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The goal of this clinical trial is to learn if Dapagliflozin could prevent acute graft-versus-host disease (aGVHD) in patients undergoing allogeneic hematopoietic cell transplantation (allo-HCT) with haploidentical or unrelated donor and to assess its safety. The main questions it aims to answer are: Dose Dapagliflozin lower the cumulative incidence of aGVHD? What medical problems do participants undergoing allo-HCT from haploidentical or unrelated donor have when taking Dapagliflozin? Researchers will document the occurrence of graft-versus-host disease, hematopoietic reconstitution, survival rates and adverse effects. Participants will take Dapagliflozin every day in -1 to 14 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dapagliflozin arm | Experimental | Participants will take Dapagliflozin10mg every day in -1 to 14 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dapagliflozin (DAPA) | Drug | Participants will take Dapagliflozin 10mg every day in -1 to 14 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence of grade II-IV aGVHD | estimated cumulative incidence of grade II-IV aGVHD at 100 days. | 100 days after transplantation. |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence of grade III-IV aGVHD | estimated cumulative incidence of grade III-IV aGVHD at 100 days. | 100 days after transplantation. |
| Neutrophil reconstitution | time of neutrophil reconstitution. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yang XU | Contact | 86-0512-67781850 | xuyang1020@126.com | |
| Biqi ZHOU | Contact | 86-0512-67781856 | zbq0903@126.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Soochow University | Recruiting | Suzhou | Jiangsu | 215000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36574342 | Result | Cheng Q, Wang D, Lai X, Liu Y, Zuo Y, Zhang W, Lei L, Chen J, Liu H, Wang Y, Liu H, Zheng H, Wu D, Xu Y. The OTUD1-Notch2-ICD axis orchestrates allogeneic T cell-mediated graft-versus-host disease. Blood. 2023 Mar 23;141(12):1474-1488. doi: 10.1182/blood.2022017201. |
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| ID | Term |
|---|---|
| D006086 | Graft vs Host Disease |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C529054 | dapagliflozin |
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| up to 30 days. |
| Platelet reconstitution | time of platelet reconstitution. | up to 100 days. |
| Cumulative incidence of chronic graft-versus-host disease (cGVHD) | estimated cumulative incidence of cGVHD at 1 year. | 1 year after transplantation. |
| Overall survival | estimated overall survival at 1 year. | 1 year after transplantation. |
| Cumulative incidence of relapse | estimated cumulative incidence of relapse at 1 year. | 1 year after transplantation. |
| Graft-versus-host disease-free relapse-free survival (GRFS) | estimated GRFS at 1 year. | 1 year after transplantation. |
| Treatment related non-hematological grade 3 or higher adverse events | Number of unique patients who had a treatment related (possible, probable or definite) non-hematological adverse event that was graded 3 or greater. | up to 100 days. |