Haematological Malignancies
Conditions
Keywords
Transplant, CD25/71 allodepleted donor T cells, Infection, Acute Myeloid Leukaemia, Acute Lymphoblastic Leukaemia, Adult, Diffuse Large B-Cell Lymphoma, Mantle Cell Lymphoma
Brief summary
The purpose of this study is to evaluate whether the administration of allodepleted donor T cells to patients with haematological malignancies after stem cell transplant can improve the recovery of the patients immune system.
Interventions
CD25/71 allodepleted donor T-cells will be administered at a dose of 10\^5 /kg at day 30 post-SCT, 3 x 10\^5 /kg at day 60 and 10\^6 /kg at day 90 post transplant
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥16 years * Underlying haematological malignancy * Planned allogeneic peripheral blood stem cell transplantation from a 10/10 or 9/10 HLA matched unrelated donor, using an Alemtuzumab-based conditioning protocol * Written Informed consent
Exclusion criteria
* Life expectancy \< 6 weeks * Female patients who are pregnant and lactating * Patients who are serologically positive for Hepatitis B, C or HIV pre-SCT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Circulating CD3+ve T cell count at 4 months post-SCT | 4 months post transplant |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of grade II-IV acute and chronic GVHD | 1 year post transplant |
| Time to recovery of normal T-cell (>700/uL) and CD4 (>300/uL) counts and normal TCR diversity as assessed by Vb spectratyping | 1 year post transplant |
| In vitro anti-viral responses of circulating PBMC | 1 year post transplant |
| Transplant related mortality at 1 year post-SCT | 1 year post transplant |
| Disease-free survival at 1 year post-SCT | 1 year post transplant |
Countries
United Kingdom