Hematologic Malignancies
Conditions
Keywords
haploidentical transplantation, immunomagnetic cell sorting, allogeneic hematopoietic cell transplantation, dose reduced conditioning
Brief summary
The purpose of this study is to study the feasibility and Toxicity of allogeneic haploidentical hematopoietic cell transplantation with CD3/CD19 depleted stem cells and a dose reduced conditioning.
Detailed description
Transplantation of a CD3/CD19 depleted stem cell grafts after dose reduced conditioning for the treatment of treatment refractory or relapsed hematologic malignancies after preceding allogeneic or autologous hematopoietic cell transplantation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \<60, \>18 years * Karnofsky \>60% * High risk hematologic malignancy or relapse after preceding auto/allo HCT in patients with: * ALL * AML * PNH * MDS (RAEB-t/secondary AML) * NHL * ALL * HD * CML * MM * No HLA-identical MRD or URD if not preceding allo-HCT * Use haploidentical donor with KIR-Mismatch if choice
Exclusion criteria
* \< 3 months after preceding HCT * Active cerebral seizures * \> 30% blasts in BM if ALL/AML/CML-BC * Completely chemo-refractory * Preceding myocardial infarction * Ejection fraction \<30 % echocardiography * Creatinine clearance \<50 ml/min * Respiratory insufficiency on supplemental O2 or DLCO \< 30% * Allergy against murine antibodies * HIV infection * Pregnancy * Unable for informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Engraftment | — |
| Toxicity | — |
| Mortality and Morbidity | — |
Secondary
| Measure | Time frame |
|---|---|
| Disease response | — |
| Infections | — |
| Long term toxicity | — |
| GVHD | — |
| Immune reconstitution | — |
Countries
Germany