Allogeneic Genoidentical Stem Cell Transplantation in Children With Sickle-cell Anemia and Cerebral Vasculopathy (DREPAGREFFE)
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Purpose
The aim of this study is to demonstrate that cerebral velocities assessed by transcranial doppler (TCD) are more significantly decreased by SCT than by long-term transfusion program A multicenter, national, non-randomized, prospective study of paired cohort will be conducted, with 2 groups of exposed (SCT) and non-exposed (TP) patients.
| Condition | Intervention |
|---|---|
|
Sickle Cell Anemia Cerebrovascular Accident |
Procedure: Stem cell transplantation Procedure: Transfusion program |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multicenter Study Comparing the Results of Allogeneic Stem Cell Genoidentical in Children With Sickle Cell Anemia and Cerebral Vascular Disease Detected by Transcranial Doppler |
- Cerebral vasculopathy [ Time Frame: 1 year ] [ Designated as safety issue: No ]percentage of patients at 1 year with velocities normalization on transcranial doppler (TCD)(< 170 cm/sec)
- ischemic lesions on magnetic resonance imaging (MRI) [ Time Frame: 1 year ] [ Designated as safety issue: No ]percentage of patients with ischemic lesions on magnetic resonance imaging (MRI)
- stenoses on magnetic resonance imaging (MRI) [ Time Frame: 1 year ] [ Designated as safety issue: No ]percentage of patients with stenoses on magnetic resonance imaging (MRI)
| Estimated Enrollment: | 63 |
| Study Start Date: | December 2010 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Stem Cell Transplantation |
Procedure: Stem cell transplantation
Stem cell transplantation
Other Name: Stem cell transplantation
|
| Active Comparator: Transfusion program |
Procedure: Transfusion program
Transfusion program
Other Name: Transfusion program
|
Detailed Description:
The aim of this study is to demonstrate that cerebral velocities assessed by transcranial doppler (TCD)are more significantly decreased by SCT than by long-term transfusion program A multicenter, national, non-randomized, prospective study of paired cohort will be conducted, with 2 groups of exposed (SCT) and non-exposed (TP) patients. Sixty-three patients will be enrolled, namely 21 sickle-cell patients in the "SCT" group and 42 in the "Transfusion Program (TP)" group
Eligibility| Ages Eligible for Study: | up to 15 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Sickle cell anemia patients (SS/Sb0)
- < 15 years old
- History of abnormal transcranial doppler (TCD) (≥ 200 cm/sec)
- Siblings from the same parental couple
- Parents amenable to Human Leucocyte Antigen (HLA) typing, SCT if an HLA-identical sibling is available or to long-term transfusion program
Exclusion Criteria:
- Sickle cell patients older than 15 years
- no history of abnormal transcranial doppler (TCD) (≥ 200 cm/sec)
- no sibling from the same parental couple
- parents averse to HLA typing, SCT if an HLA-identical sibling is available or to long-term transfusion program
Contacts and Locations| Contact: Françoise Bernaudin, MD | 33(0) 1 45 17 53 91 | francoise.bernaudin@chicreteil.fr |
| France | |
| CHIC | Recruiting |
| Créteil, France | |
| Contact: Françoise Bernaudin, MD 33(1)45175391 francoise.bernaudin@chicreteil.fr | |
| Principal Investigator: Françoise Bernaudin, MD | |
| Principal Investigator: | Françoise Bernaudin, MD | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01340404 History of Changes |
| Other Study ID Numbers: | P071247 |
| Study First Received: | April 21, 2011 |
| Last Updated: | November 19, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Additional relevant MeSH terms:
|
Anemia Anemia, Sickle Cell Cerebral Infarction Stroke Hematologic Diseases Anemia, Hemolytic, Congenital Anemia, Hemolytic Hemoglobinopathies Genetic Diseases, Inborn |
Brain Infarction Brain Ischemia Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 22, 2013