A Single-arm Trial of Prophylactic Tocilizumab for Acute GVHD Prevention After Haploidentical HSCT.
NCT ID: NCT04688021
Last Updated: 2023-02-21
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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UNKNOWN
PHASE2
46 participants
INTERVENTIONAL
2020-12-03
2024-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
PREVENTION
NONE
Study Groups
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Tocilizumab cohort
Each patient receives Tocilizumab (8 mg/kg, i.v.) on day -1 added to conventional acute GVHD prophylaxis regimen (CsA+MTX+low-dose MMF+ATG) of haploidentical HSCT.
Cytarabine
4 mg/m2/day administered IV day -10 through -9.
Busulfan
3.2 mg/kg/day administered IV day -8 through -6.
Cyclophosphamide
1.8 g/m2/day administered IV day -5 through -4.
Me-CCNU
250mg/m2 once administered orally on day -3.
Rabbit antithymocyte globulin
1.5mg/kg/day administered IV day -5 through -2.
Tocilizumab
8mg/kg administered IV on day -1.
Allogeneic HSCT
Day 0
Cyclosporin A
2.5 mg/kg/day administered intravenously from day -7, target: 200-300ng/mL. Usually tapered during the second month, and ended in complete withdrawal during the ninth month after transplantation.
Mycophenolate Mofetil
500 mg/day administered intravenously from day -9, ended in complete withdrawal on day +100.
MTX
15 mg/m2 administered intravenously on day +1, 10mg/m2 on day +3, +6, and +9.
Interventions
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Cytarabine
4 mg/m2/day administered IV day -10 through -9.
Busulfan
3.2 mg/kg/day administered IV day -8 through -6.
Cyclophosphamide
1.8 g/m2/day administered IV day -5 through -4.
Me-CCNU
250mg/m2 once administered orally on day -3.
Rabbit antithymocyte globulin
1.5mg/kg/day administered IV day -5 through -2.
Tocilizumab
8mg/kg administered IV on day -1.
Allogeneic HSCT
Day 0
Cyclosporin A
2.5 mg/kg/day administered intravenously from day -7, target: 200-300ng/mL. Usually tapered during the second month, and ended in complete withdrawal during the ninth month after transplantation.
Mycophenolate Mofetil
500 mg/day administered intravenously from day -9, ended in complete withdrawal on day +100.
MTX
15 mg/m2 administered intravenously on day +1, 10mg/m2 on day +3, +6, and +9.
Eligibility Criteria
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Inclusion Criteria
* Patient age 16-60 years
* Mother donor, or female donor (age \>50) for female-male transplant
* Eastern Cooperative Oncology Group (ECOG) performance status \< 2
* Creatinine clearance rate \> 60 mL/min (estimate by Cockcroft-Gault Equation)
* alanine transaminase (ALT) and aspartate aminotransferase (AST)≤ 2.5×upper limit of normal (ULN), and total bilirubin ≤ 1.5×ULN (upper limit of normal, ULN)
* Left ventricular ejection fraction (LVEF) ≥50% as measured by echocardiography
* Acceptation to sign the informed consent
Exclusion Criteria
* Present active infection (including bacterial, virus or fungal)
* History of Tocilizumab infection
* History of inflammatory bowel disease
* History of demyelinating disease
* Patients who are HIV-positive, or with uncontrolled chronic hepatitis B virus (HBsAg positive) or hepatitis C virus (anti-HCV) infections
* Women who are pregnant (β-chorionic gonadotropin+) or breast feeding
* Refusal to sign the informed consent
16 Years
60 Years
ALL
No
Sponsors
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Yi Luo
OTHER
Responsible Party
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Yi Luo
Clinical Professor
Principal Investigators
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Yi Luo
Role: PRINCIPAL_INVESTIGATOR
First Affiliated Hospital of Zhejiang University
Locations
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The First Affiliated Hospital, College of Medicine, Zhejiang University
Hangzhou, , China
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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TZ-001
Identifier Type: -
Identifier Source: org_study_id
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