C92
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patients with CML in first chronic phase and HLA compatible family or non-family-donor (criteria for donors see below) - Patients with AML or ALL in 1. or 2. remission and HLA compatible family or non-family-donor (criteria for donors see below) - Age 18-55 years - Informed consent Criteria for donors: - Willingness to donate peripheral blood stem cells after informed consenting - Willingness to donate lymphocytes after transplantation
Exclusion criteria
Exclusion criteria: At time of study enrolment: - limited liver function (bilirubin >3mg%) - limited renal function (creatinin >2mg%) - history of cardiac disease (echocardiographically or szintigraphically determined cardiac insufficiency, myocardial infarction 5 x 10e5 CD34+ cells/kg body weight in graft after CD34-selection At time of donor lymphocytes infusion: - II. Grade - Immune suppression with cyclosporine A
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Evaluation of safety and efficacy of transfusion of transduced T cells after allogeneic HSCT - Evaluation of graft versus host disease after transfusion of gene modified donor T cells and possibility to treat GVHD with Ganciclovir (GCV). - Evaluation of graft versus leukemia effects using real time PCR for bcr-abl expression | — |
Secondary
| Measure | Time frame |
|---|---|
| -engraftment rate, cumulative incidence of grade II-IV acute GvHD, ttime to T cell immune reconstitution and extensive chronic GvHD -incidence and duration of infectious episodes and disease infection mortality -cumulative incidence of relapse (CIR) and disease free survival -acute and longterm toxicity related to HSV-Tk infusions -assess quality of life | — |
Countries
Germany
Contacts
Medizinische Hochschule Hannover Hämatologie, Hämostaseologie, Onkologie KMT-Ambulanz