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The protocols including ciclosporin A (CsA)+methotrexate (MTX) +mycophenolate Mofetil(MMF) have been widely used for graft-versus-host disease (GVHD) prophylaxis in allogeneic hematopoietic stem cell transplantation from HLA-matched sibling donor (MSD). Nevertheless, severe chronic graft-versus-host disease (cGVHD) remains an obstacle for MSD HSCT. A growing body of studies have suggested antithymocyte globulin (ATG) could reduce the incidence of cGVHD. This study is aim to evaluate the efficacy of a protocol that includes CsA, MTX, MMF and ATG in recipients of MSD HSCT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ATG group | Experimental | ATG group refers to treatment with a protocol including low-dose ATG, CsA, short-term MTX and MMF as GVHD prophylaxis. |
|
| non-ATG group | Active Comparator | Non-ATG group refers to treatment with a protocol including CsA, short-term MTX and MMF as GVHD prophylaxis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ATG | Drug | In ATG group, ATG will be intravenously infused via a central venous catheter in day -1 at a dose of 2.5mg/kg. |
|
| Measure | Description | Time Frame |
|---|---|---|
| the incidence of cGVHD | cGVHD was graded as limited or extensive. | 2 year posttransplantation |
| Measure | Description | Time Frame |
|---|---|---|
| overall survival | 2 year posttransplantation | |
| disease-free survival | 2 year posttransplantation | |
| the incidence of aGVHD |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ren Lin, MD | Contact | +86-020-62787883 | lansinglinren@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Qifa Liu | Nanfang Hospital, Southern Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanfang Hospital of Southern Medical University | Recruiting | Guangzhou | Guangdong | China |
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| ID | Term |
|---|---|
| D006086 | Graft vs Host Disease |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
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| CsA | Drug | In both groups, CsA will be intravenously infused from day -9 and the dose was adjusted based on the concentration. |
|
| MTX | Drug | In both groups, MTX will be intravenously on days +1(15mg), +3(10mg) and +6(10mg). |
|
| MMF | Drug | In both groups, MMF will be administrated at a dose of 1.0g/d. |
|
aGVHD was defined according to the 1994 Consensus Conference on Acute GVHD Grading and graded from I to IV. |
| 100 days 1 year posttransplantation |