Graft Versus Host Disease Clinical Trial
Official title:
Reduction of Acute and Chronic Graft-versus-host Disease After Allogeneic Hematopoietic Stem-cell Transplantation by Adapting Cyclosporine Doses According to Calcineurin Activity : a Proof-of-concept Trial
The purpose of this trial is to assess whether an adaptation of cyclosporine (CsA) dose according to a longitudinal calcineurin (CN) activity monitoring would prevent the onset of graft-versus-host disease (GVHD).
Our previous studies established a correlation between increased calcineurin (CN) activity
and the risk of developing severe acute GVHD in allogeneic stem cell transplant recipients
receiving immunosuppressive therapy with calcineurin inhibitors.
This proof-of-concept trial is aiming at evaluating CALCIneurin activity as a monitoring
biomarker of efficacy of cyCLOsporine - (CALCICLO) - for the prophylaxis of acute GVHD. Our
aim is to assess whether a longitudinal monitoring of CN activity would permit to adapt and
optimize the dose of CsA that would prevent the onset of severe acute GVHD, yet still
maintaining an acceptable tolerability profile.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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