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The risk of Graft-versus-host Disease(GVHD) is significantly associated with the mortality rate of patients undergoing allogeneic hematopoietic stem cell transplantation. The occurrence of GVHD increases the hospitalization rate and economic burden of patients. In order to explore better methods for controlling GVHD, we designed a clinical trial using CD25 monoclonal antibody for GVHD prevention. Our previous studies have shown that reduced-dose anti-thymocyte globulin(ATG) in the conditioning regimen can achieve the same effect as full-dose ATG. Here, we try to explore the preventive effect of CD25 antibody on acute and chronic GHVD under low-dose ATG pretreatment condition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CD25 treatment | Experimental | The humanized CD25 antibody was administered at 1 mg/kg iv on days+4 and +7 after HSCT. |
|
| control group | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CD25 treatment | Drug | CD25 prophylaxis |
| |
| low-dose ATG |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of aGVHD | The time of aGVHD occurrence | 100 days after HSCT |
| The incidence of cGVHD | The time of cGVHD occurrence | 1 year after HSCT |
| Measure | Description | Time Frame |
|---|---|---|
| the time of immune reconstitution in haploidentical transplant | the time of immune reconstitution in haploidentical transplant | 2 years after HSCT |
| the time of infection occurrence | The incidence of infection |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaosheng Fang | Contact | 8615168889703 | 8615168889703 | fxsh_1010@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Xin Wang | Shandong Provincial Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical University | Jinan | Shandong | 250021 | China |
We need to collect data during the experiment for a more comprehensive sharing.
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| Drug |
HSCT pre-treatment with 7.5mg/Kg ATG(2.5mg/Kg/d) at day -4, -3 and -2. |
|
| 2 years after HSCT |
| the time of donor cell engraftment | the effect of experimental protocol to engraftment | 2 years after HSCT |
| the time of disease relapse | the effect of experimental protocol to disease relapse | 2 years after HSCT |
| the time of death of transplant patient | the overall survival of patients | 2 years after HSCT |