To assess the efficacy and safety of using recombinant humanized anti-CD25 monoclonal antibody injection as a prophylactic strategy for reducing the incidence of severe acute graft-versus-host disease (aGVHD) in adult patients at intermediate to high risk, as predicted by the dynamic aGVHD Onset Anticipation Tianjin (daGOAT) model, following allogeneic hematopoietic stem cell transplantation (allo-HSCT).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
174
Model-predicted patients at high risk (HR): Recombinant humanized anti-CD25 monoclonal antibody: 50 mg/day when the post-transplant model predicts high risk in the second week post-prediction and 25 mg/day in the fourth and sixth weeks post-prediction. Administered in combination with conventional aGVHD prevention regimen. Model-predicted patients at moderate risk (MR): Recombinant anti-CD25 humanized monoclonal antibody: 25 mg/day when the model predicts intermediate risk post-transplantation and at the 2nd, 4th, and 6th weeks post-prediction. Administered in combination with conventional aGVHD prevention regimen. Model-predicted patients at low-risk (LR): A conventional aGVHD prevention regimen only was used.
Institute of Hematology & Blood Diseases Hospital
Tianjin, Tianjin Municipality, China
RECRUITINGIncidence of severe aGVHD (Grade III-IV) within 100 days post-transplantation
Time frame: 100 days after transplantation
Incidence of aGVHD and aGVHD (any grade) in each target organ within 100 days post-transplantation
Time frame: 100 days after transplantation
Engraftment rate
Time frame: 180 days after transplantation
Disease relapse rate
Time frame: 180 days after transplantation
Infection rate
Time frame: 180 days after transplantation
Overall survival
Time frame: 180 days after transplantation
Non-relapse mortality
Time frame: 180 days after transplantation
GVHD-free relapse-free survival
Time frame: 180 days after transplantation
Overall Response Rate of severe aGVHD treatment
Time frame: 100 days after transplantation
Incidence of chronic GVHD
Time frame: 180 days after transplantation
Adverse events
Time frame: 180 days after transplantation
Total cost of treatment
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Time frame: 180 days after transplantation