Acute Graft-versus-Host Disease
Conditions
Brief summary
This is a prospective study to explore the association between donor neutrophil subsets and acute graft-vs.-host disease outcomes. Approximately 260 subjects (including 130 donors and 130 corresponding recipients) will be recruited.
Detailed description
This study was a single-center, observational, prospective cohort study. The study lasted for 3 months, from 2023.12 to 2024.3, the clinical enrollment was completed, and from 2024.3 to 2024.6, the follow-up was completed. It is planned to enroll 260 subjects, divided into 130 donors and 130 patients. No randomization or any protocol-driven treatment will be performed or provided to subjects during the course of the study. Treatment decisions and selection of treatment options are left to the discretion of the treating physician, if clinically appropriate. All recipients will be followed for aGVHD evaluation, relapse, cGVHD, leukemia relapse, disease-free survival (DFS), non-relapse mortality (NRM). aGVHD and cGVHD were graded according to published guidelines. All recipients will be monitored every month until the study is completed.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Donors 1. Voluntarily sign the informed consent form; 2. Age 16-65 years old 3. Donors whose HLA-matched or HLA-mismatched to the corresponding recipients Recipients 1. Voluntarily sign the informed consent form 2. Age 16-65 years old 3. Willing to undergo HLA-matched or HLA-mismatched allo-HSCT
Exclusion criteria
Donors 1. Have a history of other tumors 2. With poor compliance or mental disorders 3. Infected with HIV and HCV 4. With uncontrolled HBV infection 5. With other autoimmune diseases 6. Those who are judged by the researcher to be unsuitable to participate in this study Recipients 1. Have a history of other tumors 2. With poor compliance or mental disorders 3. Infected with HIV and HCV 4. With uncontrolled HBV infection 5. With other autoimmune diseases 6. Those who are judged by the researcher to be unsuitable to participate in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Association between donor neutrophil subsets and acute graft-vs.-host disease (aGVHD) outcomes. | 100days |
Secondary
| Measure | Time frame |
|---|---|
| Association between donor neutrophil subsets and chronic GVHD (cGVHD) | 6 months |
| Association between donor neutrophil subsets and leukemia relapse | 6 months |
| Association between donor neutrophil subsets and non-relapse mortality (NRM) | 6 months |
| Association between donor neutrophil subsets and disease-free survival (DFS) | 6 months |
Countries
China