To explore the effect of letermovir prophylaxis on cytomegalovirus-specific immune reconstitution post unrelated cord blood transplantation
To explore the effect of letermovir prophylaxis on cytomegalovirus-specific and other lymphocyte subsets immune reconstitution post unrelated cord blood transplantation, and to analyze the potential mechanism and risk factors of late CMV reactivation after letermovir discontinuation.
Study Type
OBSERVATIONAL
Enrollment
60
Patients will be given Letermovir with a recommended dose from +1 day to +100 days after UCBT.
Anhui Provincial Hospital
Hefei, Anhui, China
RECRUITINGNumbers of immune cells in peripheral blood
PBMCs from UCBT recipients were collected at 1 month, 2 month, 3 month, and 6 month and 12 month after HSCT, and tested for CMV-specific T cells, NK cells, T cells and other subsets.
Time frame: one year
CMV DNAemia
CMV DNAemia is defined as the detection of CMV DNA in samples of plasma, whole blood or isolated peripheral blood leukocyte.
Time frame: one year
Incidence of refractory CMV infection
Refractory CMV infection is defined as CMV viral load remaining at the same level or increasing despite appropriately doses of antiviral therapy for at least 2 weeks
Time frame: one year
late CMV reactivation
Late CMV reactivation is defined as reactivation that occurs 100 days post UCBT, which means reactivation after discontinuing LET prophylaxis.
Time frame: one year
Treatment-ralated mortality
Treatment-ralated mortality
Time frame: one year
Incidence of other viral infection and viral-associated disease
Other viral infection and viral-associated diseases including EBV, ADV, HHV-6, BKV and HSV
Time frame: one year
Overall survival
Overall survival
Time frame: one year
serum immunoglobulin assay
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The serum levels of IgG, IgM, and IgA were measured
Time frame: 1,3,6,9 month post UCBT