Graft Versus Host Disease Clinical Trial
Official title:
Rapamycin for Prevention of Chronic Graft-Versus-Host Disease
The objective of this study is to evaluate feasibility, toxicity and efficacy of using
Rapamycin to prevent chronic graft-versus-host-disease (GVHD) during and after the
tacrolimus taper in recipients of allogeneic stem cell transplant.
Our hypothesis is that the T cells that can cause chronic GVHD are suppressed but not
eliminated by calcineurin inhibitors. Therefore, when the calcineurin inhibitors are
discontinued, the T cells may get activated and result in GVHD. Rapamycin on the other hand
will allow anergy formation and thus when discontinued, T cells should not get activated.
The schedule is designed to have therapeutic rapamycin levels as the tacrolimus is
discontinued. Rapamycin will be continued as a single agent for additional 4 weeks and be
tapered off in two weeks.
n/a
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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