Immunomodulatory Effect of Vitamin D in Allogenic Post-transplant

NCT ID: NCT02600988

Last Updated: 2015-11-10

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2015-04-30

Brief Summary

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The purpose of this study is to determine whether vitamin D is effective in the prevention of graft-versus-host-disease after completion of allogeneic transplant.

Detailed Description

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The allogeneic transplant of haematopoietic cell is the only treatment option for many malignant blood diseases. Unfortunately, the progression free survival and the quality of life of transplanted patients is limited due to the development of graft-versus-host-disease (GVHD).

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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Hematopoietic Stem Cell Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

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.

Group Type NO_INTERVENTION

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.

Group Type EXPERIMENTAL

1000IU/day of Vitamine D

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

5000IU/day of Vitamine D

Intervention Type DRUG

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

Intervention Type DRUG

5000IU/day of Vitamine D

Administration of a specified dose of Vitamine D

Intervention Type DRUG

Other Intervention Names

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Vitamine D dose of 1000 international units (IU) Vitamine D dose of 5000 international units (IU)

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* 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

* Hypercalcemia ≥ 10.5 mg/dl
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundación Pública Andaluza para la gestión de la Investigación en Sevilla

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Carmen Martínez

Barcelona, Barcelona, Spain

Site Status

David Valcárcel Ferreiras

Barcelona, Barcelona, Spain

Site Status

Raquel Saldaña Moreno

Jerez de la Frontera, Cádiz, Spain

Site Status

Manuel Jurado Chacón

Granada, Granada, Spain

Site Status

Mª Ángeles Cuesta

Málaga, Málaga, Spain

Site Status

Fermín Martín Sánchez- Guijo

Salamanca, Salamanca, Spain

Site Status

Countries

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Spain

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.

Reference Type DERIVED
PMID: 31043390 (View on PubMed)

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.

Reference Type DERIVED
PMID: 27358490 (View on PubMed)

Other Identifiers

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Alovita-1

Identifier Type: -

Identifier Source: org_study_id

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