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Expanded Access to T-cell Depleted Haplo-Identical Stem Cells for Patients Receiving Haplo-Identical and Unrelated Cord Blood Transplants

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ClinicalTrials.gov Identifier: NCT01881334
Recruitment Status : Available
First Posted : June 19, 2013
Last Update Posted : June 29, 2017
Sponsor:
Collaborators:
Information provided by (Responsible Party):

Study Description
Brief Summary:
The objective of this study is to make T-cell depleted stem cells from a family member who is a half match (haplo-identical) available on an expanded access basis to patients receiving one or two unrelated cord blood transplants who are at a higher risk of not engrafting in a safe amount of time. The purpose of the related stem cells is the give the bone marrow a "jump start" towards recovery. Ultimately, the cord blood cells will grow and permanently rescue the bone marrow.

Condition or disease Intervention/treatment
Hematologic Malignancies Inborn Errors of Metabolism Disorders Immune Deficiencies Biological: CliniMACS CD34 Reagent System

Detailed Description:
The primary purpose of the study is to provide expanded access of T-cell depleted haplo-identical stem cells for patients receiving allogeneic transplantation from a related haplo-identical donor and an unrelated, umbilical cord blood (UUCB) unit(s) for the treatment of high risk malignancies and non-malignant disorders. The T-cell depleted haplo-identical stems cells are intended to facilitate early, short-term myeloid engraftment with the primary goal of minimizing early infections and other non-relapse mortality while the UUCB cells engraft as the durable and permanent graft. Patients with high risk or refractory malignancies, or non-malignant disorders amenable to stem cell transplantation therapy but lacking conventional related or unrelated donors will be eligible for this protocol.

Study Design

Study Type : Expanded Access
Official Title: A Compassionate Release Protocol: Expanded Access to T-cell Depleted Haplo-Identical Stem Cells for Patients Receiving Allogeneic Transplantation Using a Related Haplo-Identical Donor and Unrelated, Umbilical Cord Blood Donor(s) for the Treatment of High Risk Malignancies or Non-Malignant Disorders Requiring Allogeneic Transplantation


Interventions

Intervention Details:
    Biological: CliniMACS CD34 Reagent System
    The CliniMACS CD34 Reagent System is a medical device that is used in vitro to select and enrich CD34+ cells from heterogeneous hematologic cell populations for transplantation in cases where this is clinically indicated.
Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   up to 65 Years   (Child, Adult)
Sexes Eligible for Study:   All
Criteria

Inclusion Criteria:

  • Have a consenting related haplo-identical (3/6, 4/6, or 5/6 if DRB1 mismatch) stem cell donor.
  • Have one or two available 4, 5, or 6/6 antigen matching unrelated UCB unit(s) that will deliver a total cell dose >3.0 x 10e7 cells/kg. Patients who do not have a single UCB unit that will deliver the minimum required cell dose, two partially HLA-matched UCB units which together meet the minimum cell dose requirement, can be used for 1 transplant. These units must be HLA-matched minimally at 4 of 6 HLA-A and B (at intermediate resolution by molecular typing) and DRB1 (at high resolution by molecular typing) loci with the patient, and HLA-matched at 3 of 6 HLA- A, B, DRB1 loci with each other (using same resolution of HLA typing as indicated above). There is no limitation on maximum cell dose.
  • Have a high risk or refractory malignancy, or non-malignant disorder amenable to stem cell transplantation therapy.
  • Meet eligibility requirements for allogeneic transplant per institutional standard practices.
  • Have given written informed consent according to FDA guidelines (or consent of parent/legal guardian as applicable).
  • Be <65 years of age at the time of study enrollment.

Exclusion Criteria:

  • Have a consenting 8/8 or 10/10 allele matched, consenting, related or unrelated hematopoietic stem cell transplant (HSCT) donor.
  • Have a life expectancy of less than 3 months.
  • Have uncontrolled infections at time of cytoreduction.
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01881334


Contacts
Contact: Maggie D Peterson, RN 919-668-1280 maggie.peterson@duke.edu
Contact: Jennifer H Baker, RN 919-668-6536 jennifer.hungate@dm.duke.edu

Locations
United States, North Carolina
Duke University Medical Center
Durham, North Carolina, United States, 27710
Contact: Maggie D Peterson, RN       maggie.peterson@duke.edu   
Principal Investigator: Joanne Kurtzberg, MD         
Sponsors and Collaborators
Joanne Kurtzberg, MD
Duke University
Miltenyi Biotec, Inc.
Investigators
Principal Investigator: Joanne Kurtzberg, MD Duke University
More Information

Responsible Party: Joanne Kurtzberg, MD, MD, Duke University Medical Center
ClinicalTrials.gov Identifier: NCT01881334     History of Changes
Other Study ID Numbers: Pro00045700
First Posted: June 19, 2013    Key Record Dates
Last Update Posted: June 29, 2017
Last Verified: June 2017

Keywords provided by Joanne Kurtzberg, MD, Duke University Medical Center:
Adrenoleukodystrophy
Haploidentical Donor
T-cell depleted Stem Cells
Allogeneic Transplant
Umbilical Cord Blood Donor
High Risk Malignancies
Metabolic Disorders
Immune Deficiency
Acute Lymphoblastic Leukemia
Acute Myelogenous Leukemia
Myelodysplastic Syndrome
ALL
AML
MDS
CGD
SCID
Metachromaticleukodystrophy
Krabbe
PMD
Hunter's
Hurler's
Severe Aplastic Anemia
Lymphoma
Sickle Cell Disease
Thalassemia

Additional relevant MeSH terms:
Neoplasms
Metabolic Diseases
Immunologic Deficiency Syndromes
Metabolism, Inborn Errors
Immune System Diseases
Genetic Diseases, Inborn