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Active, not recruitingNCT05589896Updated Sep 10, 2026

A First-in-Human Study of HLA-Partially to Fully Matched Allogenic Cryopreserved Deceased Donor Bone Marrow Transplantation for Patients With Hematologic Malignancies

A Phase 1/2 interventional study of Ossium HPC Marrow, Bone Marrow Transplant and Pre-transplant conditioning - Myeloablative (MAC) in Acute Leukemia, Acute Lymphoblastic Leukemia and Acute Myeloid Leukemia, sponsored by Ossium Health, Inc.. Active, not recruiting at 9 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Ossium Health, Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to determine the safety and feasibility of allogeneic transplantation with bone marrow from a deceased donor in patients with acute and chronic leukemias, myelodysplastic syndrome, and certain lymphomas. Patients will either receive myeloablative conditioning or reduced intensity conditioning regimen prior to the transplant. Patients will be followed for 56 days for safety endpoints and remain in follow-up for one year.

02

Conditions studied

  • Acute Leukemia
  • Acute Lymphoblastic Leukemia
  • Acute Myeloid Leukemia
  • Acute Biphenotypic Leukemia
  • Acute Undifferentiated Leukemia
  • CLL (Chronic Lymphocytic Leukemia)
  • Chronic Myeloid Leukemia (CML)
  • MDS (Myelodysplastic Syndrome)
  • Non-Hodgkin Lymphomas
  • Hodgkins Lymphoma
  • Cutaneous T Cell Lymphomas (CTCL)

Keywords

  • Leukemia
  • Hematologic Diseases
  • ALL
  • AML
  • ABL
  • AUL
  • Bone Marrow Transplant
  • Lymphoma
  • MDS
  • CLL
  • CML
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

This study's planned enrollment of 12 is below the median of 40 across 1,952 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

Ossium Health, Inc. is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 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

  • Patient has the ability to provide according to the applicable regulatory and local institutional requirements
  • Male or female, aged ≥18 and ≤65 years for patients receiving MAC (Regimen A or Regimen B); aged ≥18 and ≤75 years for patients receiving RIC (Regimen C or D)
  • Patient must require HCT per the discretion of the treating physician
  • Patient must be high-resolution, HLA partially or fully matched (4-8/8 allele matched at HLA-A, -B, -C, DRB1) to an available Ossium HPC, Marrow product
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Diagnosed with malignant hematologic disease including:

    1. Acute leukemia [acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), acute biophenotypic leukemia (ABL), or acute undifferentiated leukemia (AUL)], MDS without fibrosis, or chronic leukemia (CLL, CML) in the first remission or beyond with ≤5% marrow blasts documented by bone marrow assessment and no circulating blasts or extra-medullary disease within 42 days prior to anticipated start of conditioning
    2. Chemosensitive non-Hodgkin's lymphomas, Hodgkin's lymphoma, or cutaneous T cell lymphomas in the first remission or beyond documented by PET/CT imaging and bone marrow assessment within 42 days prior to anticipated start of conditioning
  • performance status score ≥70% (MAC) or ≥60% (RIC)
  • HCT comorbidity index (HCT-CI) ≤5
  • Adequate organ function defined as:

    1. Cardiac: at rest ≥40% (RIC) or LVEF at rest ≥45% (MAC)
    2. Pulmonary: DLCO, , FVC ≥50% predicted by pulmonary function tests (PFTs). DLCO value may be corrected for .
    3. Hepatic: total ≤2.0 mg/dL, and , AST, and ALP \<3 x upper limit normal (), unless ALT, AST, and/or ALP are disease related
    4. Renal: SCr within 1.5x normal range for age. If SCr is outside normal range for age, > 60 mL/min/1.73m2 must be obtained (measured by 24-hour urine specimen or nuclear (GFR), or calculated GFR)

Exclusion criteria

Exclusion Criteria:

  • Availability of suitable graft from living donor (defined as 7/8 or 8/8 HLA-matched related or unrelated donors, haploidentical donors, or cord blood donors)
  • Prior or allogeneic HCT
  • Pregnancy or lactation
  • Ongoing treatment with an drug used for disease-related treatment within 5 half-lives of the drug
  • Current uncontrolled bacterial, viral or fungal infection defined as currently taking medication with evidence of progression of clinical symptoms or radiologic findings
  • Any condition(s) or diagnosis, both physical or psychological, or physical exam finding that in the investigator's opinion precludes participation
Terms in these criteria, in plain language(12)

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.

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    Bone Marrow Transplant with Ossium HPC, Marrow Pre-transplant myeloablative conditioning treatment with: Regimen A(MAC): Busulfan and Fludarabine \[OR\] Regimen B(MAC): Fludarabine and Total Body Irradiation \[OR\] Regimen C(RIC): Fludarabine, Cyclophosphamide, and Total Body Irradiation \[OR\] Regimen D (RIC): Fludarabine, Melphalan, and Total Body Irradiation Post-Transplant treatment with Cyclophosphamide, Tacrolimus, Mycophenolate Mofetil, and Filgrastim

    Other: Ossium HPC Marrow, Bone Marrow Transplant · Other: Pre-transplant conditioning - Myeloablative (MAC) · Other: Pre-transplant conditioning - Reduced Intensity (RIC) · Other: Post-transplant treatment

  • Experimental
    Cohort 2

    \*Open to enrollment after DSMB review of Cohort 1 safety events through Day 56\* Bone Marrow Transplant with Ossium HPC, Marrow Pre-transplant conditioning treatment with: Regimen A(MAC): Busulfan and Fludarabine \[OR\] Regimen B(MAC): Fludarabine and Total Body Irradiation \[OR\] Regimen C(RIC): Fludarabine, Cyclophosphamide, and Total Body Irradiation \[OR\] Regimen D(RIC): Fludarabine, Melphalan, and Total Body Irradiation Post-Transplant treatment with Cyclophosphamide, Tacrolimus, Mycophenolate Mofetil, and Filgrastim

    Other: Ossium HPC Marrow, Bone Marrow Transplant · Other: Pre-transplant conditioning - Myeloablative (MAC) · Other: Pre-transplant conditioning - Reduced Intensity (RIC) · Other: Post-transplant treatment

Interventions

  • OtherOssium HPC Marrow, Bone Marrow Transplant

    Hematopoetic Cell Transplantation

  • OtherPre-transplant conditioning - Myeloablative (MAC)

    Regimen A or Regimen B

    Also known as: Busuflex, Fludara, TBI

  • OtherPre-transplant conditioning - Reduced Intensity (RIC)

    Regimen C or Regimen D

    Also known as: Fludara, Cytoxan, Mesnex, TBI, Melphalan

  • OtherPost-transplant treatment

    Post-transplant treatment

    Also known as: Cytoxan, Mesnex, CellCept, Filgrastim

06

What researchers measure

Primary outcomes

  1. Neutrophil Engraftment

    Neutrophil engraftment is defined as achieving an absolute neutrophil count (ANC) of greater than or equal to 500/µL for 3 consecutive measurements on 3 different days by Day 28.

    Time frame: Day 28

  2. Serious Adverse Events

    Occurrence of any event classified as SAE. The time of occurrence of each serious adverse event will be recorded.

    Time frame: Day 56

  3. CTCAE Grade 3/4 Adverse Events (AEs)

    Occurrence of any event classified as grade 3/4 AE attributed to Ossium HPC, Marrow per the CTCAE v5.0 guidelines. The time of the occurrence of each event will be recorded.

    Time frame: Day 56

  4. CTCAE Grade 3/4 Adverse Events (AEs) attributed to infusion of Ossium HPC, Marrow

    Occurrence of any event classified as grade 3 or higher attributed to Ossium HPC, Marrow infusion per the CTCAE v5.0 guidelines. The time of the occurrence will be recorded.

    Time frame: Day 28

  5. Death

    The time of death will be recorded for each expired patient.

    Time frame: Day 56

Secondary outcomes

  1. Cumulative incidences of neutrophil engraftment

    Neutrophil engraftment in defined as achieving an absolute neutrophil count (ANC) of greater than or equal to 500/µL for 3 consecutive measurements on different days by Day 28.

    Time frame: Day 28

  2. Cumulative incidences of platelet recovery

    Platelet recovery is defined as platelets greater than or equal to 20,000/µL for 3 consecutive days in the absence of transfusion for 7 consecutive days by Day 56.

    Time frame: Day 56

  3. Cumulative incidence of disease relapses

    The cumulative incidence of relapse is measured from the date of transplant (Day 0) until the date of relapse or progression; patients not known to have relapsed are censored on the date they were last examined; patients who died without relapse are counted as a competing cause of failure.

    Time frame: Day 365

  4. Transplant-related mortality (TRM)

    TRM is defined as death without evidence of disease progression or recurrence.

    Time frame: Day 100 and Day 365

  5. Cumulative incidences of acute (aGVHD) Graft Versus Host Disease

    aGVHD is defined as any skin, gastrointestinal or liver abnormalities fulfilling the criteria of grades II-IV or grades III-IV.

    Time frame: Day 100, Day 180, and Day 365

  6. Cumulative incidences of chronic (cGVHD) Graft Versus Host Disease

    cGVHD is defined per National Institutes of Health (NIH) Consensus Criteria and includes organ involvement and severity, and overall global composite score (mild/moderate/severe).

    Time frame: Day 100, Day 180, and Day 365

  7. Incidence of clinically-significant infections

    A clinically significant infection is defined as any microbiologic or radiographic infection for which antimicrobial therapy was administered.

    Time frame: Day 100 and Day 365

Other outcomes

  1. Length of Stay in Hospital

    Cumulative days alive and out of the hospital in the first 100 days and in the first year post-transplant.

    Time frame: Day 100 and Day 365

  2. Time to provide Ossium product to the patient from product availability request

    Time from preliminary search to find a donor match in the Ossium registry and the time to provide Ossium HPC, Marrow product to recipient (time from donor availability request to delivery of product to transplant center).

    Time frame: Day 365

07

Study locations

9 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 Aug 2024 to primary completion in Jul 2026, 22 months.

Of 114 phase 1/2 interventional studies under Precursor Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 81 months of starting (the median), counting those still running; a quarter within 56 and three quarters within 119. This study's 22 months is below that.

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

Registered
Oct 18, 2022
First posted
Oct 21, 2022
StartActual
Aug 16, 2024
Primary completionActual
Jul 14, 2026
CompletionEst.
May 31, 2029
Last update
Sep 10, 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 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05589896
Lead sponsor
Ossium Health, Inc.
Responsible party
Sponsor
First posted
Oct 21, 2022
Start date
Aug 16, 2024
Primary completion
Jul 14, 2026
Completion
May 31, 2029 (estimated)
Last update
Sep 10, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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