Treatment of acute and chronic graft versus host disease (GVHD) after allogeneic donor hematopoietic stem cell transplantation in adult patients with haematological diseases. MedDRA version: 20.0 Level: LLT Classification code 10068908 Term: AGVHD System Organ Class: 100000004870
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - age > 18 years old - Diagnosis of any oncohematological pathology with transplant indication; patients not in clinical response allowed - Patients undergoing allogeneic stem cell transplantation regardless of the conditioning regimen and source of CSE - ability to sign informed consent 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 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 8
Exclusion criteria
Exclusion criteria: - Transplant from T-depleted or T-selected product - Documented intolerance to the drug or to one of its excipients; - Ongoing vitamin D therapy for any medical conditions; - Hypercalcemia, hypercalciuria, kidney stones, renal failure; - age < 18 years - Subjects who are not legally deemed capable of understanding and willing.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Reduction in the severity of acute and chronic GvHD in patients treated with Vitamin D compared to the control group;Secondary Objective: Evaluation of lymphocyte subsets circulating on peripheral blood Evaluation of the surface expression of the vitamin D receptor (VDR) and modulation in response to treatment with vitamin D on lymphocyte subpopulations Evaluation of the soluble fraction of the VDR on serum Post hoc evaluation of the role of polymorphisms (SNPs) of the recipient and donor VDR on the response to vitamin D therapy;Primary end point(s): Evaluate the effectiveness of vitamin D in GVHD in terms of presentation and severity.;Timepoint(s) of evaluation of this end point: 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Evaluation of lymphocyte subsets circulating on peripheral blood - Evaluation of the surface expression of the vitamin D receptor (VDR) and modulation in response to treatment with vitamin D on lymphocyte subpopulations. - Evaluation of the soluble fraction of VDR on serum - Post hoc evaluation of the role of polymorphisms (SNPs) of the recipient and donor VDR on the response to vitamin D therapy;Timepoint(s) of evaluation of this end point: 18 mesi | — |
Countries
Italy
Contacts
Azienda Ospedaliero Universitaria Pisana