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PD-1/PD-L1 pathway play an important role in Inhibiting the function of antigen-specific CD8+T cells, thus matter a lot in immune escape. We intend to use PD-1 antibody to improve the function of lymhocyte and improve the chimerism in patients after allo-HCT.
Mixed chimerism is a trouble condition after allogeneic hematopoietic cell transplantation (Allo-HCT),all targeted treatment are aimed to improve the function of lymphocyte recipient. PD-1 antibody was reported to restored the function of impaired lymphocyte. Therefore, we want to use PD-1 antibody to improve the function of lymhocyte and improve the chimerism in HLH patients after allo-HCT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PD-1 antibody for mixed chimerism | Experimental | PD-1 antibody (Toripalimab Injection) used for mixed chimerism in HLH patients after allo-HCT |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Toripalimab Injection | Drug | Toripalimab Injection used for mixed chimerism between 80%-95% in HLH patients. Dose: 240mg toripalimab Injection, two weeks later, the same dose will be repeated if patients have some improve in the chimeric rate. |
| Measure | Description | Time Frame |
|---|---|---|
| Chimeric rate | Chimeric rate in bone marrow or peripheral blood of HLH patients | 4 weeks after toripalimab injection was used |
| Measure | Description | Time Frame |
|---|---|---|
| treatment-related adverse events as assessed by CTCAE v5.0; | Adverse events including thyroid function,liver function damage, myelosuppression, infection, bleeding and so on. | every 2 weeks after intervention, until 8 weeks after the use of PD-1 antibody |
| Measure | Description | Time Frame |
|---|---|---|
| Survival | From enrollment until death or the end of the experiment | 1 year |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhao Wang | Contact | 86-010-63139862 | wangzhao@ccmu.edu.cn | |
| Yahong You | Contact | 17810283962 | 15332022659@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhao Wang | Beijing Friendship Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Friendship Hospital, Capital Medical University | Beijing | Beijing Municipality | 100050 | China |
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
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one group of HLH patients with mixed chimerism (80%-95%), PD-1 antibody will be used to improve the chimerism
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