Expanded Access Protocol Thymus Transplantation
NCT02274662 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 11
Last updated 2025-01-16
Summary
The primary purpose is to provide access for patients who have immunodeficiency or severe autoimmune disease related to poor thymic function to cultured thymus tissue for implantation. With no thymus function, bone marrow stem cells do not develop into educated T cells, which fight infection.
Eligible participants receive cultured thymus tissue for implantation and may undergo biopsy. Immune suppression may be given depending on the immune status and clinical condition of the participant. Immune function testing is continued for one year post-implantation.
Conditions
- Poor Thymic Function
- Immunodeficiency
- Athymia
- Immunoreconstitution
- Thymus Transplantation
- Low T Cell Numbers
Interventions
- BIOLOGICAL
-
Cultured Thymus Tissue
Subjects receive cultured thymus tissue which is implanted into the quadriceps muscle. Subjects may receive pre and/or post-implantation immunosuppression. Potential subjects are screened for eligibility. The thymus tissue (from an unrelated donor), the donor, and the donor's mother are screened for safety. Cultured thymus tissue is implanted into the subject's quadriceps muscle under general anesthesia in the operating room. Two to three months post-implantation, if medically stable, subjects may undergo an allograft biopsy. Subjects undergo laboratory testing for approximately one year post-implantation. At year 2 post-implantation, subjects are contacted for data collection.
- PROCEDURE
-
Blood Draw
- DRUG
-
Rabbit Anti-Thymocyte Globulin and Cyclosporine or Tacrolimus
RATGAM and Cyclosporine or Tacrolimus may be given, depending on the patient. The doses, timing, and trough levels will vary depending on the patient's clinical condition.
Sponsors & Collaborators
-
Sumitomo Pharma Switzerland GmbH
lead INDUSTRY
Principal Investigators
-
John W. Sleasman, M.D. · Duke University Medical Center, Pediatrics, Allergy & Immunology
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-08-31
- Primary Completion
- 2023-08-31
- Completion
- 2023-08-31
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