Graft-Versus-Host Disease
Conditions
Brief summary
The aim of the study is to evaluate the safety and efficacy of mesenchymal stromal cells as treatment for steroid-refractory chronic graft-versus-host disease.
Interventions
Allogenous mesenchymal stromal cells, to be injected intravenously at a dose of 1-2 million/kg at a frequency of once a month (frequency may be changed during the study if deemed appropriate by investigators) for 6-9 months.
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic graft-versus-host disease, grade moderate or severe despite at least 3 months treatment with calcineurin inhibitors and steroids OR * Chronic graft-versus-host disease, grade moderate or severe, where full treatment with calcineurin inhibitors and steroids is impossible due to intolerable side-effects
Exclusion criteria
* Active malignancy * Fulfilling criteria for previously initiated study for treatment of chronic graft-versus-host disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in disease activity according to National Institute of Health criteria | Baseline to 9 months | Patients are evaluated according to NIH criteria at 3, 6 and (if applicable) 9 months after initialising MSC treatment, and the score compared to baseline score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in disease activity as measured by histological examination | Baseline to 9 months | — |
| Change in self-assessed disease activity and quality of life | Baseline to 9 months | — |
| Safety (Adverse events, infections and relapse) | 21 months | Frequency of complications, infections and relapse |
| Freedom from steroids at 1 year after MSC treatment | 1 year after finishing treatment | Proportion of patients free from corticosteroids at 1 year after finishing MSC treatment. |
Countries
Sweden