Allogeneic Hematopoietic Stem Cell Transplantation
Conditions
Keywords
Immune recovery, Immunomodulatory cells, GVHD, GVL
Brief summary
The study concerns donors and patients receiving allogeneic stem cell haematopoietic transplantation. The aim of the study is to analyse HSC graft content in immune effector T (naive, memory, activated, exhausted) and immunoregulatory cell subtypes (Tregs, iNKT, MDSC) and correlate the results with post-transplant immune reconstitution of those different cell subtypes and clinical events (graft-versus-host-disease, relapse, infections). An ancillary study will focus on the impact of microbiota dysbiosis on post-transplant immune response and regulatory cell subsets.
Interventions
Additional blood sample before graft, D0, D7, D15, D21, D30, D60, D90, D180, Y1, Y2
Additional bone marrow aspiration before graft, D30, D90, Y1
Before donation
Allogeneic hematopoietic stem cell sample
Sponsors
Study design
Eligibility
Inclusion criteria
* patient of the Nancy CHRU, for whom a CSH allograft is planned. or * hematopoietic stem cell donors received at Nancy's CHRU for the duration of the research
Exclusion criteria
* Positive HIV * active hepatitis B or C infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportions of regulatory immune cells in peripheral blood. | After 7 days, 15 days, 21 days, 30 days, 60 days, 90 days, 180 days, 1 year, 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of graft versus host (GVH) reaction after allografting of CSH | After 7 days, 15 days, 21 days, 30 days, 60 days, 90 days, 180 days, 1 year, 2 years |
| Incidence of relapse | After 7 days, 15 days, 21 days, 30 days, 60 days, 90 days, 180 days, 1 year, 2 years |
| Incidence of infections | After 7 days, 15 days, 21 days, 30 days, 60 days, 90 days, 180 days, 1 year, 2 years |
| Progress-free survival | After 7 days, 15 days, 21 days, 30 days, 60 days, 90 days, 180 days, 1 year, 2 years |
| Overall survival | After 7 days, 15 days, 21 days, 30 days, 60 days, 90 days, 180 days, 1 year, 2 years |
Countries
France