution
* The patient (or legal representative if required) has signed the informed consent

At the time of DLI:

* Documented cord blood engraftment
* The patient has had no Graft Versus Host Disease (GVHD) during the first 60 days post-transplantation or, if present, receives less than 10 milligrams of prednisone at the time of the DLI or \<0.2 mg / kg / day of prednisone for pediatric patients (\<16 years).
* The patient has less than 200 CD4 + cells per microliter on peripheral blood at 60 days (± 7 days) post-transplantation
* The patient (or legal representative if required) has signed the informed consent

Exclusion Criteria

At the time of transplantation:

* Simultaneous participation in another clinical trial or treatment with other research phase product within 30 days prior to inclusion in the study.
* Pregnant women or those who intend to become pregnant within 12 months after the signing of the informed consent or not taking proper contraceptive measures according to investigator criteria.
* Breastfeeding women
* Other pathologies or circumstances that may compromise the patient's participation in the study according to the criteria of the investigator.

At the time of DLI:

* Grade III-IV GVHD after allogeneic UCB
* Prednisone treatment (\> 10 mg total per day in adults or\> 0.2 mg / kg / day prednisone for pediatric patients)
Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Vall d'Hebron

OTHER

Sponsor Role collaborator

Hospital de Sant Pau

OTHER

Sponsor Role collaborator

Hospital Universitari de Bellvitge

OTHER

Sponsor Role collaborator

Germans Trias i Pujol Hospital

OTHER

Sponsor Role collaborator

Fundacion IMIM

OTHER

Sponsor Role collaborator

Banc de Sang i Teixits

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sergio Querol, PhD

Role: PRINCIPAL_INVESTIGATOR

Banc de Sang i Teixits

Locations

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Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital de Sant Pau

Barcelona, , Spain

Site Status

Hospital Vall Hebron

Barcelona, , Spain

Site Status

Hospital de Sant Pau

Barcelona, , Spain

Site Status

Countries

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Spain

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Related Links

Access external resources that provide additional context or updates about the study.

http://www.bancsang.net

Blood and Tissue Bank of Catalonia

http://www.santpau.es

Hospital de Sant Pau

http://www.vhebron.net

Hospital Vall d'Hebron

http://www.bellvitgehospital.cat

Hospital Universitari de Bellvitge

http://www.gencat.cat/ics/germanstrias

Hospital Universitari Germans Trias i Pujol

http://www.imim.cat

Institut Hospital del Mar d'Investigacions Mèdiques

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

I.2013.004

Identifier Type: -

Identifier Source: org_study_id