Actively Recruiting
A Phase I Clinical Trial Assessing Prophylactic Donor CD45RA-depleted Lymphocyte Infusions Into Patients Transplanted with Stem Cell Grafts from Haploidentical Donors After Reduced Intensity Conditioning
Led by University Hospital, Geneva · Updated on 2025-02-13
12
Participants Needed
1
Research Sites
26 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and feasibility of giving prophylactic CD45RA-negative memory/effector T lymphocyte infusions to patients who have undergone haploidentical stem cell transplantation with reduced intensity conditioning for hematologic malignancies. This phase 1 clinical trial focuses on preventing complications in the early post-transplant period by using donor lymphocytes depleted of naive T cells. Participants receive up to three intravenous infusions of escalating doses of CD45RA-negative cells, which are isolated from the original donor through leukapheresis and prepared using CliniMACS® technology. These infusions are given at intervals of 6 to 8 weeks, starting at least 4 weeks after transplantation if graft-versus-host disease (GvHD) is absent. The cells are stored in vapor nitrogen until administration. During the study, participants are closely monitored for safety outcomes including acute transfusion reactions within 24 hours after each infusion and acute GvHD grade II-IV within 8 weeks post-infusion. Researchers will assess feasibility and safety through clinical evaluations and laboratory tests. The total participation period includes multiple infusions and follow-up to track adverse events and transplant complications.
CONDITIONS
Brief Title
Prophylactic CD45RA-depleted DLI After Haploidentical Transplantation/RIC
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients who received a stem cell graft from a haploidentical donor after reduced intensity conditioning for hematologic malignancies
- Written informed consent of patient and donor obtained
You will not qualify if you...
- Currently taking Prednisone or equivalent steroids
- Currently taking Mycophenolate Mofetil
- Currently taking Cyclosporine or Tacrolimus at therapeutic blood levels
- Progressive hematologic malignancy before transplant
- Second allogeneic transplant
- Acute graft-versus-host disease grade 2 or higher
- Moderate or severe chronic graft-versus-host disease
- Hematologic or molecular relapse of the primary malignancy requiring chemotherapy or unmanipulated donor lymphocyte infusion
- Donor with aberrant CD45RA expression due to CD45 gene polymorphism
- Participation in another interventional clinical trial within 30 days prior to inclusion
- Pregnant or nursing women
- Sexually active women with childbearing potential and sexually active male patients unwilling to use effective contraception during the study and for 2 months after last infusion
- Inability to follow study procedures due to language, psychological disorders, or dementia
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Intervals of 6 to 8 weeks between infusions
Participants receive up to 3 intravenous infusions of prophylactic CD45RA-depleted lymphocyte cells at intervals of 6 to 8 weeks, starting at least 4 weeks after transplantation if no graft-versus-host disease is present.
Up to 3 infusion visits
Trial Site Locations
Total: 1 location
1
HUG
Geneva, Canton of Geneva, Switzerland, 1205
Actively Recruiting
Research Team
A
Anne-Claire Mamez
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1