Graft-Versus-Host Disease, Leukemia
Conditions
Keywords
graft-versus-host disease, budesonide, stem cell transplantation
Brief summary
The purpose of this study is to determine whether orale budesonide is effective in the prevention of acute gastrointestinal graft-versus-host disease (GVHD) following allogenic stem cell transplantation.
Detailed description
The purpose of this study is to determine whether orale budesonide is effective in the prevention of acute gastrointestinal graft-versus-host disease (GVHD) following allogenic stem cell transplantation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* planned allogenic stem cell or bone marrow transplantation * HLA identity (max. 1 mismatch) * standard GVHD prophylaxis with cyclosporin A or tacrolimus combined with MTX, +/- ATG or Campath1H * written informed consent
Exclusion criteria
* history of allogenic transplantation * in vitro T-cell depleted transplant * pretreatment with budesonide within the previous 4 weeks * known intolerance to budesonide * gastrointestinal infections * portal hypertension * concomitant infectious diseases * liver cirrhosis, impaired liver function * severe mental disorder * lack of compliance * drug or alcohol abuse * pregnancy, lactation * childbearing potential without effective contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of acute gastrointestinal (GI) GVHD in the active group versus placebo group | — |
Secondary
| Measure | Time frame |
|---|---|
| safety | — |
| grade of acute GI GVHD | — |
| incidence of chronic GI GVHD | — |
| incidence of infectious complications | — |
| overall and disease-free survival 1 yr after transplant | — |
Countries
Germany