This research is being done to learn if a new type of haploidentical transplantation using TCR alpha beta and CD19 depleted stem cell graft from the donor is safe and effective to treat the patient's underlying condition. This study will use stem cells obtained via peripheral blood or bone marrow from parent or other half-matched family member donor. These will be processed through a special device called CliniMACS, which is considered investigational.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
17
TCR alpha beta T-cell and CD19 B-cell depleted haploidentical transplantation
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States
RECRUITINGIncidence of successful donor engraftment
The incidence of engraftment at day 100 will be described based on donor chimerism in the whole blood and or fractions sorted for T-cell and myeloid subsets. The donor chimerism will be scored as autologous reconstitution (\< 5% donor), mixed chimerism (5-49%=low mixed, 50-95%=high mixed), \> 95%=full donor chimerism.
Time frame: Day 100 after transplantation
Overall survival and Event-free survival
Overall survival is defined as the time of enrollment to death from any cause or last follow up. Event-free survival is defined as the time of enrollment to death, primary or secondary graft failure, graft failure necessitating a second HCT procedure, DLI or stem cell boost given for treatment of falling chimerism, or disease recurrence
Time frame: Up to 2 years post transplant
Kinetics of neutrophil and platelet engraftment
Neutrophil engraftment defined as absolute neutrophil count ≥500/μL for 3 consecutive measurements on different days and platelet engraftment defined as sustained platelet count \>20,000/μL and \>50,000//μL with no platelet transfusions in the preceding seven days.
Time frame: Up to 42 days post transplant
Transplant-related mortality
Rate of transplant-related mortality
Time frame: Up to 100 days post transplant
Acute grade II-IV GvHD and Chronic GvHD
Incidence and severity of acute and chronic graft versus host disease
Time frame: Up to 2 years post transplant
Primary and secondary graft failure
Rates of primary and secondary graft failure
Time frame: Up to 2 years post transplant
Transplant-related complications and infections
Frequency of transplant-related complications and rate of infections following transplantation
Time frame: Up to 2 years post transplant
Cellular and Immunological reconstitution by laboratory evaluations
The recovery of different lymphocyte subpopulation (CD3+; CD4+; CD8+; CD3+CD45RA+and CD45RO; TCR alpha beta; TCR gamma delta; CD19+)
Time frame: Up to 2 years post transplant
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.