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Graft vs Host Disease clinical trials

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NCT ID: NCT02178683 Recruiting - Clinical trials for Graft Versus Host Disease

Tacrolimus and Mycophenolate Mofetil as Post-Grafting Immunosuppression

Start date: November 2010
Phase: Phase 3
Study type: Interventional

This protocol will evaluate Tacrolimus and MMF after conditioning with fludarabine and low-dose TBI in patients who are not candidates for conventional allografting. A novel approach to immunosuppression will be tested incorporating an early but extended taper of Tacrolimus starting on day +80 or in the case of relapse. The goal is to induce early immunity and GVT effects without compromising GVHD control. The anti-metabolite MMF will be re-introduced on day +100 to try and induce tolerance and block chronic GVHD during the taper of the Tacrolimus. DLI may be given in the presence of disease progression but not for mixed chimerism as in previous protocols.

NCT ID: NCT02176031 Completed - Clinical trials for Graft Versus Host Disease

Phase II Trial of Natalizumab + Prednisone for Initial Therapy of Acute GI GVHD

Start date: January 2015
Phase: Phase 2
Study type: Interventional

This research study is a Phase II clinical trial, which tests the safety and effectiveness of an investigational drug Natalizumab in treating Acute Graft-Versus-Host Disease (GVHD) in the Gastrointestinal (GI) Tract.

NCT ID: NCT02175615 Completed - Clinical trials for Acute-graft-versus-host Disease

Pharmacological Predictors of Successful Cyclosporine Acute GVHD Prophylaxis in Children Undergoing HSCT

Start date: October 2010
Phase:
Study type: Observational

The specific objectives of this study are: Primary: 1)To determine the relationship between cyclosporine AUC achieved prior to engraftment and severe aGVHD (grade III and IV) Secondary: 1. To determine the relationship between individual concentration-time points achieved prior to engraftment and severe aGVHD (grade III and IV) 2. To validate the previously developed LSS to determine cyclosporine AUC after IV administration at steady state and 3. To describe the relationship between cyclosporine AUC and individual concentration-time points achieved prior to engraftment and other HSCT outcomes (clinically significant aGVHD (grade II to IV), hypertension, engraftment failure, relapse

NCT ID: NCT02174263 Withdrawn - Clinical trials for Graft Versus Host Disease

Tocilizumab for Chronic Graft-versus-Host Disease Treatment

Start date: February 2016
Phase: Phase 2
Study type: Interventional

This phase II trial studies how well tocilizumab works in treating chronic graft-versus-host disease (GVHD) in patients that have not responded to treatment after at least two prior therapies. Tocilizumab blocks a protein that stimulates the body's immune system. By blocking this protein, the investigators may reduce the symptoms of chronic GVHD.

NCT ID: NCT02172937 Recruiting - Clinical trials for Graft vs Host Disease

Decidual Stromal Cells as Treatment for Acute Graft Versus Host Disease, a Phase 1-2 Study

Start date: January 2011
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this study is to evaluate safety and efficacy using decidual stromal cell therapy for graft versus host disease after allogeneic hematopoietic stem cell transplantation. The hypothesis to be tested is that the cells are safe to infuse and that they have a positive clinical effect.

NCT ID: NCT02172924 Not yet recruiting - Clinical trials for Graft vs Host Disease

A Phase 2 Study Using Placenta Derived Decidual Stromal Cells for Graft Versus Host Disease

Start date: January 2017
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this study is to evaluate the safety and efficacy using decidual stromal cell therapy for graft versus host disease after allogeneic hematopoietic stem cell transplantation. The hypothesis to be tested is that the cells are safe to infuse and that they have a positive clinical effect.

NCT ID: NCT02172768 Completed - Clinical trials for Allogeneic Stem Cell Transplant

Pharmacokinetics of Micafungin Given Twice Weekly Intravenously Compared to Micafungin Given Daily to Patients at Risk for Developing an Invasive Fungal Disease

MATADOR
Start date: October 2014
Phase: Phase 2
Study type: Interventional

The primary objective of this trial is as follows: To determine the pharmacokinetics of micafungin given twice weekly in patients at risk for developing an invasive fungal disease (patients who are being treated for acute or chronic graft versus host disease; patients receiving reduced intensity conditioning for Stem Cell Transplant (SCT); receiving first remission induction chemotherapy for Acute Myeloid Leucaemia (AML)/MyeloDysplasticSyndrome (MDS)) compared to the pharmacokinetics of micafungin given daily. The secondary objective of this trial is as follows: To determine whether adequate exposure of micafungin is attained. To determine the safety of micafungin in this patient population

NCT ID: NCT02167451 Terminated - Clinical trials for Graft Versus Host Disease (GVHD)

Maraviroc as GVHD Prophylaxis in Transplant Recipients

Start date: July 2014
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose is to determine if the addition of Maraviroc to a standard transplant regimen will reduce the incidence of graft versus host disease in children and young adults after a stem cell transplant.

NCT ID: NCT02151539 Terminated - Clinical trials for Graft Versus Host Disease

Prospective Outcomes of Second-Line Therapy in Acute Graft-Versus-Host Study Including ECP (POSTAGE)

POSTAGE
Start date: August 29, 2014
Phase:
Study type: Observational

This research trial studies medical chart review in determining outcomes of second-line therapy in patients with acute graft-versus-host disease previously treated with extracorporeal photopheresis or other systemic therapies. Gathering information about second-line therapy in patients with acute graft-versus-host disease may help doctors learn more about the disease and find better treatment.

NCT ID: NCT02145403 Completed - Clinical trials for Hematologic Malignancies

Phase 1/2 Study of Carfilzomib for the Prevention of Relapse and GVHD in Allo-HCT for Hematologic Malignancies

Start date: October 2014
Phase: Phase 1/Phase 2
Study type: Interventional

The investigators hypothesize that adding carfilzomib to standard conditioning regimen for allo-HCT for advanced or high-risk hematologic malignancies will decrease post-transplant relapse and treatment-related mortality by decreasing severe GVHD, leading to overall improvement in transplant outcomes.