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| Name | Class |
|---|---|
| University of Regensburg | OTHER |
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Prospective, within-subject controlled study on multiple subject groups to evaluate the meaning of CK18-fragments in the diagnosis, biological activity and prognosis of graft-versus-host disease (GvHD). Groups consist of patients scheduled for allogenic stem cell transplantation (allo-SCT) (Group A) and healthy voluntary blood donors (Group B).
Given the difficulties in assessing diagnosis, severity and biological activity of GvHD by clinical means only, objective parameters for specific GvHD assessment are highly desirable. Criteria for appropriate GvHD biomarkers have recently been defined, thereby stating that suitable validated markers for monitoring of chronic GvHD are still lacking. CK18-F is the first marker that mirrors the pathogenetic endpoint of GvHD i.e. GvHD-induced apoptotic activity in critical epithelial organs (bowel and liver). It represents a new class of GvHD markers which are complementary to the previously recognized immune activation parameters and might thereby be valuable for establishing serological signatures diagnostic for GvHD. This marker may allow distinguishing active GvHD from irreversible end organ damage and other clinical conditions commonly observed after transplant.
The aim of this study is to evaluate if diagnostic and therapeutic decisions in the clinical management of hepato-intestinal GvHD may be based on the measurement of CK18-F levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: patients following allo-SCT | Patients scheduled for allo-SCT fulfilling all inclusion criteria | ||
| Group B - healthy controls | healthy voluntary blood donors |
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| Measure | Description | Time Frame |
|---|---|---|
| Group A: Prediction of imminent GvHD Group B: To assess the levels of serum CK18-F | Group A: after allo-SCT for 1 years or until GvHD occures |
| Measure | Description | Time Frame |
|---|---|---|
| Response to therapy | 3, 7 and 14 days after start of immunosuppressive therapy for hepato-intestinal GvHD | |
| other serum markers such as sCD25, sCD40L, sFASL, sFAS, cytochrome C, sCD141 correlate with the achievement of complete responses | after allo-SCT for 1 year or until GvHD occurres |
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Inclusion Criteria:
Group A:
Group B:
Exclusion Criteria:
Group A:
no specific exclusion criteria
Group B:
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Patients scheduled for allo-SCT
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thomas Luft, MD | Contact | +49(0)6221142 | 3349 | Thomas.Luft@med.uni-heidelberg.de |
| Peter Dreger, MD | Contact | +49(0)622156 | 8283 | Peter.Dreger@med.uni-heidelberg.de |
| Name | Affiliation | Role |
|---|---|---|
| Thomas Luft, MD | Heidelberg University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Heidelberg | Recruiting | Heidelberg | 69120 | Germany |
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| ID | Term |
|---|---|
| D006086 | Graft vs Host Disease |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
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Group A (patients scheduled for allo-SCT): 5ml serum (~25 times), 7,5ml EDTA (~25 times) Group B (healthy volunteers): 30ml blood once
| CK18-F levels in the absence of a clinically diagnosed GvHD | after allo-SCT for one year |