Malignant and Non-malignant High Risk Diseases
Conditions
Keywords
Allogeneic stem cell transplantation in pediatric patients, CD3/CD19 depleted stem cells, malignant and non-malignant high risk diseases
Brief summary
The aim of the study is to investigate the feasibility and toxicity of allogeneic haploidentical or unrelated transplantation with CD3/CD19 depleted stem cells associated with a reduced or a standard conditioning regimen in pediatric patients with malignant and non-malignant high-risk diseases, for whom allogeneic stem cell transplantation represents the only possible therapy option and no human leukocyte antigen (HLA) compatible related donors are available.
Interventions
The aim is to transplant 7x106 CD34+/kg of recipient body weight.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 0 to 30 years * Written informed consent from patient and/or parents or guardian * Patients with Karnofsky Index \> 60% * Malignant disease: * acute lymphoblastic leukemia * acute myeloid leukemia * myelodysplastic syndrome * chronic myeloid leukemia according to the standard indications * solid tumors (e.g. neuroblastoma recurrence, soft-tissue sarcoma, Ewing's sarcoma, osteosarcoma, hepatoblastoma) . Non malignant disease: * acquired anemias (e.g. severe aplastic anemia, particularly severe Evans syndrome) * congenital anemias (e.g. thalassemia and sickle cell anemia) * Women reliable contraception method when appropriate
Exclusion criteria
* Participation in other clinical trials * Patients, parents, or guardians unable to understand the nature, the importance and the implications of the procedure * Pregnant or nursing women * Patients who underwent a stem cell transplantation in the last 250 days * Patients with kidney, heart or liver insufficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate engraftment after CD3/CD19 depletion of the graft | within 1 year |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate immunoreconstitution after transplantation by assessing lymphocyte subsets | within 1 year |
Countries
Germany