Multiple Donor Treg DLI for Severe Refractory Chronic GVHD
NCT02749084 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2023-02-02
Summary
This is a INTERVENTIONAL TRANSPLANTATION STUDY WITHOUT DRUGS.
The INTERVENTION is represented by the INFUSION of DONOR T REGULATORY CELL-ENRICHED LYMPHOCYTES to PATIENTS suffering from REFRACTORY CHRONIC GVHD after ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION.
The study includes a DOSE ESCALATION PHASE followed by a MTD PHASE as detailed in the following chapter.
The primary objective of the dose escalation study will be SAFETY, leading to the definition of the MTD of T reg cells. For the MTD study the primary objective will be the OVERALL RESPONSE RATE at three months after the 3rd Treg infusion.
The study is single center single arm open label and includes a DOSE ESCALATION phase followed by an EXTENDED PHASE with the MAXIMUM TOLERATED DOSE (MTD).
The aim of the study is to assess whether multiple infusions of donor-derived purified T regulatory cells (T reg DLI) in patients with steroid-refractory chronic GVHD is safe and whether it may induce clinical remission of GVHD.
Conditions
Interventions
- BIOLOGICAL
-
T reg DLI
Purified Treg cells will be obtained from the original HSC donor (T reg DLI). Tregs preparation will start with unstimulated donor leukapheresis from the original stem cell donor. The apheresis product will be provided to the Cell Factory "Calori",Milano, where T reg purification will take place. T reg cells will be PURIFIED utilizing the CliniMACS Plus Systems for depletion of CD8 and CD19 positive cells and enrichment for CD25high cells. Release Criteria of Treg cell preparation will be defined. The product will be infused into the recipient through a venous catheter.
Sponsors & Collaborators
- collaborator OTHER
-
Mario Arpinati
lead OTHER
Principal Investigators
-
Mario Arpinati · Hematology and Medical Oncology Institute "L. e A. Seràgnoli"
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-08-03
- Primary Completion
- 2021-12-31
- Completion
- 2022-06-30
Countries
- Italy
Study Locations
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