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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
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.
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Chimeric rate
Chimeric rate in bone marrow or peripheral blood of HLH patients
Time frame: 4 weeks after toripalimab injection was used
treatment-related adverse events as assessed by CTCAE v5.0;
Adverse events including thyroid function,liver function damage, myelosuppression, infection, bleeding and so on.
Time frame: every 2 weeks after intervention, until 8 weeks after the use of PD-1 antibody
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