hemoglobinopathy Sickle cell disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age 16 years or older - High performance liquid chromatography (HPLC) confirmed diagnosis of SCD (not applicable to participating donors). - An indication for and a planned matched sibling or haploidentical donor non-myeloablative HSCT at the Amsterdam UMC, location AMC (not applicable to patients in cohort 2 (control group) and participating donors) - Written informed consent
Exclusion criteria
Exclusion criteria: - History of either cleared, chronic or active HBV infection (positive HBsAg, anti-HBs, anti-HBc and/or HBV DNA) - History of auto-immune diseases and/or use of immunosuppressive drugs - History of HIV infection - Known hypersensitivity to yeast of any vaccine constituent - Donor with a history of HBV infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint: proportion of SCD patients with a preserved anti-HBs response following non-myeloablative HSCT with an HBV naive MSD (cohort 1a), compared to SCD patients not undergoing HSCT (cohort 2). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints: Proportion of SCD patients with a preserved HBV specific cellular immune response following non-myeloablative HSCT with an HBV naive MSD. Proportion of SCD patients with a preserved anti-HBs response and/or HBV specific cellular immune respone following non-myeloablative HSCT with an HBV naive haploidentical donor (cohort 1b). Proportion of SCD patients adopting their donors anti-HBs and/or HBV specific cellular immune response following non-myeloablative HSCT (cohort 3a and 3b). Immune reconstitution as expressed by serum total IgG levels and peripheral blood T-lymphocyte subset counts (CD3+, CD4+, CD8+), B-lymphocyte subset counts (CD19+) and Natural Killer (NK) cell counts at 3-, 6-, 12- and 24-months post-transplantation as compared to baseline (pre-transplantation) values. | — |
Countries
Netherlands