The goal of this observation study is to test in relapsed or refractory acute lymphoblastic leukemia (R/R ALL) patients undergoing allogeneic hemopoietic stem-cell transplantation (allo-HSCT). The main question it aims to answer is: • Effect of post-transplant blinatumomab treatment on immune reconstitution after transplantation. Participants will undergo immune repertoire sequencing(IR-SEQ) before blinatumomab treatment, 6 months and 1 year after transplantation. Researchers will compare patients who don't receive blinatumomab treatment after transplantation to see if TCR or BCR expression differs.
Study Type
OBSERVATIONAL
Enrollment
20
The dose of one course was as follows: day 1-2: 8ug/day, continuous intravenous drip for 24 hours, day 3-7: 16ug/day, continuous intravenous drip for 24 hours. Treatment with blinatumomab was initiated within 60 to 90 days after transplantation and was administered bimonthly until 1 year after transplantation. Dexamethasone 20mg was administered 1 hour before administration on days 1 and 3 to prevent adverse events.
T cell receptor expression
T cell receptor expression measured by Immune Repertoire sequencing(IR-SEQ)
Time frame: before blinatumomab treatment , 6 months and 1 year
B cell receptor expression
B cell receptor expression measured by Immune Repertoire sequencing(IR-SEQ)
Time frame: before blinatumomab treatment , 6 months and 1 year
T cell subsets count
T cell subsets count including CD3+, CD4+, CD8+, CD19+, Treg, memory and cytotoxic T cells
Time frame: before blinatumomab treatment , 6 months and 1 year
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