The Impact of Donor COVID-19 Infection Status on the Recipient in Allo-HSCT

NCT ID: NCT05675826

Last Updated: 2023-01-12

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

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-26

Study Completion Date

2023-04-30

Brief Summary

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This study was conducted to observe whether COVID-19 can be transmitted through stem cell transplantation and whether COVID-19-positive donors have an effect on early hematopoietic reconstitution and immune reconstitution in the recipients.

Detailed Description

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) induced COVID-19 infections are showing an explosive increase in China starting in late 2022. SARS-CoV-2 infections are characterized by an initial viral replication followed by an inflammatory phase with lymphocyte depletion in severe patients.

Past studies have shown that SARS-CoV -2 is detectable in the blood of 8%-15% of patients and that viremia occurs in the first 2-3 days after the onset of symptoms. EBMT, WMDA and other organizations have suggested that COVID-19 positive donors must be excluded or delayed from donation for safety reasons.

However, there have not been any reports of transmission from donor to recipient in blood product transfusion or cell therapy. In the only reported cases of allogeneic HSCT from SARS-CoV-2 positive donors, there was also no evidence of recipient infection from the graft.

In the current situation where the vast majority of people are infected with COVID-19 in the short term, many patients, such as those with leukemia, are in urgent need of transplantation due to the aggressive, hard-to-control,underlying disease. The investigators established this observational clinical trial to investigate whether COVID-19 is transmitted through stem cells and whether COVID-19 positive donors have an impact on early hematopoietic reconstitution and immune reconstitution in recipients.

Conditions

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COVID-19 Hematopoietic Stem Cell Transplantation

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Donor infected with covid19

This includes donors who have been infected or are infected with COVID19 at the time of hematopoietic stem cell collection.

No interventions assigned to this group

Donor not infected with covid

Including donors not yet infected with COVID19 at the time of hematopoietic stem cell collection.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Age between 16 and 65 years old.
2. History of hematological malignancies (acute leukemias, myelodysplastic syndromes, myeloproliferative neoplasms, lymphomas, myeloma).
3. Allogeneic hematopoietic stem cell transplantation perform during the COVID19 pandemic.

Exclusion Criteria

Hematological diseases, other than hematological malignancies.
Minimum Eligible Age

16 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chen Suning

OTHER

Sponsor Role lead

Responsible Party

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Chen Suning

Physician

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Suning Chen, PHD

Role: CONTACT

+86-13814881746

Jing Lu, Master

Role: CONTACT

+86-13771836270

Facility Contacts

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Suning Chen, PhD

Role: primary

+8613814881746

Other Identifiers

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COVID19-HSCT-1

Identifier Type: -

Identifier Source: org_study_id

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