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RecruitingNCT06792682Updated Mar 13, 2025

The Safety and Efficacy of Umbilical Cord Blood Mononuclear Cells in Patients With Secondary Poor Graft Function After Hematopoietic Stem Cell Transplantation

A Phase 1 interventional study of Dose escalation and Dose extension in Poor Graft Function, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-13.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 7 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is conducted in a prospective, single-center clinical design and is divided into two stages: dose escalation and dose extension. Patients meeting the diagnostic criteria of secondary poor graft function are selected as the study objects. The safety data of umbilical cord blood mononuclear cells in the treatment of secondary poor graft function are obtained through dose escalation stage, and then one dose is selected for dose extension stage to explore the efficacy of umbilical cord blood mononuclear cells in treating secondary poor graft function.

02

Conditions studied

  • Poor Graft Function

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Keywords

  • Secondary poor graft function
  • Umbilical cord blood mononuclear cells
03

In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's planned enrollment of 15 is below the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Institute of Hematology & Blood Diseases Hospital, China is the lead sponsor of 398 studies on the registry; 293 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age≥18 years old; gender is not limited.
  2. Meet the diagnostic criteria for secondary poor graft function: After 28 days of transplantation, patients who had achieved hematopoietic reestablishment (ANC ≥ 0.5×10\^9/L for 3 consecutive days without G-CSF application, PLT ≥ 20×10\^9/L for 7 consecutive days without platelet infusion, Hb ≥ 80g/L for 2 consecutive weeks without red blood cell infusion) again developed two or three line cytopenia lasting more than 2 weeks. Bone marrow examination revealed low myelodysplasia, remission of primary disease, complete donor chimeric cells, and no severe graft-versus-host disease (GVHD) or disease recurrence.
  3. Eastern Cooperative Oncology Group (ECOG) physical status score ≤ 2 points.
  4. Subjects sign informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Serious infection not controlled.
  2. Active bleeding.
  3. Patients with cardiac insufficiency (ejection fraction\<50%), or suffering from serious heart disease, including myocardial infarction, cardiac insufficiency, etc.
  4. Patients with hepatic and renal insufficiency (total bilirubin>35µmol/L, ALT and AST>2 times of the upper limit of normal; serum creatinine>130µmol/L).
  5. Pregnant or lactating women.
  6. Concurrent malignant tumors of other organs.
  7. Failure to understand or follow the research protocol.
  8. Patients participating in other clinical investigations.
  9. Other conditions that the investigators consider inappropriate to participate in the study.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Umbilical Cord Blood Mononuclear Cells

    Biological: Dose escalation · Biological: Dose extension

Interventions

  • BiologicalDose escalation

    Three dose groups are preset. The doses are 2.0×10\^6/kg/time, 3.5×10\^6/kg/time and 5.0×10\^6/kg/ time respectively, in accordance with the "3+3" dose escalation principle, and proceed in turn. Each subject receives conventional treatment plus umbilical cord blood mononuclear cells therapy, with 4 consecutive intravenous infusions of umbilical cord blood mononuclear cells at 1 week intervals.

  • BiologicalDose extension

    According to the safety data of dose escalation stage, one dose group is selected for extension. Each subject receives conventional treatment plus umbilical cord blood mononuclear cells therapy, with 4 consecutive intravenous infusions of umbilical cord blood mononuclear cells at 1 week intervals.

06

What researchers measure

Primary outcomes

  1. Safety assessment

    Incidence of adverse events

    Time frame: From date of the last infusion of umbilical cord blood mononuclear cells until the date of end of follow-up, assessed up to 24 months

Secondary outcomes

  1. The recovery time of platelet

    The first day of 3 consecutive days with PLT ≥ 20×10\^9/L without platelet transfusion

    Time frame: Two months after the last infusion of umbilical cord blood mononuclear cells

  2. The recovery time of neutrophil

    The first day of 3 consecutive days with ANC ≥ 0.5×10\^9/L without G-CSF application

    Time frame: Two months after the last infusion of umbilical cord blood mononuclear cells

07

Study locations

1 of 1 sites recruiting
  • Institute of Hematology & Blood Diseases Hospital, China
    Tianjin, Tianjin 300020, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06792682
Lead sponsor
Institute of Hematology & Blood Diseases Hospital, China
Responsible party
Sponsor
First posted
Jan 27, 2025
Start date
Feb 14, 2025
Primary completion
Dec 2027 (estimated)
Completion
Feb 2028 (estimated)
Last update
Mar 13, 2025

Study contacts

erlie EL Jiang
Contact
jiangerlie@ihcams.ac.cn
+86-15122538106

Oversight

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

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