Immunomodulatory Effect of Vitamin D in Allogenic Post-transplant
NCT ID: NCT02600988
Last Updated: 2015-11-10
Study Results
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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COMPLETED
PHASE1/PHASE2
150 participants
INTERVENTIONAL
2011-07-31
2015-04-30
Brief Summary
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Detailed Description
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The development of new prophylaxis strategies of GVHD based in the use of immunomodulator agents (allowing the generation of an immunotolerance state and avoiding the use of immunosuppression) is essential.
The GVHD is due to the cytotoxic effect of the donor lymphocytes T against healthy organs and tissues of the receptor. Calcineurin inhibitor combined with methotrexate or antibodies anti-lymphocytes T are used as standard prophylaxis. This type of antibodies has demonstrated efficacy to reduce GVHD, but have not increased survival due to increasing the risk of relapses and serious post-transplant infections.
Due to its interactions with VDR (vitamin D receptor) present in immune system cells, vitamin D is able to inhibit the activation of dendritic cells and the proliferation and production of cytokines by lymphocytes T. Based on this effect, the peri- and post- transplant administration of vitamin D might decrease the risk of GVHD in allogeneic transplanted patients, subsequently decreasing the immunosuppressant treatment requirements and improving the prognosis of those patients.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Group 1: Control
Control group is composed by the first 50 patients included in the study. Those patients will not receive the treatment. Evaluations and follow-up will be the same as in the other groups.
No interventions assigned to this group
Group 2: 1000IU/day of Vitamine D
It is composed by the following 50 patients joining the study. They will take 1000 IU of vitamin D once a day.
1000IU/day of Vitamine D
Administration of a specified dose of Vitamine D
Group 3: 5000IU/day of Vitamine D
It is composed by the last 50 patients joining the study. They will take 5000 IU of vitamin D once a day.
5000IU/day of Vitamine D
Administration of a specified dose of Vitamine D
Interventions
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1000IU/day of Vitamine D
Administration of a specified dose of Vitamine D
5000IU/day of Vitamine D
Administration of a specified dose of Vitamine D
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* The patient should accomplish all the criteria to proceed to an allogeneic transplant
* The patient or their legal guardians should signed the informed consent approved by the Ethics Committees of Clinical Trials
Exclusion Criteria
* Renal insufficiency with creatinine level ≥ 2 x upper limit of normal (1,1 mg/dl)
* Participation in others Clinical Trials in which the intervention may affect the result of the study.
* Patients receiving GVHD immunoprophylaxis with thymoglobuline or GVHD prophylaxis including in vitro or in vivo lymphocytes T depletion (anti-lymphocyte T globulin, ALG)
* Patients receiving a transplant from an haploidentical donor
18 Years
ALL
No
Sponsors
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Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
OTHER
Responsible Party
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Principal Investigators
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José Antonio Pérez-Simón, MD-PhD
Role: STUDY_CHAIR
Head of haematology department
Locations
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Christelle Ferrà i Coll
Badalona, Barcelona, Spain
Carmen Martínez
Barcelona, Barcelona, Spain
David Valcárcel Ferreiras
Barcelona, Barcelona, Spain
Raquel Saldaña Moreno
Jerez de la Frontera, Cádiz, Spain
Manuel Jurado Chacón
Granada, Granada, Spain
Mª Ángeles Cuesta
Málaga, Málaga, Spain
Fermín Martín Sánchez- Guijo
Salamanca, Salamanca, Spain
Countries
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References
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Carrillo-Cruz E, Garcia-Lozano JR, Marquez-Malaver FJ, Sanchez-Guijo FM, Montero Cuadrado I, Ferra I Coll C, Valcarcel D, Lopez-Godino O, Cuesta M, Parody R, Lopez-Corral L, Alcoceba M, Caballero-Velazquez T, Rodriguez-Gil A, Bejarano-Garcia JA, Ramos TL, Perez-Simon JA. Vitamin D Modifies the Incidence of Graft-versus-Host Disease after Allogeneic Stem Cell Transplantation Depending on the Vitamin D Receptor (VDR) Polymorphisms. Clin Cancer Res. 2019 Aug 1;25(15):4616-4623. doi: 10.1158/1078-0432.CCR-18-3875. Epub 2019 May 1.
Caballero-Velazquez T, Montero I, Sanchez-Guijo F, Parody R, Saldana R, Valcarcel D, Lopez-Godino O, Ferra I Coll C, Cuesta M, Carrillo-Vico A, Sanchez-Abarca LI, Lopez-Corral L, Marquez-Malaver FJ, Perez-Simon JA; GETH (Grupo Espanol de Trasplante Hematopoyetico). Immunomodulatory Effect of Vitamin D after Allogeneic Stem Cell Transplantation: Results of a Prospective Multicenter Clinical Trial. Clin Cancer Res. 2016 Dec 1;22(23):5673-5681. doi: 10.1158/1078-0432.CCR-16-0238. Epub 2016 Jun 29.
Other Identifiers
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Alovita-1
Identifier Type: -
Identifier Source: org_study_id
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