About this trial
The investigators hypothesize that single oral high dose supplementation with vitamin A will reduce the incidence of moderate-severe chronic graft-versus-host disease (GVHD) compared with placebo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be 18 years of age or older
Be scheduled for allogeneic stem cell transplant.
Have a vitamin A level < upper limit of normal for age.
Be able to tolerate enteral vitamin dose administration.
Disqualifiers
Ongoing raised intracranial pressure (see appendix D for definition of raised intracranial pressure)
Liver cirrhosis (see appendix C for definition of liver cirrhosis)
Patients will be excluded if they are currently pregnant.
Patients will be excluded if they have a fish (not shellfish) allergy.
Trial design
Parallel
Treatments tested in this trial
Vitamin A
DrugEnrolled subjects will receive one observed oral vitamin A dose, prior to their HSCT, in the outpatient clinic or inpatient Bone Marrow Transplant (BMT) floor.
Placebo
Other interventionPlacebo pills containing microcrystalline cellulose will be dispensed in patients who are randomized to the placebo arm.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of moderate-severe chronic graft versus host disease (GVHD)
Incidence of moderate-severe chronic GVHD
Secondary outcomes
Incidence of acute gastrointestinal graft versus host disease (GI GVHD)
Incidence of acute GI GVHD
Incidence of relapse
Incidence of relapse
Overall survival.
Overall survival.
Sponsors and contacts
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