Natural Killer Index From Hematopoietic Stem Cell Graft
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Purpose
Numerous studies about the potential role of NK alloreactive during a n hematopoietic stem cells graft are based on genotypical analyses of the KIR receptors and on genotypic incompatibilities between KIR and HLA for couple donor/recipient. There is still a lot of issues non resolved: Are KIR really expressed and how occur their expression during time when hematopoietic reconstitution? Is it depending on HLA of the recipient?If KIR are expressed, what are the mechanisms of alloreactivity of NK cells? Are NK able to lyse tumoral cells? Could alloreactive NK cells constitute a therapeutic tool able to induce tolerance and elimination of leukemia during hematopoietic stem cells grafts?
| Condition | Intervention |
|---|---|
|
Acute Lymphoblastic Leukemia Acute Myeloblastic Leukemia Chronic Myeloid Leukemia |
Procedure: Blood test |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Pilot, Multicenter and Prospective Study of the Natural Killer Index From Hematopoietic Stem Cell Graft at a Genotypic, Phenotypic and Functional Level |
- Estimate in the pilot study the percentage of different NK cell populations during hematopoietic reconstitution after HSCT with regard to the KIR and HLA genotypes of donor / recipient [ Time Frame: J60 post-HSCT ] [ Designated as safety issue: No ]
- Genetic analysis of KIR and HLA incompatibility of donor and recipient - Rate of in vitro amplification of NK cells from the donor - Assess the percentage of NK cells from the donor [ Time Frame: J60 post-HSCT ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 60 |
| Study Start Date: | April 2007 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| allogeneic donor from a file |
Procedure: Blood test
The study of KIR and HLA genes will be performed on samples of cord blood or peripheral blood donor and recipient before transplant For grafts from placental cord blood, we do ask any additional samples.
|
| Registry geno-identical donor family |
Procedure: Blood test
The study of KIR and HLA genes will be performed on samples of cord blood or peripheral blood donor and recipient before transplant For grafts from placental cord blood, we do ask any additional samples.
|
| transplantation of HSCs derived from placental blood |
Procedure: Blood test
The study of KIR and HLA genes will be performed on samples of cord blood or peripheral blood donor and recipient before transplant For grafts from placental cord blood, we do ask any additional samples.
|
Eligibility| Ages Eligible for Study: | 1 Year and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age superior to 1 year
- Patient that will be treated by an HSC graft
- Initial pathology of recipient: acute lymphoblastic leukemia, acute myeloblastic leukemia, chronic myeloid leukemia
Exclusion Criteria:
- Patient already included in a study with an exclusion period
- HIV + or HCV + serology during pre-graft analysis
- Patient already treated by an allograft of HSC
Contacts and Locations| Contact: Françoise Mechinaud, MD | 0240083610 | francoise.mechinaud@chu-nantes.fr |
| France | |
| CHU de Nantes | Recruiting |
| Nantes, France, 44093 | |
| Contact: Patrice Chevallier, MD 0240083994 patrice.chevallier@chu-nantes.fr | |
| Principal Investigator: | Françoise Mechinaud, md | CHU de Nantes |
| Principal Investigator: | Patrice Chevallier, MD | CHU de Nantes |
| Principal Investigator: | Nadège Corradini, MD | CHU de Nantes |
| Principal Investigator: | Norbert Ifrah, MD | University Hospital, Angers |
More Information
No publications provided
| Responsible Party: | Nantes University Hospital |
| ClinicalTrials.gov Identifier: | NCT00435864 History of Changes |
| Other Study ID Numbers: | BRD 06/6-N, ID RCB 2007-A00002-51 |
| Study First Received: | February 15, 2007 |
| Last Updated: | September 1, 2011 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Nantes University Hospital:
|
recipient of a HSC graft in Acute Myeloblastic Leukemia therapy recipient of a HSC graft in others pathologies treated in hematology of Nantes university hospital or Angers university hospital donors are healthy subjects |
Additional relevant MeSH terms:
|
Leukemia Leukemia, Lymphoid Precursor Cell Lymphoblastic Leukemia-Lymphoma Leukemia, Myeloid, Acute Leukemia, Myeloid Leukemia, Myelogenous, Chronic, BCR-ABL Positive Neoplasms by Histologic Type Neoplasms |
Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Myeloproliferative Disorders Bone Marrow Diseases Hematologic Diseases |
ClinicalTrials.gov processed this record on June 18, 2013