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RecruitingNCT06809712MIGHTUpdated Jun 9, 2026

Human Leukocyte Antigen (HLA) Mismatched Unrelated Allogeneic Hematopoietic Stem Cell Transplantation

A Phase 1 interventional study of Busulfan (Busulfex) and Cyclophosphamide (CTX) in Hematologic Disease, sponsored by He Huang. Recruiting at 1 site in China. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-06-09.

Sponsored by He Huang · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 2 months after the study started (first participant enrolled Aug 2022, registered Oct 2024).
  • Started Aug 2022; still recruiting 4 years 3 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
29
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This study is a single center, prospective, single arm exploratory clinical trial that includes patients with hematological malignancies who are indicated for allogeneic hematopoietic stem cell transplantation (allo HSCT) but lack suitable donors. This project plans to use highly mismatched unrelated HLA mismatched donors. Ultimately, an unrelated human leukocyte antigen (HLA) mismatched allo HSCT transplantation plan will be established to improve the disease prognosis of this group of patients and truly enter the era of "everyone has a donor" for allo HSCT.

Read the detailed description

This study is a single center, prospective, single arm exploratory clinical trial that includes patients with hematological malignancies who are indicated for allogeneic hematopoietic stem cell transplantation (allo HSCT) but lack suitable donors. This project plans to use highly mismatched unrelated HLA mismatched donors. Ultimately, an unrelated human leukocyte antigen (HLA) mismatched allo HSCT transplantation plan will be established to improve the disease prognosis of this group of patients and truly enter the era of "everyone has a donor" for allo HSCT.

02

Conditions studied

  • Hematologic Disease

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Keywords

  • Hematopoietic cell transplantation
  • HLA mismatch
  • Hematologic diseases
03

In context

Hematologic Diseases

609 studies on the registry are indexed under Hematologic Diseases; 108 are open to participants now.

This study's planned enrollment of 29 is below the median of 50 across 410 interventional studies indexed under Hematologic Diseases.

Browse Hematologic Diseases studies →

Lead sponsor

He Huang is the lead sponsor of 21 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
18 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

  • Adult patients (18-60 years old) with hematological and indications for hematopoietic stem cell transplantation;
  • Non blood donors without human leukocyte antigen (HLA) high-resolution typing ≥ 9/10, or those who have difficulty finding non blood donors due to urgent medical conditions;
  • No suitable HLA matching haploidentical donor available;
  • There are suitable unrelated HLA mismatched (HLA high-resolution typing\<9/10) donors;
  • The subjects or their legal representatives shall sign an form before the start of the clinical study.

Exclusion criteria

Exclusion Criteria:

  • Patients with severe liver and kidney function (>2.5 times the , blood creatinine>1.5 times the upper limit of normal) and cardiopulmonary dysfunction ( (NYHA) III/IV heart function, \<50%, severe obstructive or restrictive ventilation dysfunction);
  • Merge active infections;
  • Performance Status (ECOG) score ≥ 2 points;
  • Secondary tumors with merged activity;
  • Severe central nervous system or mental illness leading to the inability to autonomously choose to enter or exit clinical trials;
  • Combine other allo hematopoietic stem cell transplantation () .
Terms in these criteria, in plain language(9)

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.

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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.

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.

05

Study design

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

Study arms

  • Experimental
    HLA mismatch

    Myeloablative conditioning regimen was used when patient is below 50 and with a HCT-CI score \<2; Reduced intensity conditioning regimen was used when patient is over 50 or with HCT-CI score ≥2.

    Drug: Busulfan (Busulfex) · Drug: Cyclophosphamide (CTX) · Drug: Fludarabine (Fludara) · Drug: Semustine (MeccNU)

Interventions

  • Myeloablative conditioning: Busulfan (Bu,3.2 mg/kg/d IV -8d \~-6d); Reduced intensity conditioning: Busulfan (Bu,3.2 mg/kg/d IV -7d\~-5d);

  • Myeloablative conditioning: Cyclophosphamide (Cy,1.8g/m2, -5d, -4d) Cyclophosphamide is not used for reduced intensity conditioning

  • Myeloablative conditioning: Fludarabine (Flu,30 mg/m2/d IV -6d \~ -2d); Reduced intensity conditioning: Fludarabine (Flu,30mg/m2 /d IV -10d\~-5d);

  • For both myeloablative and reduced intensity conditioning: Semustine (MeCCNU: 250 mg/m2 orally-3d)

06

What researchers measure

Primary outcomes

  1. Overall survival

    Overall survival (OS) after allogeneic hematopoietic cell transplantation is defined as the proportion of patients who are alive at a specified time point following the transplantation, regardless of disease status or cause of death.

    Time frame: 1-year

Secondary outcomes

  1. Neutrophil engraftment rate

    The 28-day neutrophil engraftment rate is assessed, with neutrophil engraftment defined as achievement of an absolute neutrophil count (ANC) of ≥ 0.5 × 10⁹/L for three consecutive days.

    Time frame: 28-days

  2. Platelet engraftment rate

    The 28-day platelet engraftment rate is assessed, with platelet engraftment defined as achievement of a platelet count of ≥ 20 × 10⁹/L without transfusion support for at least seven consecutive days.

    Time frame: 28-days

  3. GVHD

    Cumulative incidence of aGvHD and cGvHD in different target organs and overall population.

    Time frame: 180 days and 2 year

  4. Relapse

    Cumulative incidence of disease relapse after transplantation.

    Time frame: 1-year

  5. Progression-free survival

    Progression-free survival (PFS) after allogeneic hematopoietic cell transplantation is defined as the length of time a patient survives without evidence of disease progression or relapse following the transplantation.

    Time frame: 1-year

  6. Graft-versus-host disease (GVHD)-free, relapse-free survival (GRFS)

    Graft-versus-host disease (GVHD)-free, relapse-free survival (GRFS) after allogeneic hematopoietic cell transplantation is defined as the time a patient survives without experiencing grade III-IV acute GVHD, severe chronic GVHD, relapse, or death.

    Time frame: 1-year

07

Study locations

1 of 1 sites recruiting
  • The First Affiliated Hospital, Zhejiang University School of Medicine
    Hangzhou, 310003, China
    Recruiting
    • Yishan Ye · Contactyeyishan@zju.edu.cn · +86 57187236706
    • He Huang · Principal investigator
    • Yishan Ye, MD., PhD · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06809712
Lead sponsor
He Huang
Responsible party
He Huang (Professor, Director of the Bone Marrow Transplantation Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University) — Sponsor-investigator
First posted
Feb 5, 2025
Start date
Aug 4, 2022
Primary completion
Oct 31, 2026 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Jun 9, 2026

Study contacts

Yishan Ye, MD., PhD
Contact
yeyishan@hotmail.com
+8618268068056

Oversight

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

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Studies of the drugs tested here: Busulfan · Cyclophosphamide · Fludarabine phosphate · Semustine

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