Acute and chronic Graft versus Host Disease (GVHD) MedDRA version: 18.1 Level: PT Classification code 10018651 Term: Graft versus host disease System Organ Class: 10021428 - Immune system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with acute or chronic GVHD, that do not respond sufficiently to glucocorticoids. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 22 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 8
Exclusion criteria
Exclusion criteria: Patients with contraindications for extracorporeal photopheresis. Patients with relapse of primary hematologic disease or activity in this.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect of treatment with extracorporeal photopheresis in acute and chronic GVHD.;Secondary Objective: Not applicable;Primary end point(s): For acute GVHD: -Achiement of Partial Remission (PR), Very Good Partial Remission (VGPR) or Complete Remission (CR) - Time to PR,VGPR or CR - Change in dose of immunosuppresive medication and time to half the dose of steroid. - Freedom form treatment failure at 6 months For chronic GVHD: - Response at 3,6,9 and 12 months - Time to partiel or complete remission - Freedom from treatment failure at 6 months - REduction in steroid dose - Duration ECP treatment - Re-occurence of chronic GVHD after stopping ECP ;Timepoint(s) of evaluation of this end point: Acute GVHD: Evaluation weekly for 8 weeks and then in week 10, 6, 20 and 24 after initiation of treatment. Chronic GVHD: Evaluation every 3 months for the duration of treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Acute GVHD: - Duration of response - Duration of immunosuppressive treatment - Infections demanding antibiotics - Incidence of cGVHD (in the acute GVHD part) - Non-relapse mortality - Overall survival - Effect on chimerism for patients with non-myeloablative conditioning - amount and distribution of T-, B- and NK-cells (acute GVHD) Chronic GVHD: - Patient self assesment score - Occurence of infections - NIH global assesment score (2005) - Occurrence of relapse of primary hematologic disease - Chronic GVHD- free survival - Overall survival - Transplant related mortality - ;Timepoint(s) of evaluation of this end point: Most secondary endpoints will be assesed at the above mentioned timepoints. Non.relapse mortality ans overall survival will be assesed at the end of trial. T-,B- and NK cells + chimerism will be measured at the begining of treatment and at week 4 and 8. | — |
Countries
Denmark
Contacts
Bispebjerg hospital