Extracorporeal Photopheresis in Children and Young Adults With Refractory Acute Graft Versus Host Disease
Study Details
Study Description
Brief Summary
Purpose : to evaluate the efficacy of ECP in children with refractory acute GVHD This study addresses patients with persistent GVHD after steroid and/or monoclonal antibody therapy
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
One arm. Six sessions in two weeks. Classification in complete response (resolution of all signs of GVHD), partial response (improvement of at least one grade) or absence of response (Glucksberg criteria). Tapering depending on patient condition during weeks 2 to 10. Final evaluation at week 10. Steroid therapy tapering at the discretion of the investigator.
Study Design
Outcome Measures
Primary Outcome Measures
- GVHD grading [during weeks 2 to 10]
Secondary Outcome Measures
- Overall survival Incidence of chronic GVHD [during weeks 2 to 10]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
0 to 30 years
-
Acute GVHD refractory to steroids (disease progression after 2 days or absence of response after 4 days) and/or second line therapy (absence of response after 8 days)
-
patient consent and/or parent consent
Exclusion Criteria:
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less of 10 kgs BW
-
clinical or biological state precluding the apheresis
-
previous GVHD therapy with anti-lymphocyte serum (excepted in the conditioning regimen)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU Clermont-Ferrand | Clermont-Ferrand | France | 63000 |
Sponsors and Collaborators
- University Hospital, Clermont-Ferrand
Investigators
- Principal Investigator: Etienne Merlin, University Hospital, Clermont-Ferrand
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHU-0043