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NCT06674382 | NOT YET RECRUITING | Myelofibrosis


Haplo-HSCT for Myelofibrosis
Sponsor:

Peking University People's Hospital

Information provided by (Responsible Party):

SUNY U before

Brief Summary:

Myelofibrosis (MF) is a myeloproliferative neoplasm causing bone marrow failure and a median survival of about 6 years. JAK2 inhibitors improve symptoms but do not cure MF. Allogeneic stem cell transplantation (allo-HSCT) is the only potential cure, though limited donor availability restricts access. Haploidentical transplantation shows promise but is under-researched in MF. This study will validate its effectiveness in a prospective trial to improve MF outcomes.

Condition or disease

Myelofibrosis

Intervention/treatment

Haploidentical hematopoietic stem cell transplantation

Detailed Description:

Myelofibrosis (MF) is a myeloproliferative neoplasm characterized by clonal proliferation of hematopoietic stem cells, reactive hyperplasia of bone marrow stromal cells, and secondary inflammation and fibrosis, leading to progressive bone marrow failure and a high risk of acute myeloid leukemia transformation, with a median survival of about 6 years. While JAK2 inhibitors like ruxolitinib have been approved to improve symptoms and survival in MF patients, they do not provide a cure. Allogeneic stem cell transplantation (allo-HSCT) remains the only potential cure, but limited availability of matched sibling and unrelated donors often prevents patients from receiving this treatment. Haploidentical stem cell transplantation has shown good efficacy in leukemia but is less studied in MF, possibly due to concerns about graft failure, complications, and high transplant-related mortality. Our team has applied a mature haploidentical transplantation protocol for treating MF, which has shown promising results in preliminary observations. This study aims to further validate the effectiveness of this protocol through a prospective clinical trial, potentially establishing an effective approach for HSCT in MF and improving overall transplant outcomes.

Study Type : OBSERVATIONAL
Estimated Enrollment : 39 participants
Official Title : Haploidentical Hematopoietic Stem Cell Transplantation for the Treatment of Myelofibrosis: a Prospective, Single-center Study
Actual Study Start Date : 2025-01-01
Estimated Primary Completion Date : 2027-12-31
Estimated Study Completion Date : 2027-12-31

Information not available for Arms and Intervention/treatment

Ages Eligible for Study:
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Primary disease type: Myelofibrosis (including primary myelofibrosis and myelofibrosis secondary to polycythemia vera or essential thrombocythemia).
Exclusion Criteria
  • * a. Active infection b. Myelofibrosis secondary to other diseases (e.g., MDS) c. Significant organ dysfunction: liver impairment (Tbil ≥ 2 ULN) or renal insufficiency (Cr ≥ 1.5 ULN) or cardiac impairment (symptomatic heart failure or EF% \< 50%) d. Very poor performance status (ECOG score \> 2) e. Estimated survival time \< 30 days f. Patient or family unable to cooperate g. Considered unsuitable after discussion

Haplo-HSCT for Myelofibrosis

Location Details

NCT06674382


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