GM-CSF With Post-Transplant Cyclophosphamide
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Sargramostim, Control Arm.
- Кому может быть актуально
- Состояния в реестре: Transplant-Related Hematologic Malignancy. Базовые параметры: 18 лет — 78 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Phase II Trial Evaluating the Efficacy and Safety of Sargramostim Post-Infusion of T-Replete HLA Mismatched Peripheral Blood Haploidentical Hematopoietic Stem Cells and With Post Transplant Cyclophosphamide
Обзор
Given the increased number of HLA-mismatched haploidentical transplantation with post-transplant cyclophosphamide performed each year and the high risk of infectious complications associated with this type of transplant, the investigators suggest that GM-CSF administration post-infusion of T-replete haploidentical stem cells and post-transplant cyclophosphamide can yield similar count recovery rates to G-CSF with a potential of lowering risk of infectious complications.
Вмешательства
- Препарат Sargramostim
250mcg/m2/day IV starting Day +5 - Другое Control Arm
Standard G-CSF given to those who decline to receive GM-CSF
Первичные конечные точки
- The number of patients who achieved neutrophil engraftment at 20 days after the initiation of treatment. [Срок оценки: 3 months after initial treatment]
Вторичные конечные точки (9)
- How many patients are still alive measured by overall survival at 12 months following the initiation of treatment. [Срок оценки: 12 months following initiation of treatment]
- How many patients have not relapsed measured by relapse rates at 12 months following the initiation of treatment. [Срок оценки: 12 months following initiation of treatment]
- How many patients develop graft-versus-host-disease (GVHD) measured by the incidence of GVHD at 12 months following initiation of treatment [Срок оценки: 12 months following initiation of treatment]
- How many patients have not relapsed measured by progression-free survival at 12 months following the initiation of treatment [Срок оценки: 12 months following initiation of treatment]
- How many patients died due to infections measured by the incidence and type of infections at 12 months following initiation of treatment [Срок оценки: 12 months following initiation of treatment]
- How many patients died due to a treatment-related adverse events grade 2 or greater as assessed by CTCAE v.4.0 [Срок оценки: 12 months following initiation of treatment]
- Number of patients to achieve full donor chimerisms at Days 30, 50, 100, and 6 months post-transplant as measured by donor chimerism data [Срок оценки: 12 months following initiation of treatment]
- Number of patients that acquired an infection in the first 100-days post-transplant as measured by the incidence of infections [Срок оценки: 12 months following initiation of treatment]
- Number of patients achieving platelet engraftment as measured by platelets reaching 20,000 without transfusion for 7 days [Срок оценки: 12 months following initiation of treatment]
Критерии участия
Критерии включения
- Availability of 5/10 to 8/10 matched related donor
- KPS >/= 70%
- CML, AML, MDS, ALL, CLL, HD, NHL, MPS/CMML, MM, any other hematologic condition deemed an eligible indication for allogeneic transplant by the treating center
Критерии исключения
- Poor cardiac, pulmonary, liver, and renal function
- HIV-positive
- Patients who have a debilitating medical or psychiatric illness that would preclude them from giving informed consent
- History of severe or serious allergic reaction to human GM-CSF or yeast-derived products
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
США · 1 центр
- Northside Hospital — Atlanta
Идентификаторы
NCT: NCT04237623 · NSH 1246