- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04046705
Comparison of Allogeneic Matched Related Haematopoietic Stem Cell Transplantation After a Reduced Intensity Conditioning Regimen With Standard of Care in Adolescents and Adults With Severe Sickle Cell Disease (DREPA-RIC)
A Prospective Multicenter Trial Comparing Allogeneic Matched Related Haematopoietic Stem Cell Transplantation After a Reduced Intensity Conditioning Regimen, With Standard of Care in Adolescents and Adults With Severe Sickle Cell Disease
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Nathalie Dhedin
- Phone Number: +33142385127
- Email: nathalie.dhedin@aphp.fr
Study Contact Backup
- Name: Sylvie Chevret
- Phone Number: +33142499742
- Email: sylvie.chevret@paris7.jussieu.fr
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria
- SCD patients (SS/Sβ0)
- Aged :15 to 45 years
- With at least one non-SCD sibling > 18 years from the same parental couple
- Who presented at least one of the following criteria:
- 3 VOC requiring hospitalization over one year within the past 2 years and at least a past history of an ACS
- At least 1 ACS within the past 2 years requiring transfusions
- History of ischemic stroke or cerebral/cervical arterial stenosis > 50%
- Pulmonary hypertension defined by mean pulmonary artery pressure ≥ 25 mmHg at rest, determined by right heart catherization
- Requiring treatment with Hydroxyurea or chronic transfusion, or already treated by Hydroxyurea or transfusion program (TP) at inclusion.
- Patients already receiving chronic transfusions for VOC or ACS not responding to hydroxyurea, will be eligible, provided at least 3 VOC requiring hospitalization/year within the 2 years before initiation of chronic transfusions, and at least past history of an ACS.
- Contraception during all the study period by sirolimus for women of child bearing potential
- Signed informed consent
- Amenable to HLA typing, HSCT if an HLA-identical sibling is available.
- Patients affiliated to the French health care insurance
Exclusion Criteria
- Performance status: ECOG scale>1
- Pulmonary function: FEV1 et CVF < 50% of the theorical value
- Post capillary and severe pre-capillary pulmonary hypertension with measured mean pulmonary artery pressure at rest >35 mmHg
- Cardiac ejection fraction < 45%
- Estimated glomerular fraction rate (GFR) <50ml/mn /1.73m2
- Conjugate bilirubin >50 µmole/L, cirrhosis, ALT>4N
- Uncontrolled infection
- Known hypersensitivity of alemtuzumab
- Known hypersensitivity to murine proteins and to the following excepients: disodium edetate, polysorbate 80, potassium chloride, potassium phosphate monobasic, sodium chloride, dibasic sodium phosphate, water for injections
- Positivity for HIV
- Pregnancy or breast-feeding women
- Alloimmunization or Delayed Hemolytic Transfusion Reaction precluding red cell transfusions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HLA matched haematopoietic stem cell transplantation
Peripheral blood stem cell from matched HLA related donor.
|
Allogeneic matched related haematopoietic stem cell transplantation after a reduced intensity conditioning regimen
|
Other: Control arm
Best standard care : Patients will receive the best standard care according to their situation and their previous treatment: initiation of Hydroxyurea, continuation or optimization of the dose of Hydroxyurea, initiation or continuation of TP, initiation of a new drug proved to improve SCD and having authorization to use in France.
|
In the standard arm, patients who will not be transplanted, will receive the best standard care according to their situation and their previous treatment: initiation of hydroxyurea, continuation or optimization of the dose of hydroxyurea, initiation or continuation of transfusion program, initiation of a new drug proved to improve SCD and having authorization to use in France
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
2 year event-free survival
Time Frame: 2 years post-inclusion
|
An event will be defined as :
|
2 years post-inclusion
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival
Time Frame: 2 years post-inclusion
|
2 years post-inclusion
|
|
Number of days requiring hospitalization
Time Frame: 1 year
|
Number of days requiring hospitalization at 1 year post-inclusion with exclusion of the 5 first months post-inclusion
|
1 year
|
Number of days requiring hospitalization
Time Frame: 2 years post-inclusion
|
Number of days requiring hospitalization at 2 years post-inclusion with exclusion of the 5 first months post-inclusion
|
2 years post-inclusion
|
Number of vaso-occlusive crisis (VOC) requiring hospitalization
Time Frame: 1 year post-inclusion
|
1 year post-inclusion
|
|
Number of vaso-occlusive crisis (VOC) requiring hospitalization
Time Frame: 2 years post-inclusion
|
2 years post-inclusion
|
|
Number of acute chest syndrome (ACS) requiring hospitalization
Time Frame: 1 year post-inclusion
|
1 year post-inclusion
|
|
Number of acute chest syndrome (ACS) requiring hospitalization
Time Frame: 2 years post-inclusion
|
2 years post-inclusion
|
|
Number of hospitalizations in intensive care unit
Time Frame: 1 year post-inclusion
|
1 year post-inclusion
|
|
Number of hospitalizations in intensive care unit
Time Frame: 2 years post-inclusion
|
2 years post-inclusion
|
|
Number of priapism
Time Frame: 1 year post-inclusion
|
1 year post-inclusion
|
|
Number of priapism
Time Frame: 2 years post-inclusion
|
2 years post-inclusion
|
|
Number of stroke episodes
Time Frame: 1 year post-inclusion
|
1 year post-inclusion
|
|
Number of stroke episodes
Time Frame: 2 years post-inclusion
|
2 years post-inclusion
|
|
LDH count
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in LDH
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Percentage of patients with an aminotransferase value higher than five times the normal value
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in aminotransferase
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Percentage of patients with a gamma-GT value higher than five times the normal value
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in gamma-GT
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Percentage of patients with an Alkaline phosphatase value higher than five times the normal value
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in alkaline phosphatase
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Percentage of patients with a bilirubin value higher than three times the normal value
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in bilirubin
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Percentage of patients with a prothrombin value less than 70%
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in TP
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Activated partial thromboplastin time higher than 1.5 times the normal value
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in TCK
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Rate of hemoglobin
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in hemoglobin level
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Hematocrit
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in hematocrit
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Mean corpuscular volume
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in mean corpuscular volume
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Hemoglobin variants
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes of percentage of hemoglobin variants
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Reticulocyte count
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in percentage of reticulocyte
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
White blood cells count
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in white blood cells
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Platelets counts
Time Frame: every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Changes in platelet counts
|
every 3 months (from inclusion to 24 months) and at Month 1, Month 2 and Month 3 in the transplant arm
|
Microalbuminuria/creatininuria ratio
Time Frame: at 3 months
|
at 3 months
|
|
Microalbuminuria/creatininuria ratio
Time Frame: at 6 months
|
at 6 months
|
|
Microalbuminuria/creatininuria ratio
Time Frame: at 12 months
|
at 12 months
|
|
Microalbuminuria/creatininuria ratio
Time Frame: at 24 months
|
at 24 months
|
|
Ferritin level
Time Frame: at 3 months
|
at 3 months
|
|
Ferritin level
Time Frame: at 6 months
|
at 6 months
|
|
Ferritin level
Time Frame: at 12 months
|
at 12 months
|
|
Ferritin level
Time Frame: at 24 months
|
at 24 months
|
|
Transferrin saturation level
Time Frame: at 3 months
|
at 3 months
|
|
Percentage of transferrin saturation
Time Frame: at 6 months
|
at 6 months
|
|
Percentage of transferrin saturation
Time Frame: at 12 months
|
at 12 months
|
|
Percentage of transferrin saturation
Time Frame: at 24 months
|
at 24 months
|
|
LH count
Time Frame: at 24 months
|
Gonadic function will be measured using LH
|
at 24 months
|
FSH count
Time Frame: at 24 months
|
Gonadic function will be measured using FSH
|
at 24 months
|
Testosterone count
Time Frame: at 24 months
|
Gonadic function will be measured using testosterone level in men
|
at 24 months
|
Spermogram
Time Frame: at 24 months
|
Gonadic function will be measured using spermogram in men
|
at 24 months
|
Oestrogen count
Time Frame: at 24 months
|
Gonadic function will be measured using oestrogen level in women
|
at 24 months
|
AMH count
Time Frame: at 24 months
|
Gonadic function will be measured using AMH level in women
|
at 24 months
|
Incidence of amenorrhea
Time Frame: at 24 months
|
Gonadic function will be measured using incidence of amenorrhea in women
|
at 24 months
|
Number of parity
Time Frame: at 24 months
|
at 24 months
|
|
Percentage of patients with a proliferative retinopathy
Time Frame: at 12 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 12 months
|
Percentage of patients with a proliferative retinopathy
Time Frame: at 24 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 24 months
|
Percentage of patients with a hemorrhagic retinopathy
Time Frame: at 12 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 12 months
|
Percentage of patients with a hemorrhagic retinopathy
Time Frame: at 24 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 24 months
|
Percentage of patients with retinal detachment
Time Frame: at 12 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 12 months
|
Percentage of patients with retinal detachment
Time Frame: at 24 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 24 months
|
Proportion of patients with keratitis
Time Frame: at 12 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 12 months
|
Proportion of patients with keratitis
Time Frame: at 24 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 24 months
|
Proportion of patients with uveitis
Time Frame: at 12 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 12 months
|
Proportion of patients with uveitis
Time Frame: at 24 months
|
Changes in retinopathy status (appearance, disappearance, improvement, aggravation)
|
at 24 months
|
Tricuspid regurgitant jet velocity
Time Frame: at 12 months
|
Heart function will be assessed by a transthoracic echocardiography and using tricuspid régurgitant jet velocity
|
at 12 months
|
Tricuspid regurgitant jet velocity
Time Frame: at 24 months
|
Heart function will be assessed by a transthoracic echocardiography and using tricuspid régurgitant jet velocity
|
at 24 months
|
Left atrial dimension
Time Frame: at 12 months
|
Heart function will be assessed by a transthoracic echocardiography using left atrial dimension indexed to body surface
|
at 12 months
|
Left atrial dimension
Time Frame: at 24 months
|
Heart function will be assessed by a transthoracic echocardiography using left atrial dimension indexed to body surface
|
at 24 months
|
Left ventricular dimension
Time Frame: at 12 months
|
Heart function will be assessed by a transthoracic echocardiography using left ventricular dimension indexed to body surface
|
at 12 months
|
Left ventricular dimension
Time Frame: at 24 months
|
Heart function will be assessed by a transthoracic echocardiography using left ventricular dimension indexed to body surface
|
at 24 months
|
Ventricular mass index value
Time Frame: at 12 months
|
Heart function will be assessed by a transthoracic echocardiography using ventricular mass index
|
at 12 months
|
Ventricular mass index value
Time Frame: at 24 months
|
Heart function will be assessed by a transthoracic echocardiography using ventricular mass index
|
at 24 months
|
Left ventricular ejection fraction
Time Frame: at 12 months
|
Heart function will be assessed by a transthoracic echocardiography using left ventricular ejection fraction
|
at 12 months
|
Left ventricular ejection fraction
Time Frame: at 24 months
|
Heart function will be assessed by a transthoracic echocardiography using left ventricular ejection fraction
|
at 24 months
|
Forced Expiratory Volume in one second (FEV)
Time Frame: at 12 months
|
Lung function will be evaluated Forced Expiratory Volume in one second (FEV) , %
|
at 12 months
|
Forced Expiratory Volume in one second (FEV)
Time Frame: at 24 months
|
Lung function will be evaluated Forced Expiratory Volume in one second (FEV) , %
|
at 24 months
|
DLCO
Time Frame: at 12 months
|
Lung function will be evaluated using DLCO the diffusion capacity of carbon monoxide
|
at 12 months
|
DLCO
Time Frame: at 24 months
|
Lung function will be evaluated using DLCO the diffusion capacity of carbon monoxide
|
at 24 months
|
Forced vital capacity
Time Frame: at 12 months
|
Lung function will be evaluated using forced vital capacity (FVC)
|
at 12 months
|
Forced vital capacity
Time Frame: at 24 months
|
Lung function will be evaluated using forced vital capacity (FVC)
|
at 24 months
|
6 minutes walk test
Time Frame: at 12 months
|
Lung function will be evaluated using 6 minutes walk test
|
at 12 months
|
6 minutes walk test
Time Frame: at 24 months
|
Lung function will be evaluated using 6 minutes walk test
|
at 24 months
|
Number of new episodes of avascular osteonecrosis
Time Frame: at 24 months
|
at 24 months
|
|
Number of patients for each location of new episodes of avascular osteonecrosis
Time Frame: at 24 months
|
Location of new episodes of avascular osteonecrosis will be assessed using radiography and magnetic resonance imaging
|
at 24 months
|
Fractures
Time Frame: at 24 months
|
Number of new episodes of fractures
|
at 24 months
|
Central nervous system function
Time Frame: at 12 months
|
Central nervous system function will be assessed using magnetic resonance Imaging with ARM/MRI
|
at 12 months
|
Central nervous system function
Time Frame: at 24 months
|
Central nervous system function will be assessed using magnetic resonance Imaging with ARM/MRI
|
at 24 months
|
Iron overload
Time Frame: at inclusion
|
Iron overload will be assessed using liver and heart magnetic resonance Imaging in patients with ferritin > 1000 microg/L
|
at inclusion
|
Iron overload
Time Frame: at 12 months
|
Iron overload will be assessed using liver and heart magnetic resonance Imaging in patients with ferritin > 1000 microg/L
|
at 12 months
|
Iron overload
Time Frame: at 24 months
|
Iron overload will be assessed using liver and heart magnetic resonance Imaging in patients with ferritin > 1000 microg/L
|
at 24 months
|
Red blood cell packed transfused
Time Frame: at 24 months
|
Number of red blood cell packed transfused from 6 months post-inclusion (pre and early post-transplant transfusion are a standard of care and may not be counted)
|
at 24 months
|
Number of delayed hemolytic transfusion reaction (DHTR)
Time Frame: at 3 months
|
DHTR will be defined as associated with hemoglobinuria/dark urine in the month following transfusion +/- bone pain with increased hemolytic markers and drop in HbA or new RBC allo-Ab
|
at 3 months
|
Number of delayed hemolytic transfusion reaction (DHTR)
Time Frame: at 6 months
|
DHTR will be defined as associated with hemoglobinuria/dark urine in the month following transfusion +/- bone pain with increased hemolytic markers and drop in HbA or new RBC allo-Ab
|
at 6 months
|
Number of delayed hemolytic transfusion reaction (DHTR)
Time Frame: at 12 months
|
DHTR will be defined as associated with hemoglobinuria/dark urine in the month following transfusion +/- bone pain with increased hemolytic markers and drop in HbA or new RBC allo-Ab
|
at 12 months
|
Number of delayed hemolytic transfusion reaction (DHTR)
Time Frame: at 24 months
|
DHTR will be defined as associated with hemoglobinuria/dark urine in the month following transfusion +/- bone pain with increased hemolytic markers and drop in HbA or new RBC allo-Ab
|
at 24 months
|
Proportion of patients with new RBC alloantibodies
Time Frame: at 3 months
|
New RBC alloantibodies will be assessed using blood test
|
at 3 months
|
Proportion of patients with new RBC alloantibodies
Time Frame: at 6 months
|
New RBC alloantibodies will be assessed using blood test
|
at 6 months
|
Proportion of patients with new RBC alloantibodies
Time Frame: at 12 months
|
New RBC alloantibodies will be assessed using blood test
|
at 12 months
|
Proportion of patients with new RBC alloantibodies
Time Frame: at 24 months
|
New RBC alloantibodies will be assessed using blood test
|
at 24 months
|
Percentage of patients with an oral opioid consumption
Time Frame: at 3 months
|
at 3 months
|
|
Percentage of patients with an oral opioid consumption
Time Frame: at 6 months
|
at 6 months
|
|
Percentage of patients with an oral opioid consumption
Time Frame: at 12 months
|
at 12 months
|
|
Percentage of patients with an oral opioid consumption
Time Frame: at 24 months
|
at 24 months
|
|
Quality of life evaluated using MOS SF36 questionnaire
Time Frame: at 3 months
|
Quality of life evaluated using MOS SF36 questionnaire (Medical Outcomes Study - 36-Item Short Form Health Survey).
SF-36 is a set of generic, coherent, and easily administered quality-of-life measures.
These measures rely upon patient self-reporting.
Items are grouped into three categories: functional status, well-being, overall health assessment.
In two dimensions, the answer is binary (yes / no) and in the other 6 in ordinal quality (3 to 6 possible answers).
For each dimension, the scores for the different items are coded and then summed and transformed linearly on a scale ranging from 0 to 100.
A physical composite score and a mental composite score can be calculated according to an established algorithm
|
at 3 months
|
Quality of life evaluated using MOS SF36 questionnaire
Time Frame: at 6 months
|
Quality of life evaluated using MOS SF36 questionnaire (Medical Outcomes Study - 36-Item Short Form Health Survey).
SF-36 is a set of generic, coherent, and easily administered quality-of-life measures.
These measures rely upon patient self-reporting.
Items are grouped into three categories: functional status, well-being, overall health assessment.
In two dimensions, the answer is binary (yes / no) and in the other 6 in ordinal quality (3 to 6 possible answers).
For each dimension, the scores for the different items are coded and then summed and transformed linearly on a scale ranging from 0 to 100.
A physical composite score and a mental composite score can be calculated according to an established algorithm
|
at 6 months
|
Quality of life evaluated using MOS SF36 questionnaire
Time Frame: at 12 months
|
Quality of life evaluated using MOS SF36 questionnaire (Medical Outcomes Study - 36-Item Short Form Health Survey).
SF-36 is a set of generic, coherent, and easily administered quality-of-life measures.
These measures rely upon patient self-reporting.
Items are grouped into three categories: functional status, well-being, overall health assessment.
In two dimensions, the answer is binary (yes / no) and in the other 6 in ordinal quality (3 to 6 possible answers).
For each dimension, the scores for the different items are coded and then summed and transformed linearly on a scale ranging from 0 to 100.
A physical composite score and a mental composite score can be calculated according to an established algorithm
|
at 12 months
|
Quality of life evaluated using MOS SF36 questionnaire
Time Frame: at 24 months
|
Quality of life evaluated using MOS SF36 questionnaire (Medical Outcomes Study - 36-Item Short Form Health Survey).
SF-36 is a set of generic, coherent, and easily administered quality-of-life measures.
These measures rely upon patient self-reporting.
Items are grouped into three categories: functional status, well-being, overall health assessment.
In two dimensions, the answer is binary (yes / no) and in the other 6 in ordinal quality (3 to 6 possible answers).
For each dimension, the scores for the different items are coded and then summed and transformed linearly on a scale ranging from 0 to 100.
A physical composite score and a mental composite score can be calculated according to an established algorithm
|
at 24 months
|
Depression and Anxiety status
Time Frame: at 3 months
|
Depression and anxiety will be assessed using Hospital Anxiety and Depression Scale (HADS) questionnaire. The HAD scale is a self-assessment scale for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). Limit scores, for each of the scores, distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11). |
at 3 months
|
Depression and Anxiety status
Time Frame: at 6 months
|
HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D).
Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21).
Limit scores, for each of the scores, distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).
|
at 6 months
|
Depression and Anxiety status
Time Frame: at 12 months
|
Depression and anxiety will be assessed using Hospital Anxiety and Depression Scale (HADS) questionnaire. The HAD scale is a self-assessment scale for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). Limit scores, for each of the scores, distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11). |
at 12 months
|
Weight
Time Frame: at 3 months
|
Evolution of weight
|
at 3 months
|
Weight
Time Frame: at 6 months
|
Evolution of weight
|
at 6 months
|
Weight
Time Frame: at 12 months
|
Evolution of weight
|
at 12 months
|
Weight
Time Frame: at 24 months
|
Evolution of weight
|
at 24 months
|
Number of severe infections
Time Frame: at 24 months
|
A severe infection will be defined as a CTAE score of grade 3 or 4
|
at 24 months
|
GvHD incidence
Time Frame: at 12 months
|
at 12 months
|
|
GvHD incidence
Time Frame: at 24 months
|
at 24 months
|
|
Grading of GvHD
Time Frame: at 12 months
|
Grading of GvHD will be assessed using magic consortium 2016 and NIH classification
|
at 12 months
|
Chimerism in HSCT
Time Frame: at 1 month
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 1 month
|
Chimerism in HSCT
Time Frame: at 2 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 2 months
|
Chimerism in HSCT
Time Frame: at 3 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 3 months
|
Chimerism in HSCT
Time Frame: at 6 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletionchimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
|
at 6 months
|
Chimerism in HSCT
Time Frame: at 9 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 9 months
|
Chimerism in HSCT
Time Frame: at 12 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 12 months
|
Chimerism in HSCT
Time Frame: at 18 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 18 months
|
Chimerism in HSCT
Time Frame: at 24 months
|
Chimerism in HSCT will be assessed on total blood population and on T subset.
In patients transplanted in Paris area, a more extensive centralized chimerism will be performed if donor T lymphocyte chimerism will be under 70% at 3 months post-transplant.
Chimerism analysis by PCR microsatellite or by quantitative real-time PCR of insertion/deletion
|
at 24 months
|
Number of days of hospitalization
Time Frame: Number of days of hospitalization from inclusion at M24
|
Number of days of hospitalization from inclusion
|
Number of days of hospitalization from inclusion at M24
|
RBC and WBC adherence
Time Frame: at inclusion
|
Study of RBC and WBC adherence on lymphocytes subpopulation (including NK-T cells).
Modulation of WBC and RBC surface markers by allograft.
|
at inclusion
|
RBC and WBC adherence
Time Frame: at 12 months
|
Study of RBC and WBC adherence on lymphocytes subpopulation (including NK-T cells).
Modulation of WBC and RBC surface markers by allograft.
|
at 12 months
|
RBC and WBC adherence
Time Frame: at 24 months
|
Study of RBC and WBC adherence on lymphocytes subpopulation (including NK-T cells).
Modulation of WBC and RBC surface markers by allograft.
|
at 24 months
|
Expression of RBC and WBC surface markers
Time Frame: at inclusion
|
Expression of RBC and WBC surface markers on lymphocytes subpopulation
|
at inclusion
|
Expression of RBC and WBC surface markers
Time Frame: at 12 months
|
Expression of RBC and WBC surface markers on lymphocytes subpopulation
|
at 12 months
|
Expression of RBC and WBC surface markers
Time Frame: at 24 months
|
Expression of RBC and WBC surface markers on lymphocytes subpopulation
|
at 24 months
|
Mast cell mediator release
Time Frame: at inclusion
|
Master cell mediator release will be assessed using plasma sample.
Modulation of mast cell mediators release by allograft (tryptase, substance P and histamine)
|
at inclusion
|
Mast cell mediator release
Time Frame: at 12 months
|
Master cell mediator release will be assessed using plasma sample.
Modulation of mast cell mediators release by allograft (tryptase, substance P and histamine)
|
at 12 months
|
Mast cell mediator release
Time Frame: at 24 months
|
Master cell mediator release will be assessed using plasma sample.
Modulation of mast cell mediators release by allograft (tryptase, substance P and histamine)
|
at 24 months
|
Inflammatory cytokines
Time Frame: at inclusion
|
Inflammatory cytokines will be measured using serum sample.
Modulation of inflammatory cytokine (TNF-alpha, IL-1, IL-6...) by allograft
|
at inclusion
|
Inflammatory cytokines
Time Frame: at 12 months
|
Inflammatory cytokines will be measured using serum sample.
Modulation of inflammatory cytokine (TNF-alpha, IL-1, IL-6...) by allograft
|
at 12 months
|
Inflammatory cytokines
Time Frame: at 24 months
|
Inflammatory cytokines will be measured using serum sample.
Modulation of inflammatory cytokine (TNF-alpha, IL-1, IL-6...) by allograft
|
at 24 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- K170912J
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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