ClinicalTrials.gg
RecruitingNCT05902416Updated Sep 19, 2024

Clinical Registration Study of Haplo-HSCT for Elderly Patients With Acute Leukemia/ Myelodysplastic Syndrome

An observational study in Acute Leukemia and Myelodysplastic Syndromes, sponsored by Peking University People's Hospital. Recruiting at 1 site in China. Open to participants aged 55 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Peking University People's Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 5 months ago, but the record still lists the study as recruiting.
  • Started Jun 2023; still recruiting 3 years 5 months later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Ages
55 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 12 studies in Myelodysplastic Syndromes by Peking University People's Hospital — 10 open to participants now, 10 under way, none of them phase 3. Myelodysplastic Syndromes · Peking University People's Hospital.

Started
2023
the only one that year
Observational
3 of 12
2 open now
Registered
4th of 12
by date

Among the 12 studies in Myelodysplastic Syndromes by Peking University People's Hospital, this one is the only one that started in 2023, is one of 3 observational ones, and was the 4th registered.

Myelodysplastic Syndromes

1,997 studies on the registry are indexed under Myelodysplastic Syndromes; 324 are open to participants now.

Browse Myelodysplastic Syndromes studies →

Open to participants now

10 of the 12 studies in Myelodysplastic Syndromes by Peking University People's Hospital are open now, in 1 country. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its studies:

All 10 open studies →

Where they have run

Who these studies take

Of the 264 Myelodysplastic Syndromes studies recruiting now, 167 (63%) set no upper age limit and 70 (27%) stop at 75 or younger; 57 take children under 18; 17 take healthy volunteers.

This study: 55 Years to 70 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Myelodysplastic Syndromes by Peking University People's Hospital, or all of them as a file.
02

Study summary

This study is an open, prospective, single-center, single-arm study expanded based on the study of NCT03412409.The primary objective of this study is to evaluate the transplantation efficacy of the RIC conditioning regimen in elderly patients receiving the transplantation of haploidentical hematopoietic stem cells. Elderly patients are defined as ≥55 years of age; High comorbidity is defined as an HCT-CI score ≥3.Primary endpoint is 1-year LFS. Secondary endpoints are 1-year OS and 1-year TRM, Other indicators to be assessed in this study include acute GVHD, chronic GVHD, CMV activation, EBV activation, engraftment.

Read the detailed description

Currently, the transplantation of allogeneic hematopoietic stem cells (allo-SCT) remains the main and often the only cure for neoplastic hematologic disorder or hematological malignancy. Although HLA-matched siblings are the preferred donor, not all patients have one; or it needs to wait so long to obtain it that the optimal time for transplantation is past. Haploidentical transplants as secondary donors are more readily available and may be considered in combination with the conditions of the donor and the patient and the experience of the transplant facility when a matched donor is unavailable. Currently, haploidentical transplantation has been commonly applied to young patients. On the other hand, TRM rate will be higher in elderly patients and patients with high comorbidity due to tolerability, thus reducing the ultimate benefits of patients.

The choice of conditioning regimen is influenced by multiple factors such as disease type, disease status, physical condition, and source of transplant donor. For patients over 55 years of age or with a comorbidity index ≥3, the RIC regimen may be considered to improve patient tolerability. RIC regimen can improve the tolerability of patients receive transplants, while regimens such as immune suppressants are also needed to control and improve the overall transplant efficiency. An in-depth study of RIC regimen will help improve the effects of transplantation and increase patient benefits.

This study is aim to evaluate the efficacy of RIC conditioning regimen for transplantation in elderly patients or patients with high comorbidity receiving the transplantation of haploidentical hematopoietic stem cells.

Drugs and dosage of conditioning regimen:

Ara-C(2g/m2/day,-10 days to -9 days),Bu(9.6mg/kg,-8 days to -6 days),Flu(30mg/m2/day,-6 days to -2 days),Cy(1,000mg/m2/day,-5 days to -4 days),semustine(250mg/m2,-3 days),ATG(10 mg/kg,-5 to -2 days).

Supportive care:

CsA: To prevent GVHD, CsA therapy starts 9 days before transplantation at 2.5 mg/kg intravenously until gut function returns to normal after transplantation; CsA is then orally administered. MMF: To prevent GVHD, 0.5g of MMF is orally administered every 12 hours 9 days before transplantation until hematopoietic function is restored after transplantation. MTX: To prevent GVHD, MTX is intravenously administered at 15 mg/m2 on day 1 after transplantation. On days 3, 6 and 11 after transplantation, MTX is intravenously administered at 10 mg/m2. Ganciclovir: To prevent post-transplantation CMV infection, it is administered 2 days before transplantation, and to prevent post-transplantation CMV infection, it is orally administered at 400 mg twice a day until the end of all immunosuppressive medications.

Primary endpoint is 1-year LFS. Secondary endpoints are 1-year OS and 1-year TRM, Other indicators to be assessed in this study include acute GVHD, chronic GVHD, CMV activation, EBV activation, engraftment.

CMV and EBV Tests are performed twice weekly for monitor based on PCR means.

The follow-up period designed for this study is 1 year, with the day of hematopoietic stem cell transplantation as Day 1 and the visit dates of Day 0, 1st month, 2nd month, 3rd month, 6th month and 12th month. The end of the study is defined as the date of the last visit of the last patient (LPLV).

03

Conditions studied

  • Acute Leukemia
  • Myelodysplastic Syndromes

Keywords

  • RIC regimen
  • Elderly
  • comorbidity
  • transplant-related mortality
  • Haplo-HSCT
04

Who can participate

Ages eligible
55 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients ≥55 years of age and \<70 years of age, with acute leukemia or MDS (with or without HCT-CI≥3)

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 ≥55 years of age and \<70 years of age, with acute leukemia or MDS (with or without HCT-CI≥3);
  • Patients eligible for the transplantation of allogeneic hematopoietic stem cells;
  • Patients unavailable with HLA matched donors but available with haploidentical donors;
  • Voluntary participation in this study and signing the form.

Exclusion criteria

Exclusion Criteria:

  • Patients with the severe infections;
  • Pregnant or lactating women or female and male subjects of childbearing age and their spouses who are unable to secure effective during the dosing period and within 90 days after the end of the dosing period.
  • Patients who are not eligible for hematopoietic stem cell transplantation;
  • Patients who are enrolled in other clinical trials within 1 month;
  • Patients who may not be able to complete the study for other reasons, or may be considered by the investigator not suitable to participate in the study;
  • Patients unable to properly understand or refusing to accept the form.
Terms in these criteria, in plain language(2)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (estimated)
Patient registry
No

Groups and cohorts

  • RIC regimen,Elderly,Haplo-HSCT,PFS,OS,TRM
06

What researchers measure

Primary outcomes

  1. 1-year LFS

    defined as disease relapse, disease progression or death (whichever occurs first) within 1 year from the day the patient receives transplantation.

    Time frame: Participants will be followed for an expected average of 1 years

Secondary outcomes

  1. 1-year OS

    defined as survival rate within 1 year from the day the patient receives transplantation, calculated based on death from any cause.

    Time frame: Participants will be followed for an expected average of 1 years

  2. 1-year TRM

    defined as death from any cause other than disease relapse within 1 year from the day the patient receives transplantation.

    Time frame: Participants will be followed for an expected average of 1 years

Other outcomes

  1. Adverse event

    The incidence rate of acute GVHD, chronic GVHD, CMV activation, EBV activation after transplantation

    Time frame: Participants will be followed for an expected average of 1 years

  2. Engraftment rate

    The success rate of engraftment after transplantation

    Time frame: Participants will be followed for an expected average of 1 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes

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

Started Jun 2023 (actual). Primary completion is estimated for Jun 2025, 24 months after the start.

Of 78 non-industry observational studies under Myelodysplastic Syndromes, half reached primary completion within 96 months of starting (the median), counting those still running; a quarter within 51. This study's planned 24 months is below that.

Counting every sponsor, half of 101 studies reached it within 84 months; a quarter within 34.

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

Registered
Jun 5, 2023
First posted
Jun 15, 2023
StartActual
Jun 1, 2023
Primary completionEst.
Jun 2025
CompletionEst.
Dec 2026
Last update
Sep 19, 2024
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 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05902416
Responsible party
Xiao-Jun Huang (Principal Investigator, Peking University People's Hospital) — Principal investigator
First posted
Jun 15, 2023
Start date
Jun 1, 2023
Primary completion
Jun 2025 (estimated)
Completion
Dec 2026 (estimated)
Last update
Sep 19, 2024

Study contacts

Sun
Contact
sunyuqian83@hotmail.com
01088326666

Oversight

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

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