Acute GVH Disease
Conditions
Keywords
Acute graft versus host disease, Bone marrow transplantation, Mesenchymal stromal cells
Brief summary
A randomised study of corticosteroid therapy with or without mesenchymal stromal cell therapy for newly diagnosed acute graft versus host disease after bone marrow transplantation or donor lymphocyte therapy. It is hypothesised that mesenchymal stromal cell therapy will be superior
Detailed description
Patients with newly diagnosed untreated acute graft versus host disease grades 2-4 will receive methylprednisolone 2.5mg/kg intravenously and randomised to receive or not receive allogeneic human mesenchymal stromal cells 2X10E6 intravenously on two occasions at weekly intervals
Interventions
One arm will be randomised to receive mesenchymal stromal cell therapy in addition to corticosteroid therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Grades 2-4 acute graft versus host disease after bone marrow transplantation up to day +180 after transplantation * Age 18-55 years * Must be receiving a calcineurin inhibitor
Exclusion criteria
* Failure to sign informed consent * Corticosteroid therapy for 72 hours or greater * ECOG score equal to or greater than 3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival at one year after onset of graft versus host disease | One year |
Secondary
| Measure | Time frame |
|---|---|
| Response at 14 days after commencement of treatment for acute graft versus host disease | 14 days |
| Response at 28 days after commencement of treatment of acute graft versus host disease | 28 days |
| Incidence of severe infection | One year |
| Disease free survival at one year | One year |
| Time to treatment failure, requiring salvage therapy | 28 days |
Countries
Australia