Hematopoietic Stem Cell Transplantation for Patients With Thalassemia Major: A Multicenter, Prospective Clinical Study

NCT ID: NCT04009525

Last Updated: 2024-08-09

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

PHASE4

Total Enrollment

823 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-05

Study Completion Date

2023-10-31

Brief Summary

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The only curative therapy for thalassemia major remains the replacement of the defective erythropoiesis by allogeneic hematopoietic stem cell transplantation(allo-HSCT). We conduct a prospective multicenter study to evaluate the efficacy of allo-HSCT in the treatment of thalassemia major.

Detailed Description

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Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is one of the established curative option for thalassemia major (TM). Previous study has predicted that more than 90% of TM patients can survive after allo-HSCT with a thalassemia-free survival (TFS) in around 80% of them.The purpose of this study is to evaluate the efficacy of allo-HSCT in the treatment of thalassemia major.

Conditions

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Thalassemia Major

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MSD-HSCT

matched sibling donors hematopoietic stem cell transplantation

Group Type EXPERIMENTAL

Busulfan

Intervention Type DRUG

Busulfan(4 mg/kg/day,4 days)

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide(50 mg/kg/day,4 days)

Fludarabine

Intervention Type DRUG

Fludarabine(50 mg/m2/day,3 days)

Thymoglobulin

Intervention Type DRUG

Thymoglobulin(2.5 mg/kg/day,4 days)

cyclosporine A

Intervention Type DRUG

cyclosporine A

Mycophenolate mofetil

Intervention Type DRUG

Mycophenolate mofetil(0.25g/day)

Methotrexate

Intervention Type DRUG

Methotrexate

URD-HSCT

unrelated donor hematopoietic stem cell transplantation

Group Type EXPERIMENTAL

Busulfan

Intervention Type DRUG

Busulfan(4 mg/kg/day,4 days)

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide(50 mg/kg/day,4 days)

Fludarabine

Intervention Type DRUG

Fludarabine(50 mg/m2/day,3 days)

Thymoglobulin

Intervention Type DRUG

Thymoglobulin(2.5 mg/kg/day,4 days)

Mycophenolate mofetil

Intervention Type DRUG

Mycophenolate mofetil(0.25g/day)

Tacrolimus

Intervention Type DRUG

Tacrolimus

Methotrexate

Intervention Type DRUG

Methotrexate

haplo-HSCT

haplo-identical hematopoietic stem cell transplantation

Group Type EXPERIMENTAL

Busulfan

Intervention Type DRUG

Busulfan(4 mg/kg/day,4 days)

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide(50 mg/kg/day,4 days)

Fludarabine

Intervention Type DRUG

Fludarabine(50 mg/m2/day,3 days)

Thymoglobulin

Intervention Type DRUG

Thymoglobulin(2.5 mg/kg/day,4 days)

Mycophenolate mofetil

Intervention Type DRUG

Mycophenolate mofetil(0.25g/day)

Tacrolimus

Intervention Type DRUG

Tacrolimus

Methotrexate

Intervention Type DRUG

Methotrexate

Interventions

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Busulfan

Busulfan(4 mg/kg/day,4 days)

Intervention Type DRUG

Cyclophosphamide

Cyclophosphamide(50 mg/kg/day,4 days)

Intervention Type DRUG

Fludarabine

Fludarabine(50 mg/m2/day,3 days)

Intervention Type DRUG

Thymoglobulin

Thymoglobulin(2.5 mg/kg/day,4 days)

Intervention Type DRUG

cyclosporine A

cyclosporine A

Intervention Type DRUG

Mycophenolate mofetil

Mycophenolate mofetil(0.25g/day)

Intervention Type DRUG

Tacrolimus

Tacrolimus

Intervention Type DRUG

Methotrexate

Methotrexate

Intervention Type DRUG

Other Intervention Names

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Bu Cy Flu ATG CsA MMF FK506 MTX

Eligibility Criteria

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Inclusion Criteria

1. Diagnosed with thalassemia major.
2. Indication of hematopoietic stem cell transplantation.
3. A cardiac ejection fraction of \>50%; normal pulmonary function tests and pulmonary examination results; and normal kidney function.

Exclusion Criteria

1. Aspartate aminotransferase levels \> 4-fold the upper limit of the normal range for our institution's lab criteria;
2. Uncontrolled bacterial, viral or fungal infections;
3. Any other restriction for transplantation.
Minimum Eligible Age

2 Years

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University People's Hospital

OTHER

Sponsor Role collaborator

Ruijin Hospital

OTHER

Sponsor Role collaborator

The 923rd Hospital of Joint Logistics Support Force of People's Liberation Army

OTHER

Sponsor Role collaborator

LiuZhou People's Hospital

OTHER

Sponsor Role collaborator

The First People's Hospital of Yunnan

OTHER

Sponsor Role collaborator

Liuzhou Workers' Hospital

OTHER_GOV

Sponsor Role collaborator

Xinqiao Hospital of Chongqing

OTHER

Sponsor Role collaborator

Affiliated Hospital of Youjiang University of Ethnic Medicine

UNKNOWN

Sponsor Role collaborator

Hainan People's Hospital

OTHER

Sponsor Role collaborator

Maoming People's Hospital

OTHER

Sponsor Role collaborator

Red Cross Hospital of Yulin City

OTHER

Sponsor Role collaborator

Guilin Medical College

OTHER

Sponsor Role collaborator

Wuzhou People's Hospital

UNKNOWN

Sponsor Role collaborator

Guangxi Autonomous Region People's Hospital

UNKNOWN

Sponsor Role collaborator

The 920th Hospital of Joint Logistics Support Force of People's Liberation Army

UNKNOWN

Sponsor Role collaborator

First Affiliated Hospital of Guangxi Medical University

OTHER

Sponsor Role lead

Responsible Party

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Yongrong Lai

Director of the Hematology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yongrong Lai, MD

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of Guangxi Medical University

Locations

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First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status

Countries

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China

Other Identifiers

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GX-HSCT-MT 2019

Identifier Type: -

Identifier Source: org_study_id

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