AlloSCT for Malignant and Non-malignant Hematologic Diseases Utilizing Alpha/Beta T Cell and CD19+ B Cell Depletion

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age1-30
SponsorMitchell Cairo

About this trial

Children, adolescents, and young adults with malignant and non-malignant conditionsundergoing an allogeneic stem cell transplantation (AlloSCT) will have the stem cells selected utilizing α/β CD3+/CD19+ cell depletion. All other treatment is standard of care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

ALL:ALL high risk including one or more of the following: (t(9;22) or 11q23 chromosomal abnormality, primary induction failure (<15% blasts at time of registration), mixed phenotype acute leukemia (MPAL), persistent MRD (<0.01% by flow or persistent abnormal karyotype detected by cytogenetics) or hypodiploidy (44 chromosomes)) in first remission ' ALL in second remission and beyond;

AML: History of AML induction/reinduction Failure (<15% blasts at time of registration); AML in CR1 with poor cytogenetics (i.e. 12p, 5a, -7, FLT3 mutation/duplication, t(9;11) and others); AML with persistent minimal residual disease (MRD) in CR1(<0.01% on flow or persistent abnormal karyotype detected by cytogenetics); AML CR2 or beyond; AML in refractory relapse but ≤15% bone marrow leukemia blasts; Therapy-related AML

High Risk Myelodysplastic syndrome (MDS) 4 Lymphoma: Hodgkin (HL) or Non-Hodgkin (NHL): HL or NHL in induction failure; HL or NHL in PR1 or PR2 ; HL or NHL in CR2 or subsequent remission

Disqualifiers

Females who are pregnant or breast-feeding are not eligible.

Patients with documented uncontrolled infection at the time of study entry are not eligible.

Karnofsky/Lansky (age appropriate) Performance Score <60

Demonstrated lack of compliance with medical care

Trial design

Design model

Single group

Treatments tested in this trial

  • alpha beta depletion

    Drug

    donor cells will be collected and subsequently undergo α/β CD3+/CD19+ cell depletion.

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: alpha beta cell depletionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

incidence of adverse events related to administration of α/β CD3+/CD19+ cell depleted stem cells

patients will be monitored for any adverse events related to administration of α/β CD3+/CD19+ cell depleted stem cells

Time frame
1 year

Secondary outcomes

1

incidence of hematpoitic engraftment following Allogeneic stem cell transplantation (AlloSCT) utilizing α/β CD3+/CD19+ cell depletion

patients will have routine chimerism performed to monitoring engraftment of donor cells

Time frame
1 year
2

incidence of GVHD following Allogeneic stem cell transplantation (AlloSCT) utilizing α/β CD3+/CD19+ cell depletion

patients will be monitored post transplant for signs of acute and chronic GVHD

Time frame
1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Mitchell Cairo

Lead sponsor

New York Medical College

Sponsor institution