Expanded Haploidentical Natural Killer Cells as Consolidation Strategy for Children/Young Adults With AML
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Expanded haploidentical NK cells.
- Who it may be relevant to
- Registry conditions: Acute Myeloid Leukemia. Basic parameters: 6 months — 21 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Belarus
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Immunotherapy With ex Vivo Expanded Haploidentical Natural Killer Cells as Consolidation Strategy for Children/Young Adults With AML
Overview
The purpose of this study is to estimate the efficacy of immunotherapy with ex vivo expanded haploidentical NK cells as consolidation therapy for children/young adults with intermediate risk AML.
Detailed description
Immunotherapy with NK cells may improve the treatment results in AML. For better efficiency high cell doses or several infusions of NK cells are required. For this purpose, donor NK cells are expanded in the presence of feeder K562-mbIL21-41BBL cell line. The cycle of immunotherapy includes chemotherapy (cyclophosphamide, fludarabine) followed by two doses of NK cells infusion.
Interventions
- Biological Expanded haploidentical NK cells
Two doses of expanded haploidentical NK cells (30-100 x 10\^6 cells /kg).
Primary outcome measures
- Relapse-free survival (RFS) [Time frame: 2 years]
- Overall survival (OS) [Time frame: 2 years]
Secondary outcome measures (2)
- Persistence of donor NK cells [Time frame: 21 days after the first infusion]
- Number of T, B, NK, activated T and NK cells after immunotherapy [Time frame: 28 days after the first infusion]
Eligibility criteria
Inclusion criteria
Patients:
- primary intermediate risk AML in molecular complete remission;
- primary high risk AML in molecular complete remission awaiting unrelated HSCT;
- Karnofsky or Lansky performance scale greater or equal to 70;
- written informed consent.
Donors:
- haploidentical family donor;
- donor suitable for cell donation and apheresis according to standard criteria;
- written informed consent.
Exclusion criteria
Patients:
- uncontrolled infection;
- severe hepatic dysfunction: SGOT or SCPT >=5x upper limit of normal for age;
- positive serology for human immunodeficiency virus (HIV).
Donors:
- pregnancy;
- positive serology for HIV, hepatitis B or C.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Belarus · 1 center
- Belarussian Research Center for Pediatric Oncology, Hematology and Immunology — Minsk
Identifiers
NCT: NCT05334693 · HaploNK_consolidation_AML