Status:

UNKNOWN

Safety and Feasibility of the Use of Natural Killer Cells in Patients With Chronic Myeloid Leukemia

Lead Sponsor:

Hospital de Clinicas de Porto Alegre

Conditions:

Chronic Myeloid Leukemia

Eligibility:

All Genders

2-59 years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this study is to evaluate safety, feasibility and maximum tolerated dose of NK cells cultured in vitro as adjuvant treatment of patients with chronic myeloid leukemia candidates to allo...

Detailed Description

Natural killer (NK) cells are one of the main type of immune cells that mediate the graft-versus-leukemia (GVL) effect. They are a fundamental part of innate immunity, with a major role in rapid respo...

Eligibility Criteria

Inclusion

  • Patients with chronic phase CML who lost response to the second line of treatment with tyrosine-kinase inhibitor (TKI) with indication for bone marrow transplantation.
  • Accelerated phase patients who are candidates for bone marrow transplantation.
  • Patient with CML in blast crisis.
  • Patient aged between 2 and 59 years.
  • patient should have recovered from the toxicity related to previous treatment of cytotoxic agents received within 4 weeks before starting treatment in this protocol, except for cytopenias resulting from persistent disease and alopecia, or non-haematological toxicities grades 1 and 2

Exclusion

  • Zubrod performance scale ≥ 2
  • Renal impairment: Serum creatinine\> 2mg / dL for adults and\> 2mg / dL or\> 2 times the upper limit of normality for age (whichever is less) for children.
  • Impaired hepatic function, defined as: total bilirubin\> 2 mg / dL and alanine aminotransferase (ALT) 2.5 times upper limit of normal for age (unless Gilbert's disease or abnormal liver function due to primary disease).
  • Pulmonary symptoms with pulse oximetry \<92%.
  • Congestive Heart Failure Classification New York Heart Association\> III
  • Positive serological test for pregnancy within two weeks prior to enrollment in women of childbearing potential (non-fertile age defined as pre-menarche, post-menopausal over one year, or surgically sterilized).
  • Positive serology for human immunodeficiency virus (HIV).
  • Have undergone investigational therapies in four weeks prior to treatment begin under this protocol.
  • Congestive heart failure \< 6 months prior to screening.
  • Unstable angina \< 6 months before screening.
  • Myocardial infarction \< 6 months prior to selection.
  • Non-signing of the informed consent.

Key Trial Info

Start Date :

March 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2023

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT03348033

Start Date

March 1 2019

End Date

March 1 2023

Last Update

March 12 2019

Active Locations (1)

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1

Centro Terapia e Tecnologia Celular

Porto Alegre, Rio Grande do Sul, Brazil, 90035-903