ClinicalTrials.gg
RecruitingNCT07867769Updated Oct 9, 2026

Randomised Controlled Trial Comparing CD62L and CD45RA Depleted Donor Lymphocyte Infusion With T-cell Depleted Haploidentical Hematopoietic Stem Cell Transplantation

A Phase 2 interventional study of CD62L depleted DLI and CD45RA depleted DLI in Hematopoietic Cell Transplantation, sponsored by Hong Kong Children's Hospital. Recruiting at 1 site in Hong Kong. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Hong Kong Children's Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2026; still recruiting 1 month later.
Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
Up to 18 Years
Sex
All
01

Study summary

The goal of clinical trial is to compare the efficacy and safety of CD62L depleted donor lymphocyte infusion (DLI) with CD45RA depleted DLI in children who receive T-cell depleted haploidentical hematopoietic stem cell transplantation (HSCT).

Participants will be randomised to receive either CD62L depleted DLI or CD45RA depleted DLI with HSCT and evaluate for efficacy and safety outcomes.

Read the detailed description

Allogeneic hematopoietic stem cell transplantation (HSCT) is currently the standard therapy for many malignant and non-malignant diseases in children. For patients lacking human leukocyte antigen (HLA)-matched donor, HLA-haploidentical family donor is an increasingly used alternative. In vitro T cell depletion can minimize graft-versus-host disease (GVHD) but increase the risk of infections, graft rejection and relapse of malignancy. CD45RA depleted donor lymphocyte infusion (DLI) can reduce these risks while reducing the risk of GVHD by removing naïve T cells but retaining memory T cells, and is currently one of the standard therapeutic options. The newly developed CD62L depletion may be an even better option that further reduces the risk of infection and GVHD as terminally differentiated CD45RA positive T cells (TEMRA) is retained while central memory T cells are depleted. In this randomized controlled trial, we aim to compare CD62L depleted DLI with CD45RA depleted DLI, in the context of T cell depleted haploidentical HSCT to treat children with malignant or non-malignant disease in need of HSCT. We shall evaluate the frequency of composite viral infections within 100 days of HSCT, overall and disease-free survivals, frequency of acute GVHD, and cumulative incidence of chronic GVHD, malignancy relapse, graft failure and other adverse effects.

02

Conditions studied

  • Hematopoietic Cell Transplantation

Keywords

  • hematopoietic stem cell transplantation
  • CD62L depletion
  • CD45RA depletion
  • haploidentical transplant
  • randomised controlled trial
03

In context

Lead sponsor

Hong Kong Children's Hospital is the lead sponsor of 13 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 18 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

  • Aged 0-18 years who requires hematopoietic stem cell transplant, has no HLA-matched sibling donor but has an HLA-haploidentical donor.
  • Adequate organ function to tolerate the conditioning chemotherapy and radiotherapy.
  • or Lansky performance status score ≥50

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating woman
  • infection
  • Patients for whom alternative treatment is deemed more appropriate
  • Patients who are unlikely to benefit from haploidentical , e.g., terminal with multiorgan failure
Terms in these criteria, in plain language(4)

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
46 participants (estimated)

Study arms

  • Experimental
    CD62L depleted DLI

    CD62L depleted DLI

    Biological: CD62L depleted DLI · Procedure: Haploidentical HSCT

  • Active comparator
    CD45RA depleted DLI

    CD45RA depleted DLI

    Biological: CD45RA depleted DLI · Procedure: Haploidentical HSCT

Interventions

  • BiologicalCD62L depleted DLI

    CD62L depleted DLI

  • BiologicalCD45RA depleted DLI

    CD45RA depleted DLI

  • ProcedureHaploidentical HSCT

    T cell depleted haploidentical HSCT

06

What researchers measure

Primary outcomes

  1. Frequency of viral infections

    Frequency of composite CMV, EBV and/or ADV infections within 100 days of HSCT

    Time frame: within 100 days after HSCT

Secondary outcomes

  1. Overall survival

    Overall survival

    Time frame: 1 year

  2. disease-free survival

    survival without underlying disease recurrence or progression

    Time frame: 1 year

  3. Frequency of acute GVHD

    Frequency of acute GVHD

    Time frame: 100 days

  4. Cumulative incidence of chronic GVHD

    Cumulative incidence of chronic GVHD

    Time frame: 1 year

  5. Cumulative incidence of relapse of malignancy

    Cumulative incidence of relapse of malignancy

    Time frame: 1 year

  6. Cumulative incidence of graft failure

    Cumulative incidence of graft failure

    Time frame: 1 year

  7. Cumulative incidence of other adverse effects

    Cumulative incidence of other adverse effects

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Chan WYK, Lee PPW, Cheuk DKL, Chiang AKS, Leung W. A Modified Three-Step Haploidentical Transplantation With TCRalphabeta/CD62L Depletion for Epstein-Barr Virus Hemophagocytic Lymphohistiocytosis and Natural Killer-Cell Lymphoproliferative Disease. Pediatr Blood Cancer. 2025 Aug;72(8):e31818. doi: 10.1002/pbc.31818. Epub 2025 May 20. No abstract available. PubMed 40394825 ↗
  • Cheuk DKL, Lee PPW, Chan WYK, Chan GCF, So CC, Leung WH. Novel CD62L depleted donor lymphocyte infusion with T-cell receptor alpha-beta depleted haploidentical hematopoietic stem cell transplantation in children. Transpl Immunol. 2025 Mar;89:102176. doi: 10.1016/j.trim.2025.102176. Epub 2025 Jan 30. PubMed 39892768 ↗
  • Verfuerth S, Sousa PS, Beloki L, Murray M, Peters MD, O'Neill AT, Mackinnon S, Lowdell MW, Chakraverty R, Samuel ER. Generation of memory T cells for adoptive transfer using clinical-grade anti-CD62L magnetic beads. Bone Marrow Transplant. 2015 Oct;50(10):1358-64. doi: 10.1038/bmt.2015.135. Epub 2015 Jun 15. PubMed 26076125 ↗
  • Zhang J, Barefoot BE, Mo W, Deoliveira D, Son J, Cui X, Ramsburg E, Chen BJ. CD62L- memory T cells enhance T-cell regeneration after allogeneic stem cell transplantation by eliminating host resistance in mice. Blood. 2012 Jun 28;119(26):6344-53. doi: 10.1182/blood-2011-03-342055. Epub 2012 May 17. PubMed 22596261 ↗
  • Chen BJ, Cui X, Sempowski GD, Liu C, Chao NJ. Transfer of allogeneic CD62L- memory T cells without graft-versus-host disease. Blood. 2004 Feb 15;103(4):1534-41. doi: 10.1182/blood-2003-08-2987. Epub 2003 Oct 9. PubMed 14551132 ↗
  • Mangare C, Tischer-Zimmermann S, Riese SB, Dragon AC, Prinz I, Blasczyk R, Maecker-Kolhoff B, Eiz-Vesper B. Robust Identification of Suitable T-Cell Subsets for Personalized CMV-Specific T-Cell Immunotherapy Using CD45RA and CD62L Microbeads. Int J Mol Sci. 2019 Mar 20;20(6):1415. doi: 10.3390/ijms20061415. PubMed 30897843 ↗
  • Triplett BM, Muller B, Kang G, Li Y, Cross SJ, Moen J, Cunningham L, Janssen W, Mamcarz E, Shook DR, Srinivasan A, Choi J, Hayden RT, Leung W. Selective T-cell depletion targeting CD45RA reduces viremia and enhances early T-cell recovery compared with CD3-targeted T-cell depletion. Transpl Infect Dis. 2018 Feb;20(1):10.1111/tid.12823. doi: 10.1111/tid.12823. Epub 2018 Jan 16. PubMed 29178554 ↗
  • Triplett BM, Shook DR, Eldridge P, Li Y, Kang G, Dallas M, Hartford C, Srinivasan A, Chan WK, Suwannasaen D, Inaba H, Merchant TE, Pui CH, Leung W. Rapid memory T-cell reconstitution recapitulating CD45RA-depleted haploidentical transplant graft content in patients with hematologic malignancies. Bone Marrow Transplant. 2015 Jul;50(7):968-77. doi: 10.1038/bmt.2014.324. Epub 2015 Feb 9. PubMed 25665048 ↗
  • Shook DR, Triplett BM, Eldridge PW, Kang G, Srinivasan A, Leung W. Haploidentical stem cell transplantation augmented by CD45RA negative lymphocytes provides rapid engraftment and excellent tolerability. Pediatr Blood Cancer. 2015 Apr;62(4):666-73. doi: 10.1002/pbc.25352. Epub 2015 Jan 5. PubMed 25559618 ↗
  • Bleakley M. Naive T-cell depletion in stem cell transplantation. Blood Adv. 2020 Oct 13;4(19):4980. doi: 10.1182/bloodadvances.2020001888. PubMed 33049057 ↗

Individual participant data

Plan to share: Yes — Anonymized outcome data

Supporting information: Study protocol, Informed consent form

Time frame: IPD will be available from the time of publication till 1 Oct 2032 (3 years after end of study)

Access criteria: Publisher and authorized people will be able to access individual anonymized outcome data by email

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2026 (actual). Primary completion is estimated for Oct 2029, 35 months after the start.

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

Registered
Oct 5, 2026
First posted
Oct 9, 2026
StartActual
Oct 2, 2026
Primary completionEst.
Oct 1, 2029
CompletionEst.
Oct 1, 2029
Last update
Oct 9, 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.
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07867769
Lead sponsor
Hong Kong Children's Hospital
Responsible party
Cheuk Ka Leung Daniel (Consultant, Hong Kong Children's Hospital) — Principal investigator
First posted
Oct 9, 2026
Start date
Oct 2, 2026
Primary completion
Oct 1, 2029 (estimated)
Completion
Oct 1, 2029 (estimated)
Last update
Oct 9, 2026

Study contacts

Daniel KL Cheuk, MBBS
Contact
cheukkld@hku.hk
852-35136049
Wilson YK Chan, MBBS
Contact
cyk956@ha.org.hk
852-57413367
Daniel KL Cheuk, MBBS
principal investigator · Hong Kong Children's Hospital

Oversight

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

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