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CompletedNCT04118075Updated May 21, 2021

PT-CY With or Without Low-dose ATG for Lymphoid Malignancies Undergoing Allo-HSCT

A Phase 2 interventional study of PT-CY-FK +/-ATG in GVHD, Acute, sponsored by Shanghai Jiao Tong University School of Medicine. Completed at 1 site in China. Open to participants aged 16 Years to 60 Years. Per ClinicalTrials.gov, last updated 2021-05-21.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jan 2019, registered Oct 2019).
Phase
Phase 2
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
16 Years to 60 Years
Sex
All
01

Study summary

All patients received Flu-BU-VP16 as myeloablative conditioning followed by cyclophosphamide (D+3 and +4) and subsequent tacrolimus. For patients with unrelated or haplo-donor received low-dose ATG at Day +15.

Read the detailed description

For patients with high-risk lymphoid malignancies, patients will undergo allo-HSCT from HLA matched sibling, unrelated (9\~10/10) donor or hallo-identical donors. For all patients will receive myeloablative conditioning with 5-day fludarabine, 2-day VP-16 and 3-day busulifan. For prophylaxis graft versus host disease (GVHD), patients will receive cyclophosphamide 50mg/kg daily on D+3 and +4 with subsequent tacrolimus starting at D+5. For patients receiving HSCT from unrelated or haplo-donor, low-dose ATG 2.5mg/kg will be given on Day +15.

02

Conditions studied

  • GVHD, Acute

Keywords

  • aGVHD, cGVHD, PT-CY
03

In context

Graft vs Host Disease

815 studies on the registry are indexed under Graft vs Host Disease; 138 are open to participants now.

This study's enrollment of 23 is below the median of 35 across 643 interventional studies indexed under Graft vs Host Disease.

Browse Graft vs Host Disease studies →

Lead sponsor

Shanghai Jiao Tong University School of Medicine is the lead sponsor of 370 studies on the registry; 107 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • patients with lymphoid malignancies: CR1 or CR2 for acute lymphoblastic leukemia; T cell lymphoma (any CR/PR); B cell lymphoma (PR1 or CR2), hodgkin's disease (CR2 or beyond), Sezary syndrome
  • patients with HLA matched sibling, unrelated (HLA 9\~10/10 matched) or haplo-identical donor

Exclusion criteria

Exclusion Criteria:

  • patients with active infection
  • patients with abnormal liver function damage: ALT/AST above 2X normal range
  • patients with abnormal renal function damage Scr>160µmol/L;
  • patients with insufficient pulmonary function (FEV1,FVC,DLCO\<50%)and heart failure or with EF \<50%)
  • patients with mental instability
  • unwilling to give inform consent
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    PT-CY-FK +/- ATG

    GVHD prophylaxis: PT-CY followed by tacrolimus for all patients. low-dose ATG for patients with unrelated or haplo-identical transplantation.

    Drug: PT-CY-FK +/-ATG

Interventions

  • DrugPT-CY-FK +/-ATG

    GVHD prophylaxis: PT-CY followed by tacrolimus for all patients. low-dose ATG for patients with unrelated or haplo-identical transplantation.

    Also known as: RJH-Lym-2018

06

What researchers measure

Primary outcomes

  1. grade II-IV acute GVHD

    cumulated incidence of grade II-IV aGVHD

    Time frame: Day 100

Secondary outcomes

  1. grade III-IV acute GVHD

    cumulated incidence of grade III-IV aGVHD

    Time frame: Day 100

  2. Non relapse mortality (NRM)

    cumulated incidence of NRM

    Time frame: Day 100

  3. chronic GVHD (cGVHD)

    cumulated incidence of overall cGVHD

    Time frame: 1 year

  4. moderate to sever chronic GVHD

    cumulated incidence of moderate to severe cGVHD

    Time frame: 1 year

  5. relapse rate

    cumulated incidence of bone marrow or PET/biopsy documented relapse

    Time frame: 1 year

  6. non relapse mortality

    cumulated incidence of NRM

    Time frame: 1 year

  7. overall survival

    overall survival from entry of study to any cause of death

    Time frame: 1 year

  8. GVHD-free relapse free survival (GRFS)

    survival without II-IV aGVHD, moderate to severe cGVHD, relapse or any other death event of any case

    Time frame: 1 year

07

Study locations

1 site
  • Rui Jin Hospital
    Shanghai, Shanghai Municipality 200025, China
08

References and documents

Publications

  • Jiang JL, Gao WH, Wang LN, Wan M, Wang L, Hu J. Post-transplantation Cyclophosphamide, Tacrolimus and Low-Dose ATG as GVHD Prophylaxis for Allogeneic Peripheral Stem Cell Transplantation for Adult Patients With Lymphoid Malignancies: A Single Arm Phase II Study. Front Med (Lausanne). 2021 Mar 18;8:630160. doi: 10.3389/fmed.2021.630160. eCollection 2021. PubMed 33816524 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2019 to primary completion in May 2021, 28 months.

Of 93 non-industry phase 2 interventional studies under Graft vs Host Disease, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 86. This study's 28 months is below that.

Counting every sponsor, half of 112 studies reached it within 49 months; a quarter within 27 and three quarters within 84.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 4, 2019
First posted
Oct 8, 2019
StartActual
Jan 1, 2019
Primary completionActual
May 1, 2021
CompletionActual
May 1, 2021
Last update
May 21, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04118075
Responsible party
Jiong HU (Head, Blood & Marrow Transplantation Program, Chief physician, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Oct 8, 2019
Start date
Jan 1, 2019
Primary completion
May 1, 2021
Completion
May 1, 2021
Last update
May 21, 2021

Study contacts

Jiong Hu
principal investigator · Shanghai Jiao Tong University School of Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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