A Single-arm Trial of Prophylactic Tocilizumab for Acute GVHD Prevention After Haploidentical HSCT.

NCT ID: NCT04688021

Last Updated: 2023-02-21

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-03

Study Completion Date

2024-12-31

Brief Summary

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A single-arm trial using Tocilizumab for acute GVHD prophylaxis after haploidentical HSCT.

Detailed Description

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This study will enroll haploidentical HSCT patients with high risk for acute GVHD. Tocilizumab (8mg/kg) will be added to the conventional acute GVHD prophylaxis regime (CsA+Methotrexate(MTX)+low dose mycophenolate mofetil(MMF)+ATG) on day -1 of transplant. The previous patients will be used as control.

Conditions

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Leukemia Graft-versus-host-disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

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.

Group Type EXPERIMENTAL

Cytarabine

Intervention Type DRUG

4 mg/m2/day administered IV day -10 through -9.

Busulfan

Intervention Type DRUG

3.2 mg/kg/day administered IV day -8 through -6.

Cyclophosphamide

Intervention Type DRUG

1.8 g/m2/day administered IV day -5 through -4.

Me-CCNU

Intervention Type DRUG

250mg/m2 once administered orally on day -3.

Rabbit antithymocyte globulin

Intervention Type DRUG

1.5mg/kg/day administered IV day -5 through -2.

Tocilizumab

Intervention Type DRUG

8mg/kg administered IV on day -1.

Allogeneic HSCT

Intervention Type PROCEDURE

Day 0

Cyclosporin A

Intervention Type DRUG

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

Intervention Type DRUG

500 mg/day administered intravenously from day -9, ended in complete withdrawal on day +100.

MTX

Intervention Type DRUG

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.

Intervention Type DRUG

Busulfan

3.2 mg/kg/day administered IV day -8 through -6.

Intervention Type DRUG

Cyclophosphamide

1.8 g/m2/day administered IV day -5 through -4.

Intervention Type DRUG

Me-CCNU

250mg/m2 once administered orally on day -3.

Intervention Type DRUG

Rabbit antithymocyte globulin

1.5mg/kg/day administered IV day -5 through -2.

Intervention Type DRUG

Tocilizumab

8mg/kg administered IV on day -1.

Intervention Type DRUG

Allogeneic HSCT

Day 0

Intervention Type PROCEDURE

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.

Intervention Type DRUG

Mycophenolate Mofetil

500 mg/day administered intravenously from day -9, ended in complete withdrawal on day +100.

Intervention Type DRUG

MTX

15 mg/m2 administered intravenously on day +1, 10mg/m2 on day +3, +6, and +9.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with hematological malignancies in complete remission (CR) who are eligible and planned for haploidentical HSCT. The donor specific antibody is negative
* 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

* History of previous HSCT
* 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
Minimum Eligible Age

16 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yi Luo

OTHER

Sponsor Role lead

Responsible Party

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Yi Luo

Clinical Professor

Responsibility Role SPONSOR_INVESTIGATOR

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

Site Status RECRUITING

Countries

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China

Central Contacts

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Yi Luo, MD

Role: CONTACT

86-13666609126

Lizhen Liu, MD

Role: CONTACT

86-15858222740

Facility Contacts

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Yi Luo, MD

Role: primary

86-13666609126

Lizhen Liu, MD

Role: backup

86-15858222740

Other Identifiers

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TZ-001

Identifier Type: -

Identifier Source: org_study_id

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