Acute Myeloid Leukemia
Conditions
Brief summary
This trial will evaluate the effectiveness and safety of haploid donor-derived in vitro activated natural killer(NK) cells infusion for Treating acute myeloid leukemia Patients With minimal residual disease.
Detailed description
Patients of acute myeloid leukemia after chemotherapy with MRD(minimal residual disease) will receive NK cell infusion combined with consolidation chemotherapy. The bone marrow morphology and MRD remission of the patients will be observed 15 days after the same treatment. All patients will be followed up for 1 year. NK cells are prepared in Beijing iCELL Biotechnology Co.,Ltd, which is subsidiary to Shanghai iCELL Biotechnology Co.,Ltd.
Interventions
NK cells will be intravenously infused to the patient for 2 days, with following subcutaneously injection of Interleukin-2.
Sponsors
Study design
Intervention model description
haploid allogeneic NK cell therapy with chemotherapy
Eligibility
Inclusion criteria
1. Patients diagnosed with acute myeloid leukemia; 2. MRD after 2 course of standard chemotherapy; 3. No plan for hematopoietic stem cell transplantation; 4. Hemoglobin (Hb) \>=60g/L, white blood cell count (WBC) \>=2.5x10\^9/L, platelet count \>=30x10\^9/L; 5. Patients have self-knowledge ability and can sign informed and voluntary consent forms; 6. Patients or their clients, guardians of pediatric patients signed the informed and voluntary consent form and joined the study.
Exclusion criteria
1. Intracranial hypertension or unconsciousness; 2. Symptomatic heart failure or severe arrhythmia; 3. Respiratory failure; 4. With other types of malignant tumor diseases; 5. T lymphocytic acute leukemia; 6. Diffuse intravascular; 7. Serum creatinine and / or urea nitrogen \>=1.5 times the normal value;coagulation; 8. Serum total bilirubin \>=1.5 times the normal value; 9. Sepsis or other difficult-to-control infections; 10. Uncontrollable diabetes; 11. severe mental disorders; 12. WHO physical status classification \>=3; 13. People who are allergic to Interleukin-2; 14. Patients after organ transplant; 15. Pregnant and lactating women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Minimal Residual Disease (MRD) | 12 months | MRD-negative is defined as \<0.1% blasts with leukemia-associated phenotype detected by flow cytometry. MRD-positive is defined as \>=0.1% blasts with leukemia-associated phenotype detected by flow cytometry. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events | 12 months | Evaluation of toxicities defined as any CTCAE (v. 4.03) |
Countries
China