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| Name | Class |
|---|---|
| Miltenyi Biomedicine GmbH | INDUSTRY |
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The purpose of this research study is to evaluate the safety and efficacy of cell depletion in a donor lymphocyte infusion (DLI) product with the use of the CliniMACS machine. Previously, patients with hematologic malignancies who have relapsed after transplant have been given infusions of donor white blood cells calsed donor lymphocyte infusion (DLI) as a way to boost their immune function and fight cancer. Information from other research studies suggests that lowering the number of a certain type of white blood cell called CD25+ Tregs in the DLI may allow for a greater effect. In this research study, we are looking for the appropriate dose of DLI depleted of the CD25+ Treg white blood cells that can be given safely.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CD25+ Treg depleted DLI dose schema | Experimental | Patients will receive a defined dose of CD25+ Treg depleted DLI. 5 patients will be enrolled, initially at dose level B, and subsequent cohorts will be dose adjusted per the CD3+ dose escalation/de-escalation schema:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CliniMACS CD25 Reagent Device | Device | Used to engineer CD25+ depleted donor lymphocytes which will be infused intravenously over 5-10 minutes |
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| Measure | Description | Time Frame |
|---|---|---|
| To determine the feasibility of using the ClinMACS CD25 Reagent device to engineer a DLI product outlined in the protocol | 3 years | |
| To determine the safety of CD25+ Treg depleted DLI in this patient population. | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| To assess clinical response after infusions of CD25+ Treg depleted donor lymphocytes | 3 years | |
| To assess the immunologic impact of infusions of CD25+ Treg depleted donor lymphocytes | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Koreth, MBBS, DPhil | Dana-Farber Cancer Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dana-Farber Cancer Institute | Boston | Massachusetts | 02115 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27354021 | Derived | Nikiforow S, Kim HT, Daley H, Reynolds C, Jones KT, Armand P, Ho VT, Alyea EP 3rd, Cutler CS, Ritz J, Antin JH, Soiffer RJ, Koreth J. A phase I study of CD25/regulatory T-cell-depleted donor lymphocyte infusion for relapse after allogeneic stem cell transplantation. Haematologica. 2016 Oct;101(10):1251-1259. doi: 10.3324/haematol.2015.141176. Epub 2016 Jun 27. |
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| ID | Term |
|---|---|
| D019337 | Hematologic Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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