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Cord blood (CB) from an unrelated donor is increasingly used an alternative source of hematopoietic stem cells for adults with hematologic malignancies who lack an HLA-matched donor. However, the utilization of single-unit CB for transplantation of adult patients has been impeded by the low number of nucleated cells available from individual CB units. Direct intrabone CB injection (IBCBi) has been recently investigated as a solution to cell dose problem in adults, with the aims of minimizing non-specific loss of progenitors. We set up a phase I-II study to assess the safety and efficacy of CB transplantation by IBCBi in adult patients with advanced or high-risk hematological malignancies
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental | Patients with high risk haematological malignancies |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intrabone Allogeneic Transplant | Procedure | Unrelated single unit intrabone cord blood transplantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to neutrophil recovery | 28 days after transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of platelet engraftment | 100 days after transplantation | |
| Acute graft versus host disease | 100 days after transplantation | |
| Chronic Graft Versus Host Disease |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Roberto Sorasio, Head, MD | Contact | +390171642229 | rsorasio@inwind.it | |
| Daniele Mattei, MD | Contact | +390171642229 | mattei.d@ospedale.cuneo.it |
| Name | Affiliation | Role |
|---|---|---|
| Daniele Mattei, MD | ASO S Croce e Carle | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Ospedaliera S Croce e Carle | Recruiting | Cuneo | Cuneo | 12100 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18693069 | Background | Frassoni F, Gualandi F, Podesta M, Raiola AM, Ibatici A, Piaggio G, Sessarego M, Sessarego N, Gobbi M, Sacchi N, Labopin M, Bacigalupo A. Direct intrabone transplant of unrelated cord-blood cells in acute leukaemia: a phase I/II study. Lancet Oncol. 2008 Sep;9(9):831-9. doi: 10.1016/S1470-2045(08)70180-3. Epub 2008 Aug 8. | |
| 21277377 |
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| One year after transplantation |
| Overall Survival | One year after transplantation |
| Page KM, Zhang L, Mendizabal A, Wease S, Carter S, Gentry T, Balber AE, Kurtzberg J. Total colony-forming units are a strong, independent predictor of neutrophil and platelet engraftment after unrelated umbilical cord blood transplantation: a single-center analysis of 435 cord blood transplants. Biol Blood Marrow Transplant. 2011 Sep;17(9):1362-74. doi: 10.1016/j.bbmt.2011.01.011. Epub 2011 Jan 28. |