Actively Recruiting

All Genders
ID06211166

Predicting Patient Relapse After Allogeneic Hematopoietic Stem Cell Transplantation Using Digital Polymerase Chain Reaction Compared to Conventional MRD

Led by Peking University People's Hospital · Updated on 2024-01-18

300

Participants Needed

1

Research Sites

104 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are investigating how effective digital Polymerase Chain Reaction (dPCR) is in monitoring measurable residual disease (MRD) in patients who have undergone allogeneic hematopoietic stem cell transplantation (HSCT) for leukemia, myelodysplastic syndromes (MDS), and related blood disorders. The study aims to compare dPCR with traditional MRD monitoring methods like quantitative PCR and multicolor flow cytometry (MFC) to better predict patient relapse and survival outcomes. Participants include patients with acute leukemia, MDS, and chronic myeloid leukemia (CML). The study evaluates MRD markers such as BCR::ABL and KMT2A using dPCR and compares these results to conventional testing methods. There are no treatment interventions; instead, different diagnostic tests are performed to monitor MRD over time. Throughout the study, patients will undergo MRD monitoring by dPCR after transplantation, along with assessments using conventional MRD techniques. Researchers will measure key outcomes including the threshold of dPCR to predict conventional MRD at two years, relapse rates, overall survival, relapse-free survival, and non-relapse mortality. The study started in January 2024 and is expected to continue through December 2027.

CONDITIONS

Brief Title

Assessment of Measurable Residual Disease in Allo-HSCT Using Digital Polymerase Chain Reaction

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Presence of at least one fusion gene or hematological tumor-associated mutation detected at diagnosis by NGS or real-time PCR for posttransplant MRD monitoring
  • Neutrophil engraftment after transplantation
  • At least one MRD monitoring by digital PCR after hematopoietic stem cell transplantation
Not Eligible

You will not qualify if you...

  • Patients who relapsed or died before the first digital PCR monitoring
  • Patients with only DNMT3A, TET2, and ASXL1 mutations ("DTA mutations") or only germline mutations

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 2 years

Participants undergo digital Polymerase Chain Reaction (dPCR), quantitative PCR, and multicolor Flow Cytometry (MFC) to monitor measurable residual disease after allogeneic hematopoietic stem cell transplantation.

Periodic visits for MRD monitoring over 2 years

Long-term Monitoring

Duration - Up to 2 years

Participants are observed for disease outcomes including hematological relapse, disease-free survival, overall survival, and non-relapse mortality.

Follow-up visits as scheduled over 2 years

Trial Site Locations

Total: 1 location

1

Peking University People's Hospital

Beijing, Beijing Municipality, China, 100044

Actively Recruiting

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Research Team

M

Meng Lv, M.D,Ph.D

Y

Ya-zhen Qin, Ph.D

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

3

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