Relapsed/refractory paediatric T cell lymphoblastic leukaemia and lymphoma.
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients betweem 0 and 21 years of age with diagnosis of acute lymphoblastic T leukemia or lymphoma, relapsed or refractary. 2. Lansky index > 60% 3. Left ventricular ejection fraction > 39% 4. Negative HIV serology Are the trial subjects under 18? yes Number of subjects for this age range: 6 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 4 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Patients with history of bad therapeutical compliance 2. Patients not valid after psycho-social evaluation 3. Severe (4) functional organ disorders (hepatic, renal, respiratory) according to NCI CTCAE v4 criteria 4. Should be considered the contraindications, drug interactions, precautions for use and dose reductions indicated in the corresponding Summary of Product Characteristics (SmPC) (read the SmPC)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The objective of this clinical trial is to assess the toxicity of activated and expanded NK cell immunotherapy after salvage chemotherapy in patients with relapsed or refractary acute lymphoblast leukemia/lymphoblast lymphoma (LLT).;Secondary Objective: . Analyze incidence of episodes of febrile neutropenia, bacteremia, infections (viral and fungal), days of isolation, hematological recovery and days of hospitalization. . Assess rate of complete remission (cytomorphological and by criteria of "minimal residual disease") . Assess immune reconstitution of lymphocytes and cytotoxic activity of NK cells pre and post NKAES infusion;Primary end point(s): Safety of NK cells infusion after chemotherapy;Timepoint(s) of evaluation of this end point: 2 months after end infusion | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Incidence of episodes of febrile neutropenia, bacteriemia or viral or fungal infections Days of isolation, hematological recovery (neutrophils >500/?l, lymphocytes >250/ ?l and platelets >50.000/?l), days of hospitalization in each cycle Immune reconstitution In vitro NK cells cytotoxic activity Objective response rate according to cytomorphic and by "minimal residual disease" criteria (cytometry and/or real time PCR) at the end of the treatment;Timepoint(s) of evaluation of this end point: End of infusion and follow-up (2 months and 1 year) | — |
Countries
Spain
Contacts
HOSPITAL UNIVERSITARIO NINO JESUS