Human Leukocyte Antigen (HLA) Mismatched Related Allogeneic Hematopoietic Stem Cell Transplantation

NCT ID: NCT06809699

Last Updated: 2025-02-05

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-04

Study Completion Date

2027-10-31

Brief Summary

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This study is a single center, prospective, single arm exploratory clinical trial that includes patients with hematological malignancies who are indicated for allogeneic hematopoietic stem cell transplantation (allo HSCT) but lack suitable donors. This project plans to use human leukocyte antigen (HLA) mismatched donors. Ultimately, a HLA mismatched allo HSCT transplantation plan will be established to improve the disease prognosis of these patients and truly enter the era of "everyone has a donor".

Detailed Description

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This study is a single center, prospective, single arm exploratory clinical trial that includes patients with hematological malignancies who are indicated for allogeneic hematopoietic stem cell transplantation (allo HSCT) but lack suitable donors. This project plans to use human leukocyte antigen (HLA) mismatched donors. Ultimately, a HLA mismatched allo HSCT transplantation plan will be established to improve the disease prognosis of these patients and truly enter the era of "everyone has a donor".

Conditions

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Hematologic Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HLA-mismatch related

The myeloablative conditioning is used when the patient is below 50 and with an HCT-CI\<2. The reduced intensity conditioning is used when the patient is over 50 or with an HCT-CI≥2.

Group Type EXPERIMENTAL

Busulfan (Busulfex)

Intervention Type DRUG

For myeloablative conditioning: Busulfan (Bu,3.2 mg/kg/d IV -8d \~-6d) For reduced intensity conditioning: (Bu,3.2 mg/kg/d IV -7d\~-5d)

Cyclophosphamide (CTX)

Intervention Type DRUG

Cyclophosphamide is only used in myeloablative conditioning (Cy,1.8g/m2, -5d, -4d)

Fludarabine (Fludara)

Intervention Type DRUG

For myeloablative conditioning: Fludarabine (Flu,30 mg/m2/d IV -6d \~ -2d) For reduced intensity conditioning: Fludarabine(Flu,30mg/m2 /d IV -10d\~-5d)

Semustine (MeCCNU)

Intervention Type DRUG

For both myeloablative and reduced intensity conditioning: Semustine (MECCNU,250 mg/m2 orally-3d).

Interventions

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Busulfan (Busulfex)

For myeloablative conditioning: Busulfan (Bu,3.2 mg/kg/d IV -8d \~-6d) For reduced intensity conditioning: (Bu,3.2 mg/kg/d IV -7d\~-5d)

Intervention Type DRUG

Cyclophosphamide (CTX)

Cyclophosphamide is only used in myeloablative conditioning (Cy,1.8g/m2, -5d, -4d)

Intervention Type DRUG

Fludarabine (Fludara)

For myeloablative conditioning: Fludarabine (Flu,30 mg/m2/d IV -6d \~ -2d) For reduced intensity conditioning: Fludarabine(Flu,30mg/m2 /d IV -10d\~-5d)

Intervention Type DRUG

Semustine (MeCCNU)

For both myeloablative and reduced intensity conditioning: Semustine (MECCNU,250 mg/m2 orally-3d).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients (18-60 years old) with hematological malignancies and indications for hematopoietic stem cell transplantation with no available related human leukocyte antigen (HLA) identical sibling donors;
* No available donor with HLA high-resolution typing ≥ 9/10 or those who have difficulty finding donors due to urgent medical conditions;
* No suitable HLA matching haploidentical donor available;
* There is a suitable donor with mismatched HLA typing;
* The subjects or their legal representatives shall sign an informed consent form before the start of the clinical study.

Exclusion Criteria

* Patients with severe liver and kidney function (alanine aminotransferase\>2.5 times the upper limit of normal, blood creatinine\>1.5 times the upper limit of normal) and cardiopulmonary dysfunction (New York Heart Association (NYHA) III/IV heart function, ejection fraction\<50%, severe obstructive or restrictive ventilation dysfunction);
* Merge active infections;
* Eastern Cooperative Oncology Group (ECOG) score ≥ 2 points;
* Secondary tumors with merged activity;
* Severe central nervous system or mental illness leading to the inability to autonomously choose to enter or exit clinical trials;
* Combine other allo HSCT contraindications.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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He Huang

OTHER

Sponsor Role lead

Responsible Party

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He Huang

Professor, Director of the Bone Marrow Transplantation Center, The First Affiliated Hospital, Zhejiang University School of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, China, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yanmin Zhao, MD., PhD

Role: CONTACT

+86 87236706

Yishan Ye, MD., PhD

Role: CONTACT

Facility Contacts

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Yanmin Zhao, MD., PhD

Role: primary

+86 57187236706

Other Identifiers

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MMR-001

Identifier Type: -

Identifier Source: org_study_id

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