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Immune Reconstitution and Clinical Prognosis Following Umbilical Cord Blood Transplantation

A Prospective Study on Immune Reconstitution and Clinical Prognosis in Patients After Umbilical Cord Blood Transplantation

In this prospective randomized controlled trial of umbilical cord blood hematopoietic stem cell transplant recipients, post-transplant immune data will be collected from two groups. A composite immune risk score will be used to assess immune reconstitution for risk stratification and analyze its associations with clinical prognostic endpoints.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

200

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Tianjin, Kina
        • Rekruttering
        • Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
        • Kontakt:
          • Yahui Feng

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

14 år og ældre (Barn, Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Age ≥ 14 years old
  2. Umbilical cord blood transplant
  3. Patients must provide written informed consent before the start of the study procedures.

Exclusion Criteria:

  1. Patients who are ineligible for the study due to other factors, or who will bear great risk if they participate in the study.
  2. Death or loss to follow-up of the patient prior to immune reconstitution stratification

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Composite Immune Risk Score Stratification Notification Group

Attending physicians will receive immune reconstitution risk stratification results of patients calculated by the composite immune risk score model to guide patient health monitoring.

Attending physicians will receive immune reconstitution risk stratification results of patients calculated by the composite immune risk score model to guide patient health monitoring.

Ingen indgriben: Standard Care Control Group

No risk stratification results of patients from the composite immune risk score model will be provided to attending physicians. Patients receive standard routine care.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Frequency of infection-related laboratory testing (blood culture, pathogen PCR, NGS)
Tidsramme: 6 months post-transplant

Defined as the count of infection-related laboratory tests (blood culture, pathogen PCR, pathogen NGS) for each patient within 6 months after umbilical cord blood transplantation. Test counts are extracted from electronic medical records.

6 months post-transplant
Number of medication adjustments intended to accelerate immune reconstitution or enhance infection prophylaxis
Tidsramme: 6 months post-transplant
6 months post-transplant
Number of return visits
Tidsramme: 6 months post-transplant
6 months post-transplant

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Frequency of infection-related laboratory testing (blood culture, pathogen PCR, NGS)
Tidsramme: 1 year post-transplant

Defined as the count of infection-related laboratory tests (blood culture, pathogen PCR, pathogen NGS) for each patient within 1 year after umbilical cord blood transplantation. Test counts are extracted from electronic medical records.

1 year post-transplant
Number of medication adjustments intended to accelerate immune reconstitution or enhance infection prophylaxis
Tidsramme: 1 year post-transplant
1 year post-transplant
Number of return visits
Tidsramme: 1 year post-transplant
1 year post-transplant
Immune reconstitution status (quantity of T, B, NK cells and other immune subsets, and T cell clonal diversity)
Tidsramme: at 4, 6, 9 and 12 months post-transplant

Defined as the quantity of T cells, B cells, NK cells and other immune subsets measured by flow cytometry, and T cell clonal diversity assessed by TCR repertoire sequencing at scheduled time points. Data are extracted from electronic medical records.

at 4, 6, 9 and 12 months post-transplant
Infection rate
Tidsramme: at 6, 9 and 12 months post-transplant
at 6, 9 and 12 months post-transplant
Incidence of chronic GVHD
Tidsramme: at 6, 9 and 12 months post-transplant
at 6, 9 and 12 months post-transplant
Relapse rate
Tidsramme: at 6, 9 and 12 months post-transplant
at 6, 9 and 12 months post-transplant
Survival
Tidsramme: at 6, 9 and 12 months post-transplant
at 6, 9 and 12 months post-transplant
Hospitalization rate
Tidsramme: at 6, 9 and 12 months post-transplant
at 6, 9 and 12 months post-transplant
Outpatient rate
Tidsramme: at 6, 9 and 12 months post-transplant
at 6, 9 and 12 months post-transplant

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

16. oktober 2026

Primær færdiggørelse (Anslået)

1. maj 2027

Studieafslutning (Anslået)

1. maj 2028

Datoer for studieregistrering

Først indsendt

6. november 2026

Først indsendt, der opfyldte QC-kriterier

11. november 2026

Først opslået (Faktiske)

13. november 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

11. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • SKIRT-CB-RCT-001

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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