Allogeneic Haplo-Stem Cell Transplatation (SCT), Graft Versus Host Disease
Conditions
Keywords
mismatched, Stem cell transplatation, Bone marrow transplantation, T cell depletion, engraftment, Patients undergoing allogeneic haplo-SCT
Brief summary
This study is planned to evaluated whether ATG is needed in haploidentical stem cell transplantation
Interventions
ATG-f
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patient age 3-70 years old with a disease necessitating allogeneic SCT. 2. Patients must have a mismatched donor willing and capable of donating peripheral blood stem cells and/or bone marrow progenitor cells using conventional techniques, and lymphocytes if indicated (mismatched defined as 3/6-4/6 HLA matching). 3. Each patient / patient's guardian must sign written informed consent. 4. Patients must have an ECOG PS ≤ 2; Creatinine \<2.0 mg/dl; Ejection fraction \>40%; DLCO \>50% of predicted; Serum bilirubin \<3 gm/dl; elevated GPT or GOT \>3 x normal values.
Exclusion criteria
1. Not fulfilling any of the inclusion criteria. 2. Active life-threatening infection. 3. Overt untreated infection. 4. Known hypersensitivity to ATG. 5. HIV seropositivity, Hepatitis B or C antigen positivity with evidence of active hepatitis. 6. Pregnant or lactating women. 7. Donor contraindication (HIV seropositive confirmed by Western Blot Hepatitis B antigenemia; positive HCV antibodies with positive HCV PCR; evidence of bone marrow disease; unable to donate bone marrow or peripheral blood due to concurrent medical condition). 8. Inability to comply with study requirements.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Day of day of neutrophil engraftment (ANC>0.5x10^9/L) | 30 days |
| Day of platelet engraftment >25x10^9/L | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Day of platelet engraftment >50x10^9/L | 100 days |
| Time to AGVHD | 100 days |
| AGVHD grade | 100 days |
| AGVHD occurrence | 100 days |
| Infections incidence | 100 days |
| TRM | 100 days |
| TRT | 100 days |
| OS | 100 days |
| DFS at 100 days | 100 days |
Countries
Israel