Delayed platelet engraftment after umbilical cord blood transplantation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age: 18-65 years old. 2. Gender: no limit. 3.Patients with hematological malignancies (hematological malignancies) diagnosed by MICM according to the criteria of CSCO Guidelines for the diagnosis and treatment of Hematological Malignancies (2022 Edition), who have indications for UCB hematopoietic stem cell transplantation, without major organ dysfunction, and without transplantation contraindications. 4. Recipient was negative for human leukocyte antigen (HLA) antibody. 5. ECOG score 0-2 or hematopoietic stem cell comorbidity index (HCT-CI) score 0-3. 6. The subjects or their legal representatives fully understand the purpose, protocol and possible risks of the study, agree and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1.Undergone major (grade 2 or above) surgery within the previous 4 weeks. 2.Congenital or hereditary bone marrow failure diseases. 3.History of stroke or intracranial hemorrhage within the preceding 6 months. 4.Clinically significant cardiovascular disease: uncontrolled or symptomatic arrhythmia, congestive heart failure, myocardial infarction within 6 months before screening, or any Class 3 (moderate) or Class 4 (severe) cardiac disease according to the New York Heart Association (NYHA) functional classification. 5. Presence of infectious diseases: such as active human immunodeficiency virus (HIV), or active hepatitis C virus (HCV; RNA polymerase chain reaction PCR positive), or active hepatitis B virus (HBV; DNA PCR positive) infection. 6.Active bacterial or fungal infection. 7.Dependency on illicit drugs or substance abuse. 8.Psychiatric disorders or cognitive impairment. 9.Concurrent participation in another clinical trial. 10.Investigators' judgment of unsuitability for enrollment (e.g., anticipated inability to adhere to treatment due to financial concerns or other issues). 11.Pre-existing diagnosis of myelofibrosis prior to transplantation. 12.Lack of a suitable matched umbilical cord blood unit.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to Platelet Engraftment; | — |
Secondary
| Measure | Time frame |
|---|---|
| Disease-Free Survival / Overall Survival Rate;Cumulative Incidence of Grade II-IV Acute GVHD;Cumulative Incidence of Chronic GVHD;Incidence of Adverse Events;Correlation between TPO Levels and Efficacy;Platelet/Neutrophil Engraftment Rate at Day 42;Time to Neutrophil Engraftment; | — |
Countries
China
Contacts
The Seventh Affiliated Hospital of Sun Yat-sen University (Shenzhen)