Second Haplo-transplantation for Graft Failure

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age14+
SponsorPeking University People's Hospital

About this trial

Graft failure is a fatal complication following allogeneic stem cell transplantation where a second transplantation is usually required for salvage. There are no recommended regimens for second transplantations for graft failure, especially in the haploidentical transplant setting. We recently reported encouraging outcomes using a novel method (haploidentical transplantation from a different donor after conditioning with fludarabine and cyclophosphamide). However, the study was performed in single-center and with very small sample size. Therefore, it should be further validated via multicenter study. In this multi-center study, we aim to further evaluate the safety and efficacy of this protocol.

Eligibility criteria

Qualifiers

1. Primary disease: hematological malignancies (AML, CML, MDS, lymphoma, etc.); 2. Graft failure after the first haploidentical stem cell transplantation; 3. Time from the first transplantation to the second transplantation is less than 180 days; 4. Age≥14 years.

Disqualifiers

1. Active infections; 2. Active GVHD; 3. Organ dysfunction: hepatic injury (Tbil≥2ULN), renal injury (Cr≥1.5ULN), heart injury (EF%<50% or symptomatic heart failure); 4. Eastern Cooperative Oncology Group (ECOG) score>2; 5. Expected life time<30 days; 5. Patients could not cooperate; 6. Other situations that are considered inappropriate for enrollment by the investigators,

Trial design

Treatments tested in this trial

  • second allogeneic stem cell transplantation

Treatment groups

34 Participants
are divided into 1 treatment group

Sponsors and collaborators

Peking University People's Hospital

Lead sponsor

The First Affiliated Hospital of Soochow University

Collaborator

Ruijin Hospital

Collaborator

Zhejiang University

Collaborator

First Affiliated Hospital of Xinjiang Medical University

Collaborator

Shandong Provincial Hospital

Collaborator

Guangdong Provincial Hospital of Traditional Chinese Medicine

Collaborator

First Affiliated Hospital of Fujian Medical University

Collaborator

Hebei Yanda Ludaopei Hospital

Collaborator

Tongji Hospital

Collaborator

The First Affiliated Hospital of Zhengzhou University

Collaborator

Peking University First Hospital

Collaborator

Jiangsu Provincial People's Hospital

Collaborator

Shengjing Hospital

Collaborator

Xinqiao Hospital of Chongqing

Collaborator

Nanfang Hospital, Southern Medical University

Collaborator

First Affiliated Hospital of Guangxi Medical University

Collaborator

Anhui Provincial Hospital

Collaborator