Intra-bone Cord Blood Transplantation in Patients With Haematological Malignancies
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Purpose
Cord blood (CB) from an unrelated donor is increasingly used an alternative source of hematopoietic stem cells for adults with hematologic malignancies who lack an HLA-matched donor. However, the utilization of single-unit CB for transplantation of adult patients has been impeded by the low number of nucleated cells available from individual CB units. Direct intrabone CB injection (IBCBi) has been recently investigated as a solution to cell dose problem in adults, with the aims of minimizing non-specific loss of progenitors. We set up a phase I-II study to assess the safety and efficacy of CB transplantation by IBCBi in adult patients with advanced or high-risk hematological malignancies
| Condition | Intervention | Phase |
|---|---|---|
|
High Risk Haematological Malignancies Advanced Haematological Malignancies |
Procedure: Intrabone Allogeneic Transplant |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Intra-bone Cord Blood Transplantation in Patients With Haematological Malignancies |
- Time to neutrophil recovery [ Time Frame: 28 days after transplantation ] [ Designated as safety issue: No ]
- Incidence of platelet engraftment [ Time Frame: 100 days after transplantation ] [ Designated as safety issue: No ]
- Acute graft versus host disease [ Time Frame: 100 days after transplantation ] [ Designated as safety issue: No ]
- Chronic Graft Versus Host Disease [ Time Frame: One year after transplantation ] [ Designated as safety issue: No ]
- Overall Survival [ Time Frame: One year after transplantation ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 15 |
| Study Start Date: | November 2008 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment
Patients with high risk haematological malignancies
|
Procedure: Intrabone Allogeneic Transplant
Unrelated single unit intrabone cord blood transplantation
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Advanced or High Risk Haematological Malignancies
- Age 18-65 years
- no suitable unrelated HLA-matched donors identified in a clinically useful time-frame
- Informed consent
Exclusion Criteria:
- Active infectious disease at inclusion
- HIV- positivity or active hepatitis infection
- Impaired liver function (Bilirubin > upper normal limit; Transaminases > 3.0 x upper normal limit) at inclusion
- Impaired renal function (Creatinine-clearance <60 ml/min; Serum Creatinine >1.5 x upper normal limit) at inclusion
- Psychiatric diseases or conditions that might impair the ability to give informed consent
Contacts and Locations| Contact: Roberto Sorasio, Head, MD | +390171642229 | rsorasio@inwind.it |
| Contact: Daniele Mattei, MD | +390171642229 | mattei.d@ospedale.cuneo.it |
| Italy | |
| Azienda Ospedaliera S Croce e Carle | Recruiting |
| Cuneo, Italy, 12100 | |
| Contact: Daniele Mattei, MD +390171642229 mattei.d@ospedale.cuneo.it | |
| Contact: Roberto Sorasio, MD +390171642229 rsorasio@inwind.it | |
| Principal Investigator: Daniele Mattei, MD | |
| Principal Investigator: | Daniele Mattei, MD | ASO S Croce e Carle |
More Information
Publications:
| Responsible Party: | Roberto Sorasio, MD, Ospedale Santa Croce-Carle Cuneo |
| ClinicalTrials.gov Identifier: | NCT01613066 History of Changes |
| Other Study ID Numbers: | Emato68 |
| Study First Received: | June 4, 2012 |
| Last Updated: | June 5, 2012 |
| Health Authority: | Italy: Ethics Committee |
Keywords provided by Ospedale Santa Croce-Carle Cuneo:
|
Haematological malignancies Allogeneic Cord Blood transplantation Intrabone |
Additional relevant MeSH terms:
|
Neoplasms Hematologic Neoplasms Neoplasms by Site Hematologic Diseases |
ClinicalTrials.gov processed this record on May 19, 2013