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从未经许可的脐带血单位输注细胞群

For the next 5-10 years or possibly longer, a high proportion of the Cord Blood Banks (CBB) inventory worldwide will be composed of unlicensed umbilical cord blood (UCB) units. While Food and Drug Administration (FDA)-licensed units will be prioritized, it will always be possible that an unlicensed unit will have known attributes, making it a better source of cells for the given indication. Because of the wide variety of current and potential indications as a source of cells for hematopoietic reconstitution or other form of cellular therapy, it is critical that the investigators have access to unlicensed UCB units.

研究概览

详细说明

Patients will receive intravenous hydration, acetaminophen and diphenhydramine hydrochloride (or appropriate alternative regimen) approximately 30 minutes prior to UCB infusion with doses adjusted for subject age and weight unless otherwise specified in the specific treatment protocol. Additional treatments will vary with the specific use of the UCB cells as specified in institutional review board (IRB)-approved disease-specific protocols at the University of Minnesota.

研究类型

介入性

注册 (估计的)

250

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Minnesota
      • Minneapolis、Minnesota、美国、55455
        • 招聘中
        • Masonic Cancer Center, University of Minnesota
        • 接触:
        • 首席研究员:
          • Claudio Brunstein, MD

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

To be eligible for an unlicensed umbilical cord blood (UCB) unit, the subject must meet each of the eligibility criteria listed below:

  • Subjects with any diagnosis for which there is an institutional review board (IRB) approved treatment protocol that requires UCB as a source of hematopoietic stem cells for lympho-hematopoietic reconstitution after myeloablative or non myeloablative conditioning.
  • Subject (or parent/guardian) must provide written informed consent for the use of unlicensed UCB units with co-enrollment onto a University of Minnesota IRB-approved clinical trial that details the disease specific treatment plan that prescribes the use of UCB as source of cells
  • Subject has an unlicensed UCB unit that meets required cell dose and HLA matching criteria (as defined in the primary treatment protocol) that is considered negative for tested blood-borne pathogens and also lack an 'equivalent', licensed UCB unit from a University of Minnesota approved Cord Blood Bank

Exclusion Criteria:

  • Exclusion criteria are specified in the treatment protocol according to indication.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:其他
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Unlicensed Umbilical Cord Blood Infusion

All patients will be registered in OnCore under this protocol as well as the specific treatment protocol.

  • Pre-infusion treatment using intravenous hydration, acetaminophen and diphenhydramine hydrochloride

  • Unlicensed Umbilical Cord Blood Infusion according to institutional guidelines.

    • Infusion of minimally manipulated unlicensed UCB units:
    • vital signs Monitoring during and after UCB infusion:
    • Management of infusion reactions
  • Post-transplant care and follow-up: will be done according to the disease specific treatment protocol and institutional guidelines.

Infusion of Minimally Manipulated UCB Units - the UCB unit will be infused through a central line according to institutional guidelines.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Incidence of Blood Borne Pathogen Transmission from Unlicensed UCB Units.
大体时间:Within 24 Hours Post Infusion

Documentation of events for the purpose of this study will only be for those events at least possibly related to the unlicensed UCB. Monitoring for acute infusional toxicities will end 24 hours after the umbilical cord blood (UCB) infusion.

Within 24 Hours Post Infusion

次要结果测量

结果测量
措施说明
大体时间
Incidence of Serious Infusion Reactions of Minimally Manipulated Unlicensed UCB Units
大体时间:Up to Day 180

point estimations and 95% confidence intervals of serious infusion reaction

Up to Day 180
Number of the Desired Lineage Specific Cells in Minimally Manipulated Unlicensed UCB Units
大体时间:Prior to Infusion

Upon thawing (e.g., number of CD34 and colony forming cells for hematopoietic products or number of CD4+/CD25+/CD127- cells for Treg products prior to further manipulation).

Prior to Infusion
Incidence of Mislabeled UCB Units
大体时间:Up to Day 180

Point estimations and 95% confidence intervals of incidences mislabeled UCB units

Up to Day 180
Comparison of Specific Cord Blood Banks (CBBs)
大体时间:Up to Day 180

Determine if bacterial contamination, poor cell recoveries, shipment of mislabeled units, blood borne pathogen transmission or serious infusion reactions are more prevalent in units from specific CBBs.

Up to Day 180

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Alex Hoover, MD, MSc、Masonic Cancer Center, University of Minnesota

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2011年10月20日

初级完成 (估计的)

2027年1月1日

研究完成 (估计的)

2028年2月1日

研究注册日期

首次提交

2011年10月11日

首先提交符合 QC 标准的

2011年10月12日

首次发布 (估计的)

2011年10月13日

研究记录更新

最后更新发布 (实际的)

2026年10月6日

上次提交的符合 QC 标准的更新

2026年10月5日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • 2011LS079
  • MT2011-13R (其他标识符:Blood and Marrow Transplantation Program)

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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