intestinal aGVHD after hematopoietic stem cell transplantation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients (ages 18-65 years) who have received allogeneic hematopoietic stem cell transplantation (HSCT) for a variety of blood disorders; 2. Grade III-IV acute graft-versus-host disease (aGVHD) occurred.; 3. Intestinal aGVHD resistant or dependent to steroids; 4. Any type of stem cell source, preconditioning regimen, GVHD prophylaxis, regardless of follow-up treatment with or without donor lymphocyte infusion; 5. Discontinue the use of broad-spectrum antibiotics excreted through digestion at least 12 hours before the implementation of FMT; 6. Signed written informed consent.
Exclusion criteria
Exclusion criteria: 1. Persistent, uncontrolled infection (i.e., bacteremia, hemodynamic instability, persistent fever or bacteremia followed by antibiotic treatment within 3 days); 2. Persistent intestinal diseases other than GVHD, excluding drug-resistant Clostridium difficile infection. 3. The neutrophil count was < 0.5 x 10^9/ L, and the absolute value of platelets was < 10x10^9/ L; 4. X-rays suggest toxic megacolon or gastrointestinal perforation; 5. Active gastrointestinal bleeding; 6. Pregnancy or lactation; 7. Multiple drug resistance exists in fecal detection; 8. Hyper-acute GVHD as defined by the MD Anderson's criteria (Saliba RM, 2007); 9. Late onset aGVHD as defined by the National Institutes of Health (NIH) Consensus Criteria (Jagasia MH, 2015); 10. Overlap chronic GVHD as defined by the NIH Consensus Criteria (Jagasia MH, 2015); 11. The recurrence or progression of malignant tumors requires rapid immunosuppression and withdrawal; 12. Allergic or intolerant to trehalose, maltodextrin or latex 13. Possible clinical contraindications identified by the investigator during the trial..
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effective rate; | — |
Countries
China
Contacts
The First Affiliated Hospital of Nanchang University