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Trial Title: A Study on Efficacy and Safety of iNK Cells for CAEBV /EBV-HLH After Allo-HSCT

NCT ID: NCT06491719

Condition: CAEBV (Chronic Active Epstein-Barr Virus Infection) Syndrome
EBV
Hemophagocytic Lymphohistiocytoses

Conditions: Official terms:
Infections
Virus Diseases
Epstein-Barr Virus Infections
Lymphohistiocytosis, Hemophagocytic

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: NCR300(Allogenic Ipsc-derived Natural Killer cells )
Description: Patients will receive iNK cells i.V. infusion at 1.0x10^8/kg on days +14d, +21d, +28d, and +35d post-transplant. Continuation of the infusion after +35d post-transplant is at the discretion of the physician based on the patient's benefit.
Arm group label: iNK cells infusion patients

Summary: To evaluate the efficacy and safety of iNK cells infusion in patients with chronic active Epstein-Barr virus infection (CAEBV) and EBV-associated hemophagocytic lymphohistiocytosis (EBV-HLH) after allogeneic hematopoietic stem cell transplantation (allo-HSCT)

Detailed description: It is a prospective, open-lable study to evaluate the efficacy and safety of iNK cell infusion in CAEBV/EBV-HLH patients after allo-HSCT. The study will enroll fifteen subjects who will receive ongoing least 4 doses of iNK cells intravenously infusion after allogeneic hematopoietic stem cell transplantation. All subjects will assess the incidence of disease relapse and EBV-DNA reactivation up to one year.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patients with CAEBV or EBV-HLH who are eligible for allogeneic hematopoietic stem cell transplantation meet one of the following criteria: ①EBV-DNA (PBMC or plasma) was still more than 103 before transplantation;②Positive for Cerebrospinal fluid EBV-DNA; ③Abnormal phenotypic lymphocytes could still be detected in bone marrow immunotyping; ④Measurable EBV-related lesions on imaging; 2. ≤65 years,ECOG :0-2; 3. Cardiac EF≥40%, creatinine clearance ≥50%; aminotransferase(ALT/AST)<200U/L。; 4. In patients with HLH, HLH efficacy ≥Partial Response after prior treatment is required; 5. Estimated survival time is longer than three months; 6. Agree to sign the Informed Consent Form。 Exclusion Criteria: 1. Patients with evidence of grade II or more serious heart disease according to the New York Heart Association (NYHA) score (including Grade II) ; Clear diagnosis of cirrhosis; 2. Active infections other than EBV that have not yet been controlled; 3. Positive for hepatitis B virus or hepatitis C virus; 4. Active massive hemorrhage of internal organs (including gastrointestinal hemorrhage, alveolar hemorrhage, intracranial hemorrhage, etc.); 5. Also participation in other interventional clinical studies within 4 weeks

Gender: All

Minimum age: N/A

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Beijing Friendship Hospital, Capital Medical University

Address:
City: Beijing
Country: China

Start date: July 15, 2024

Completion date: July 15, 2026

Lead sponsor:
Agency: Beijing Friendship Hospital
Agency class: Other

Source: Beijing Friendship Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06491719

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