chronic graft-versus-host disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Presence of at least one diagnostic clinical sign of chronic GVHD or an appropriate constellation of distinctive signs confirmed by biopsy or other relevant diagnostic tests;Presence of liver manifestation of chronic GVHD after allogeneic HSCT;Presence of lung manifestation of chronic GVHD after allogeneic HSCT (bronchiolitis obliterans either confirmed by lung biopsy or diagnosed via pulmonary function and radiology testing);Indication for systemic immunosuppressive therapy defined as chronic GVHD that involves three or more organs or with a score of 2 or greater in any single organ.
Exclusion criteria
Exclusion criteria: Patients with acute GVHD;Hypersensitivity or allergy to 8-methoxypsoralen;Hypersensitivity or allergy to both heparin and citrate products;Use of immunosuppressive medication other than CSA, FK506 and corticosteroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| GVHD response of the liver or lungs defined as response of liver or lung manifestations to first-line immunosuppressive treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Transplant-related mortality Relapse-free survival Overall survival Time to complete resolution of chronic GVHD to first-line immunosuppressive therapy Time to discontinuation of immunosuppressive treatment Duration of response to first-line immunosuppressive therapy Percent of patients in need of secondary treatment for chronic GVHD Response to secondary treatment for chronic GVHD Incidence of bacterial infections Incidence of viral infections Incidence of fungal infections Side effects of ECP | — |
Countries
Netherlands