Decidual Stromal Cells, Hemorrhagic Cystitis, Stem Cell Transplantation
Conditions
Brief summary
A prospective double blind randomized study comparing placenta derived decidual stromal cells with placebo for hemorrhagic cystitis after allogeneic hematopoietic cell transplantation. It is hypothesized that the decidual stromal cell therapy will be superior to placebo.
Detailed description
Patients with grade 2-4 hemorrhagic cystitis will be randomized to receive either decidual stromal cell therapy at approximately 1x106 cells/kg or placebo on two occasions at weekly intervals. Patients not responsive within 2 weeks will receive decidual stromal cells at approximately 1x106 cells/kg openly.
Interventions
Decidual stromal cells (approximately 1x10\^6 cells/kg) will be infused intravenously.
Sponsors
Study design
Eligibility
Inclusion criteria
* Hemorrhagic cystitis grade 2-4 * Receives Misoprostol therapy
Exclusion criteria
* Patients with urinary urge without macroscopic hematuria or clots
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Days to disappearence of macroscopic hematuria or clots | 1 month after inclusion | Each day, patients fill out a form were they state whether they have macroscopic hematuria or not. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to disappearance of microscopic hematuria | 1 month after inclusion | Each day patients, with the help of a urinary test stick, fill out a form were they state whether they have microscopic hematuria or not. |
| Transplant related mortality | 1 year after inclusion | All mortality except relapse |
| Time to disappearance of pain or urges | 1 month after inclusion | — |
| Incidence of graft versus host disease | One year after inclusion | — |
| Overall actuarial survival | Actuarial | — |
| Incidence of severe infections | 1 year after inclusion | Incidence of severe bacterial, viral or fungal infections. |
Countries
Sweden