MicroRNAs as Diagnostic and Predictive Biomarkers for Acute Graft Versus Host Disease

NCT ID: NCT02917148

Last Updated: 2017-10-11

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

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2016-09-30

Study Completion Date

2018-09-30

Brief Summary

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The goal of this research proposal is to identify a miRNA expression profile as a biomarker to diagnose and predict acute graft versus host disease (aGVHD) in patients who undergo allogeneic transplantation. This biomarker, once identified, will need validation in larger cohorts.

Detailed Description

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Human subjects that volunteer to participate in this study will be requested to have approximately 20 cc of blood drawn (about 12 tablespoons) at several time intervals. These time intervals include prior to conditioning regimen for transplant, the day of transplantation, day +30, +60 and +100 after transplantation. If a given subject develops acute graft-versus-host disease, a blood sample will be obtained at that time as well. The amount of blood samples collected in an 8 week period will not exceed 50 ml and collection will not occur more than twice a week. There will be no pregnant women or children involved in the investigators study.

All patients involved in the study will be undergoing bone marrow transplant and pregnancy screening is done in pre-transplant testing. This blood will be collected in lavender top, EDTA tubes; some plasma (or serum) may be collected and stored for additional analysis.

Conditions

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Acute GVH Disease

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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aGVHD

Patient who undergo allogeneic transplant with clinical and/or biopsy-proven diagnosis of aGVHD within the first 100 days post-transplant.

Peripheral Venipuncture or Blood draw from Central Line

Intervention Type OTHER

non aGVHD

Patients who undergo allogeneic transplant but do not develop aGVHD.

No interventions assigned to this group

Interventions

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Peripheral Venipuncture or Blood draw from Central Line

Intervention Type OTHER

Other Intervention Names

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Venipuncture Blood Draw

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing fully matched allogeneic PBCSC and bone marrow transplantation who present with clinical signs and symptoms of grade II- IV aGVHD within 100 days after transplantation as defined by skin, GI, and/or liver involvement that are confirmed by biopsy, regardless of age
* Patients undergoing a matched, unrelated donor (8/8) or matched, related donor transplant (6/6)
* Allogeneic transplant is from donor's peripheral blood stem cells or bone marrow transplant
* Patients who develop grade II-IV aGVHD

Exclusion Criteria

* Patients who receive transplants from incompletely matched donors
* Patients who receive T cell depleted transplants
* Patients who receive haplo-identical transplants
* Pregnant Patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Northwell Health

OTHER

Sponsor Role lead

Responsible Party

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Cheryl Mensah

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cheryl Mensah, MD

Role: PRINCIPAL_INVESTIGATOR

Northwell Health

Locations

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Monter Cancer Center

Lake Success, New York, United States

Site Status

Countries

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United States

References

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Ferrara JL, Levine JE, Reddy P, Holler E. Graft-versus-host disease. Lancet. 2009 May 2;373(9674):1550-61. doi: 10.1016/S0140-6736(09)60237-3. Epub 2009 Mar 11.

Reference Type RESULT
PMID: 19282026 (View on PubMed)

Paczesny S. Discovery and validation of graft-versus-host disease biomarkers. Blood. 2013 Jan 24;121(4):585-94. doi: 10.1182/blood-2012-08-355990. Epub 2012 Nov 19.

Reference Type RESULT
PMID: 23165480 (View on PubMed)

Xiao B, Wang Y, Li W, Baker M, Guo J, Corbet K, Tsalik EL, Li QJ, Palmer SM, Woods CW, Li Z, Chao NJ, He YW. Plasma microRNA signature as a noninvasive biomarker for acute graft-versus-host disease. Blood. 2013 Nov 7;122(19):3365-75. doi: 10.1182/blood-2013-06-510586. Epub 2013 Sep 16.

Reference Type RESULT
PMID: 24041574 (View on PubMed)

Xie LN, Zhou F, Liu XM, Fang Y, Yu Z, Song NX, Kong FS. Serum microRNA155 is increased in patients with acute graft-versus-host disease. Clin Transplant. 2014 Mar;28(3):314-23. doi: 10.1111/ctr.12314. Epub 2014 Feb 4.

Reference Type RESULT
PMID: 24494749 (View on PubMed)

Other Identifiers

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15-229

Identifier Type: -

Identifier Source: org_study_id