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Phase I, Dose-ranging, Open-label, Study of a Single Administration of T-cells Add-back Depleted of Host Alloreactive Cells Using Theralux™ Therapy, Following Haploidentical Peripheral Blood Stem Cell Transplantation Submitted to CD34+ Cell Selection, in Patients With Severe Hematologic Malignancies


Phase 1/Phase 2
18 Years
50 Years
Not Enrolling
Both
Hematologic Diseases, Hematologic Malignancies

Thank you

Trial Information

Phase I, Dose-ranging, Open-label, Study of a Single Administration of T-cells Add-back Depleted of Host Alloreactive Cells Using Theralux™ Therapy, Following Haploidentical Peripheral Blood Stem Cell Transplantation Submitted to CD34+ Cell Selection, in Patients With Severe Hematologic Malignancies


Allogeneic stem cell transplantation is the treatment of choice for many patients with
leukemia and other hematologic malignancies. However, a major limitation of this therapy is
that for a significant number of patients no fully HLA-matched donor can be found. The
application of partially HLA-matched (haploidentical) family donors, who are virtually
always available, has some complications. If there is no T-cell add-back it increases the
risk for life-threatening infections and disease relapse, while in case of T-cell add-back
the risk of graft-versus-host disease is raised.

Kiadis Pharma has developed a method to selectively deplete host alloreactive T-cells
through photodynamic therapy, using TH9402 ex vivo. The donor lymphocyte preparation
depleted of functional alloreactive T-cells (ATIR) are administered to the patient 4-6 weeks
after the stem cell transplant. This method enables early immune reconstitution while
preventing graft-versus-host disease.


Inclusion Criteria:



- Any of the following hematologic malignancies: very high risk leukemia, acute
leukemia, chronic myeloid leukemia (CML), lymphoma, multiple myeloma (MM),
myelodysplastic syndrome (MDS)

- Incompatibility at two to three loci (HLA-A, B and/or DR) or a single DR locus of the
unshared haplotype between the donor and recipient

- Life expectancy of at least 3 months

- Satisfactory performance status (ECOG ≤ 2);

Exclusion Criteria:

- Possibility of performing an allogeneic transplant with an HLA (human leukocyte
antigen) matched sibling donor

- Availability of an 6/6 HLA-A, B and DRB1 matched unrelated donor within 2-3 months;

- Pregnancy

- Viral hepatitis (B or C)

- Active serious infectious process

- HIV positivity;

- Systemic dysfunction (cardiac, pulmonary, hepatic and renal) contra-indicating
allogeneic stem cell transplantation

- Prior allogeneic transplantation

- Prior autologous transplantation within twelve months of baseline visit

- Any abnormal condition or laboratory result that is considered by the principal
investigator capable of altering patient condition or study outcome

- Active central nervous system (CNS) disease at baseline

- Participation in a trial with an investigational agent within 30 days prior to entry
in the study

- Malignant cells in circulating peripheral blood (> 25%)

- Other active malignant disease that would severely limit life expectancy

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Outcome Measure:

Dose limiting toxicity, defined as acute graft-versus-host disease grade III or IV

Outcome Time Frame:

Within 30 days after ATIR infusion

Safety Issue:

Yes

Principal Investigator

Denis-Claude Roy, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Maisonneuve-Rosemont Hospital, Montréal, Canada

Authority:

Canada: Health Canada

Study ID:

CR-GVH-001

NCT ID:

NCT00993486

Start Date:

January 2005

Completion Date:

April 2013

Related Keywords:

  • Hematologic Diseases
  • Hematologic Malignancies
  • Haploidentical stem cell transplantation
  • Graft-versus-host disease
  • Immune reconstitution
  • Alloreactive T-cells
  • Photodepletion
  • TH9402
  • Transplant related mortality
  • Hematologic malignancy
  • Neoplasms
  • Hematologic Diseases
  • Hematologic Neoplasms

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