Thalassemia Major
Conditions
Keywords
Cord Blood Transplant, Haploidentical HSCT, Thalassemia major
Brief summary
Allo-hematopoietic stem cell transplantation(HSCT) is the only way to cure β-thalassemia major at present. To expand donor pool,we developed a haplo-identical HSCT (Hi-HSCT) platform. But in prior Hi-HSCT using high dose post-transplant Cyclophosphamide in patients with leukemia, cytopenia post-transplant often developed, which was considered as a symptom of GVHD. Therefore, the investigators add unrelated umbilical cord blood (UCB) to the Hi-HSCT. It has reported that, as third-party cells, UCB will reduce GVHD.The purpose of this study is to determine whether unrelated UCB following Hi-HSCT can improve outcomes of Hi-HSCT in patients with β-thalassemia major.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* β-thalassemia major * \< 18 year old * Unrelated umbilical cord blood following Haplo-identical HSCT
Exclusion criteria
* ≥ 18 year old * HLA- matched related donors * Unrelated donor transplants * Unrelated umbilical cord blood transplants * Severe iron overload in heart by T2\*
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| overall survival(OS) | 12 months | the measure is a composite |
| TM-free survival(TFS) | 12 months | the measure is a composite |
| Transplant Related Martality (TRM) | 12 months | the measure is a composite |
| Primary or Secondary Graft Rejection (GR) | 12 months | the measure is a composite |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The cumulative incidences of acute graft-versus-host disease(GVHD) | 12 months | the measure is a composite |
| The cumulative incidences of chronic graft vesus host disease (cGVHD) | 12 months | the measure is a composite |
Countries
China