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Treatment of Refractory (Acute or Chronic) Graft-Versus-Host Disease by the Infusion of Expanded in-Vitro Allogenic Mesenchymal Stem Cell

U

University of Salamanca

Status and phase

Unknown
Phase 2
Phase 1

Conditions

Graft-vs-Host Disease (GVHD)

Treatments

Procedure: Mesenchymal stem cell (MSC)

Study type

Interventional

Funder types

Other

Identifiers

NCT00447460
CSM/EICH2005
EudraCT Number: 2005-003674-14

Details and patient eligibility

About

Clinical trial based on the use of a new therapeutic strategy (MSC infusion) for the treatment of patients who have developed a GVHD refractory to the usual therapeutic measures after undergoing an allogenic hematopoietic stem cell transplant.

Full description

This is a multicenter, single dose study of allogenic mesenchymal stem cell (1-2 x 10^6 MSC/Kg recipient´s bodyweight).

MSC will be infused, by a central venous catheter, to patients diagnosed with GVHD refractory to first-line or subsequent treatment.

All patients will receive the same treatment. MSC suspension will be obtained from the bone marrow aspiration of a family donor and expanded in-vitro in a specific culture medium with autologous donor´s serum and with no animal-derived products.

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with hematological malignancies who had been undergone an allogenic hematopoietic stem cell transplant and diagnosed with GVHD refractory to a usual treatment.
  • Adequate cardiac function with no evidence of uncontrolled high blood pressure,congestive heart failure, angina pectoris, acute myocardial infarction within 6 months prior to the process.
  • Adequate pulmonary function with no evidence of chronic obstructive or severe restrictive pulmonary disease.
  • Patients with ages between 18 and 65 years.
  • Signature of informed consent form is required to be done by patient and donor.

Exclusion criteria

  • Patients whose hematopathology has not been controlled by the transplant or is in progress.
  • Patients with bacterial, viral or fungal infection not being controlled with the adequate treatment.
  • Patients with an inadequate cardiac or pulmonary function.
  • Patients who, in the investigator´s point of view, are not in situation to tolerate the treatment.
  • Patients who do not have the required donor (HLA-identical sibling donor and not HLA-identical sibling donor).
  • Pregnant females or childbearing potential who are not on adequate contraceptive measures.
  • Patients <18 or >65 years.
  • Patients who do not sign the informed consent.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

Trial contacts and locations

4

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Central trial contact

Mercedes Comas, CRA

Data sourced from clinicaltrials.gov

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