Cousin vs. Sibling Donors in Haplo-HSCT

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorThe First Affiliated Hospital of Soochow University

About this trial

This observational study aims to emulate a hypothetical pragmatic, multicenter, non-blinded clinical trial enrolling adult patients undergoing haploidentical hematopoietic stem cell transplantation (haplo-HSCT) with grafts derived from either cousin or sibiling donors.

The main research question is whether cousin donor-derived haplo-HSCT is associated with inferior clinical outcomes relative to sibling donor-derived haplo-HSCT.

Study participants consist of adult patients diagnosed with hematological malignancies who underwent cousin or sibiling haplo-HSCT between 2017 and 2024, and all eligible recipients will receive regular follow-up assessments.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients diagnosed with hematological malignancies, including acute leukemia (AL), chronic myeloid leukemia (CML), myelodysplastic syndromes (MDS), myeloproliferative neoplasms (MPN), and non-Hodgkin lymphoma (NHL)

Receipt of first haploidentical hematopoietic stem cell transplantation between 2017 and 2024

Documented exact date of transplantation available in medical charts

Verifiable donor kinship classified as either cousin or sibiling

Disqualifiers

Prior receipt of any form of hematopoietic stem cell transplantation

An age difference of more than 18 years between the donor and recipient

Failure of successful infusion of donor-derived hematopoietic stem cells following conditioning regimen

Trial population

This multicenter, retrospective observational study included adult patients with hematological malignancies undergoing their first haploidentical hematopoietic stem cell transplantation at four clinical centers between 2017 to 2024. Eligible patients were identified through retrospective clinical records and stratified by donor kinship recorded at transplant, classified as either cousin or sibling donor graft recipients.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

1,000 Participants
are grouped into 2 trial groups
Group A: Cousin haplo-HSCT
Group B: Sibling haplo-HSCT

Trial outcomes

Primary outcomes

1

Overall survival

estimated overall survival at 2 year

Time frame
2 years after transplantation
2

Graft-versus-host disease-free and relapse-free survival

estimated graft-versus-host disease-free and relapse-free survival at 2 year

Time frame
2 years after transplantation
3

Cumulative incidence of acute graft-versus-host disease

estimated cumulative incidence of acute graft-versus-host disease at 180 day

Time frame
180 days after transplantation
4

Cumulative incidence of chronic graft-versus-host disease

estimated cumulative incidence of chronic graft-versus-host disease at 2 year

Time frame
2 years after transplantation

Secondary outcomes

1

Cumulative incidence of relapse

estimated cumulative incidence of relapse at 2 year

Time frame
2 years after transplantation
2

Non-relapse mortality

estimated non-relapse mortality at 2 year

Time frame
2 years after transplantation
3

Cumulative incidence of grade III-IV acute graft-versus-host disease

estimated cumulative incidence of grade III-IV acute graft-versus-host disease at 180 day

Time frame
180 days after transplantation
4

Cumulative incidence of extensive chronic graft-versus-host disease

estimated cumulative incidence of extensive chronic graft-versus-host disease at 2 year

Time frame
2 years after transplantation

Other outcomes

Sponsors and contacts

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The First Affiliated Hospital of Soochow University

Lead sponsor

Ruijin Hospital

Collaborator

Nanfang Hospital, Southern Medical University

Collaborator

Zhejiang University

Collaborator

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