Status post allogeneic stem cell transplantation MedDRA version: 19.0 Level: LLT Classification code 10067862 Term: Allogeneic stem cell transplantation System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female person aged 18 to 75 years. 2. Written informed consent of the patient. 3. Day 100±10 days after allogeneic stem cell transplantation. 4. Serostatus for EBV: R-/D- oder R+/D- oder R+/D+. 7. Females must in addition meet at least one of the following criteria: menopause (minimum amenorrhoea for 12 months oder amenorrhoea for 6 Monate with serum FSH >40mU/ml) or bilateral ovarectomy or hysterectomy or vasectomy of her partner (all in medical history) or routine, correct and consequent use of a contraceptual method with a failure rate of =65 years) yes F.1.3.1 Number of subjects for this age range 5
Exclusion criteria
Exclusion criteria: 1. Serostatus for EBV: R-/D+. 2. Severe acute GvHD (Glucksberg grade III und IV). 3. Chronic GvHD in middle- or high-risk group according to NIH staging. 4. Rituximab administration after SCT. 5. >10.000 EBV DNA copies/ml plasma. 6. Recurrence of the haematological disorder needing therapeutic intervention. 7. Secondary transplantation. 8. SCT with transplat from a haploidentical donor. 9. SCT with transplant from umbilical cord blood. 10. CD34+-enriched transplant. 11. in vitro T-cell depleted transplant. 12. Pregnant or breast-feeding female.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the safety and tolerability of escalating doses of the study medication in patients after allogeneic stem cell transplantation (donor-identical);Secondary Objective: Assessment of the effect of the study medication on the secondary immune response to a preponed single vaccination with a combined vaccine against DTPa-IPV-Hib and Prevenar 13 Detection of indications for the efficacy of the study medication;Primary end point(s): ? Difference in number, duiration and severity of AEs, ARs, SAEs, SARs and SUSARs between dose groups. ? Difference in number, duration and severity of AESIs between dose groups. ? Change in number of EBV DNA copies/ml plasma). ? Frequency of >50,000 EBV DNA copies/ml plasma). ? Occurrence of signs of a post-transplant lymphoproliferative disorder (PTLD).;Timepoint(s) of evaluation of this end point: ? Difference in number, duiration and severity of AEs, ARs, SAEs, SARs and SUSARs: before and after administration of study medication. ? Difference in number, duration and severity of AESIs: after administration of study medication. ? Change in number of EBV DNA copies/ml plasma: before and after administration of study medication. ? Frequency of >50,000 EBV DNA copies/ml plasma after administration of study medication. ? Occurrence of signs of a post-transplant lymphoproliferative disorder (PTLD): after administration of study medication. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): ? Difference in mean change in the frequency of antibody-producing cells between dose groups. ? Difference in change of mean absolute number of b-lymphocytes, naïve B-lymphocytes and memory B-lymphocytes between dose groups. ? Difference in mean change of antigen-specific antibody concentration in serum/plasma between dose groups ? Differnce in mean change of CMV DNA copies/ml plasma between dose groups. ? Differenz in number of patients with >5,000 CMV DNA copies/ml plasma or with signs of organ infestation by CMV between dose groups.;Timepoint(s) of evaluation of this end point: ? Difference in mean change in the frequency of antibody-producing cells: before and after preponed single vaccination. ? Difference in change of mean absolute number of b-lymphocytes, naïve B-lymphocytes and memory B-lymphocytes: before and after administration of study medication. ? Difference in mean change of antigen-specific antibody concentration in serum/plasma: before and after administration of study medication. ? Difference in mean change of CMV DNA copies/ml plasma): before and after administration of study medication. ? Differenz in number of patients with >5,000 CMV DNA copies/ml plasma) or with signs of organ infestation by CMV: after administration of study medication. | — |
Countries
Germany
Contacts
Universitätsklinikum Erlangen