ClinicalTrials.gg
RecruitingNCT04924491THYTECHUpdated Sep 18, 2026

Cell Therapy With Treg Cells Obtained From Thymic Tissue (thyTreg) to Prevent Rejection in Heart Transplant Children

A Phase 1/2 interventional study of Autologous thyTreg in Heart Transplantation, sponsored by Rafael Correa-Rocha. Recruiting at 1 site in Spain. Open to participants aged Up to 2 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Rafael Correa-Rocha · Phase 1/2, Interventional, and Prevention

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Sep 2020, registered Apr 2021).
  • Started Sep 2020; still recruiting 6 years 2 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
11
Allocation
Randomized
Ages
Up to 2 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 79 studies in Heart Diseases with a site in Spain — 23 open to participants now, 31 under way, 3 of them phase 3. Heart Diseases · Spain.

Planned enrollment
54th of 55
11 · median 300
Started
2020
with 4 others
Phase 1/2
Only one
of the 79
Primary completion
2026-12
later than 8 of 30 live
Registered
51st of 79
by date

Among the 79 studies in Heart Diseases with a site in Spain, this one is the 54th largest by planned enrollment of the 55 interventional ones that give a count, is one of 5 that started in 2020, is the only one in phase 1/2, reaches primary completion later than 8 of the 30 other live ones, and was the 51st registered.

Heart Diseases

2,135 studies on the registry are indexed under Heart Diseases; 252 are open to participants now.

This study's planned enrollment of 11 is below the median of 129 across 931 interventional studies indexed under Heart Diseases.

Browse Heart Diseases studies →

Open to participants now

23 of the 79 studies in Heart Diseases with a site in Spain are open now, in 12 countries. Each count lists the studies.

All 23 open studies →

Who these studies take

Of the 180 Heart Diseases studies recruiting now, 128 (71%) set no upper age limit and 21 (12%) stop at 75 or younger; 32 take children under 18; 42 take healthy volunteers.

This study: Up to 2 Years · all sexes · no healthy volunteers.

The full table on the hub →
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02

Study summary

The investigators developed a protocol to isolate Treg cells from thymic tissue (thyTreg) discarded in pediatric cardiac surgeries. After completing the pre-clinical studies, the investigators have initiated a phase I/II clinical trial to test the safety and efficacy of the adoptive transfer of autologous thyTreg to prevent rejection in heart transplant children.

Condition or disease: Heart Transplantation Intervention/treatment: Regulatory T Cell (Treg) Infusion

Read the detailed description

Current transplant practice is far from guaranteeing the life expectancy of patients, particularly if the patients are children. THYTECH aims to revolutionize the field of clinical immunology developing a new approach to govern the regulatory skills of immune system, preventing graft rejection and opening a new frontier in the treatment of immune diseases.

Transfer of regulatory T cells (Treg) has acquired growing interest in the race to achieve indefinite transplant survival. Up to now, the use of Treg therapy to prevent solid graft rejection in humans has demonstrated that this therapy is safe, but the clinical efficacy is limited. The small Treg numbers that can be purified from peripheral blood along with the low survival and limited suppressive capacity of differentiated Tregs obtained from adults have probably compromised the efficacy of this therapy.

The investigators have developed an innovative approach to overcome current barriers and make Treg transfer a reality equipped to achieve indefinite graft survival. The major innovation of THYTECH is the employment of thymic tissue, the site of Treg generation, as a new source of Tregs to obtain massive amounts of thymus-derived Tregs (thyTreg) with very high purity (>95% of CD 25+ Foxp3+ cells) and improved survival and suppressive capacities. The investigators are recruiting patients in a clinical trial transferring autologous Tregs in heart-transplanted children to prevent graft rejection.

03

Conditions studied

  • Heart Transplantation

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Keywords

  • Cardiac Disease
  • Regulatory T cell
  • Immunomodulation
  • Tolerogenic protocol
  • Immunosuppressive Agents
  • Immunologic Factors
04

Who can participate

Ages eligible
Up to 2 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

  1. Patient under two years of age, who meets all the necessary requirements to undergo a heart transplant.
  2. Patients without to drugs.
  3. Parents and/or guardians must be willing and able to understand the purpose and risks of the study and must sign the document

Exclusion criteria

Exclusion Criteria:

  1. Patients with DiGeorge Syndrome, since their thymic function is affected.
  2. positive serology
  3. Epstein-Barr virus active infection
  4. Patients hyperimmunized with cytotoxic anti-human leukocyte antigen antibodies
  5. Patients with a history of previous
  6. Patients who have participated in other intervention studies in the last month.
  7. Patients who have received induction therapy with Basiliximab or Thymoglobulin.
  8. Patients who have previously been thymectomized or transplanted.
  9. Patients who have been diagnosed with severe disease (celiac disease, autoimmune hypothyroidism, autoimmune diabetes)
  10. Patients who will receive an asystole heart
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
11 participants (estimated)

Study arms

  • Experimental
    10.000.000 thyTreg /kg

    Autologous thyTreg 10.000.000

    Biological: Autologous thyTreg

  • Experimental
    20.000.000 thyTreg /kg

    Autologous thyTreg 20.000.000

    Biological: Autologous thyTreg

Interventions

  • BiologicalAutologous thyTreg

    Treg lymphocytic cells, differentiated, autologous, of thymic tissue, expanded and stimulated with Interleukin (IL-) 2 (thyTreg)

    Also known as: thyTreg cells

06

What researchers measure

Primary outcomes

  1. Repopulation of Treg cells in the patient, determined as the increase of Treg values in peripheral blood with respect to pre-transplant values or in comparison with a control cohort of non-treated patients.

    Time frame: 24 months

Secondary outcomes

  1. Incidence of episodes of acute myocardial rejection (diagnosed by echocardiography) that require treatment in the 2 years post-transplant

    Time frame: 24 months

  2. Number of Treg cells in peripheral blood

    Time frame: 24 months

  3. Change in the number of naive and memory Treg cells, and the production/levels of interferon gamma and interleukins (IL-4, IL-17A and IL-10).

    Time frame: 24 months

  4. Decrease of cell subsets related with rejection (CD8 T cells subsets, activated T cells, antibody-secreting B cells) during the post-transplant follow-up period.

    Time frame: 24 months

  5. Overall patient survival rate at 24 months.

    Time frame: 24 months

  6. Change on parameters of electrocardiogram (PR, QRS and corrected QT interval) of transplanted heart.

    Time frame: 24 months

  7. Change on parameters of echocardiogram (mitral and tricuspid regurgitation; mitral and tissue mitral Doppler; and tricuspid and tissue tricuspid Doppler ) of transplanted heart.

    Time frame: 24 months

  8. Number of participants with treatment-related adverse events as assessed by NCI-CTCAE V4.03 criteria.

    Time frame: 24 months

07

Study locations

1 of 1 sites recruiting
  • Hospital General Universitario Gregorio Marañon
    Madrid, Madrid 28007, Spain
    Recruiting
    • Rafael Correa-Rocha, PhD · Contactrafael.correa@iisgm.com
    • Esther Bernaldo-de-Quiros, MsC · Sub investigator
    • Marjorie Pion, PhD · Sub investigator
    • Diana Hernández-Flórez, PhD · Sub investigator
    • Marta Martínez-Bonet, PhD · Sub investigator
    • Manuela Camino Lopez, MD PhD · Sub investigator
    • Juan Miguel Gil-Jaurena, MD · Sub investigator
    • Nuria Gil Villanueva, MD PhD · Sub investigator
    • Carlos Pardo, MD PhD · Sub investigator
    • Mª Eugenia Fernández-Santos, PhD · Sub investigator
    • Ramón Pérez-Caballero, MD PhD · Sub investigator
08

References and documents

Publications

  • Bernaldo-de-Quiros E, Cozar B, Lopez-Esteban R, Clemente M, Gil-Jaurena JM, Pardo C, Pita A, Perez-Caballero R, Camino M, Gil N, Fernandez-Santos ME, Suarez S, Pion M, Martinez-Bonet M, Correa-Rocha R. A Novel GMP Protocol to Produce High-Quality Treg Cells From the Pediatric Thymic Tissue to Be Employed as Cellular Therapy. Front Immunol. 2022 May 16;13:893576. doi: 10.3389/fimmu.2022.893576. eCollection 2022. PubMed 35651624 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2020 (actual). Primary completion is estimated for Dec 2026, 75 months after the start.

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

Registered
Apr 30, 2021
First posted
Jun 14, 2021
StartActual
Sep 10, 2020
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 18, 2026
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 Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04924491
Lead sponsor
Rafael Correa-Rocha
Collaborators
Instituto de Salud Carlos III
Responsible party
Rafael Correa-Rocha (Group Leader, Hospital General Universitario Gregorio Marañon) — Sponsor-investigator
First posted
Jun 14, 2021
Start date
Sep 10, 2020
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 18, 2026

Study contacts

Rafael Correa-Rocha, PhD
Contact
rafael.correa@iisgm.com
34 915866455
Diana Hernandez Florez, PhD
Contact
diana.hernandez@iisgm.com
34 915290019
Rafael Correa-Rocha, PhD
principal investigator · Hospital General Universitario Gregorio Marañon

Oversight

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

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