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Study Testing Two Conditioning Regimen With a Single Prophylaxis of GVHD by Cyclophosphamide and Methotrexate Post-transplant in Patients Eligible for Matched-donor Allograft Transplantation

Study acronym: CY-MET-RIC
StatusRecruiting
PhasePhase 2
Started2024-07-18
View on ClinicalTrials.gov ↗

Amendment history

2026-01-23
minor
Study Status v4
Re-verified, no change to tracked fields
2024-10-24
minor
Study Status, Contacts/Locations v3
Study sitesdetails revised at 1 of 3 sites
2024-07-19
notable
Not Yet Recruiting→Recruiting Study Status, Contacts/Locations v2
Trial statusNot Yet Recruiting→Recruiting
Primary completion date2027-09-15→2027-10-18
Completion date2028-05-15→2028-07-18
Start dateestimated 2024-05-15→confirmed 2024-07-18
Study sites0→3
2024-04-08
minor
Study Status, Study Design, Arms and Interventions, Outcome Measures, Eligibility v1
Enrollment target60→82
Eligibility criteria+316 characters
[...] onths after stopping MTX and CY Man of childbearing age with highly effective contraception during treatment and for a period of 6 months after stopping MTX and CY and a period of 12 months after stopping MTX and CY if TBF conditioning regimen arm Negative Hepatitis B, C, HIV serologies Social security aff [...] sive cancerous disease, or antecedent of cancer in the last twofive years, with the exception of a carcinoma of the skin or a carcinoma in situ of the cervixuterine cole treated and in remission. Progressive psychiatric condition [...] year Known or suspected hypersensitivity to rabbit proteins. as [...] [...]
Secondary endpoints12 to 13 entries
Incidence of corticoresistant acute GVHD
Primary endpoints1 entry, revised
Incidence of corticoresistant grade 3-4 acute GVHD following allo-CSH for all patients and for each conditioning group (Baltimore and TBF).
2024-02-01
minor
Original filing
Graft-versus-host disease (GVHD) is a major complication of allogeneic hematopoietic stem cell transplantation (allo-CSH). Recently, in the context of semi-identical (=haploidentical) HLA donors, but also of compatible HLA donors, the use of cyclophosphamide (CY) administered in high doses at early post-transplant (PT) (=PTCY) (Days +3 and +4 or +5) has shown excellent control of acute and chronic GVH, even enabling the discontinuation of other immunosuppressive drugs administered after allo-CSH (ciclosporin, mycophenolate mofetyl (MMF) or Cellcept). This step has already been taken in the context of allo-CSH with myeloablative conditioning (MAC), which is a minoritary conditioning in adults. However, in the context of allo-CSH with reduced-intensity conditioning (RIC), which predominates in adults, this strategy seems insufficient to prevent the risk of GVHD. The idea of reducing the use of immunosuppressants in the context of RIC/HLA-compatible transplants seems, however, still relevant, in order to reduce their adverse effects, improve patients' quality of life and enhance the reconstitution of the post-transplant immune system.
Trial Details
NCT Number NCT06252870
Lead Sponsor Nantes University Hospital
Conditions Graft Versus Host Disease, Hematologic Malignancy
Enrollment 82 participants
Start Date 2024-07-18
Primary Completion 2027-10-18 (estimated)
Study Completion 2028-07-18 (estimated)
Updated on ClinicalTrials.gov 2026-01-26