Triple therapy aims to overcome antibody barrier in Half-Matched stem cell transplants
NCT ID NCT07698080
First seen Jul 13, 2026 · Last updated Jul 15, 2026 · Updated 2 times
Summary
This study tests whether a combination of dexamethasone, intravenous immunoglobulin (IVIG), and extra donor immune cells can safely lower harmful antibodies that attack donor stem cells in half-matched (haploidentical) transplants. The trial enrolls 60 adults aged 18–65 with blood cancers or disorders like leukemia, lymphoma, or aplastic anemia who have these antibodies and no other suitable donor. Participants receive the three treatments just before and during transplant, with the goal of preventing graft failure and improving transplant success.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dexamethasone, intravenous immunoglobulin (IVIG), and donor mononuclear cells
- What this could lead to
- If successful, this approach could offer a safer, simpler way to make half-matched stem cell transplants work for patients who have harmful antibodies against their donor.
- What could go wrong
- This is a mid-stage trial with only 60 participants, so results may not apply to everyone. The extra immune cells could increase the risk of graft-versus-host disease, a serious complication.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Diagnosis of benign or malignant hematological diseases (including leukemia, lymphoma, thalassemia, aplastic anemia, myelodysplastic syndromes, etc.) confirmed by NCCN guidelines, and determined by the investigator to require allogeneic hematopoietic stem cell transplantation. 2. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 3. 3. Donor-specific antibody (DSA) mean fluorescence intensity (MFI) \> 500. 4. Age between 18 and 65 years (age limits are also captured separately in the eligibility module). 5. Body weight between 40 kg and 100 kg. 6. No other suitable donor available (i.e., no DSA-negative related donor or unrelated donor). Exclusion Criteria: 1. Patients unsuitable for transplantation or without willingness to undergo transplantation, or diagnosed with non-hematological diseases. 2. Estimated life expectancy \< 1 month. 3. Known allergy to any drug or intervention used in the study regimen. 4. Pregnancy, lactation, active severe infection, or severe major organ dysfunction. 5. Severe psychiatric or neurological disorders that may affect the ability to provide informed consent and/or to report adverse events or comply with observation. 6. Refusal or inability to sign the informed consent form.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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