New cell therapy aims to tame Graft-Versus-Host disease
NCT ID NCT06920199
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tests whether infusing specially prepared donor immune cells (Treg cells) along with low-dose interleukin-2 can safely treat refractory chronic graft-versus-host disease (cGVHD), a serious complication after stem cell transplants. The study will enroll 18 adults aged 18-70 who have moderate to severe cGVHD that hasn't responded to steroids. The main goal is to check for dangerous side effects within 28 days of treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- donor-derived Treg cells combined with interleukin-2
- What this could lead to
- If it works, this could offer a new treatment option for patients with hard-to-treat chronic graft-versus-host disease.
- What could go wrong
- This is a very early, small trial (18 people) focused on safety, not proof of effectiveness. The treatment may cause serious side effects like cytokine release syndrome.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 18 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Sep 2027
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 70 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: * Subjects aged 18-70 years old, male or female; * The subjects had received allo-HSCT, including cord blood transplantation; * TSubjects with moderate/severe cGVHD that meets the NIH diagnostic criteria (031) for steroid dependence or resistance, meeting one of the following: 1. There was no improvement in cGVHD in initial treatment patients treated with \> 0.5mg/kg/ day or 1 mg/kg/ day every other day for at least 4 weeks; 2. Steroid dependence: predtisone dose \> 0.25 mg/kg/d or \> 0.5 mg/kg/qod cGVHD relapse or progression; cGVHD recurred after two attempts to gradually reduce prednisone dose at an interval of at least 8 weeks, with prednisone dose \> 0.25 mg/kg/day to be maintained. * Prednisone dose \> 0.25 mg/kg/d for more than 4 weeks; Subjects must maintain a stable prednisone dose for 4 weeks prior to the first Treg cell infusion and not increase or discontinue other immunosuppressants (including cyclosporine, tacrolimus, and sirolimus); * The ECOG score of the subjects was 0-2; * the expected survival of the subject is more than 3 months; * Liver, kidney, heart and lung function meet the following requirements (except liver and kidney dysfunction caused by cGVHD) : 1. Creatinine clearance (calculated by Cockcroft Gault formula) ≥60 mL/min; 2. Cardiac ejection fraction greater than 50%, no clinically significant electrocardiogram changes; 3. Forced expiratory volume (FEV1) in the first second of baseline lung function ≥50%, and FEV1 decline caused by cGVHD could be included; 4. Total bilirubin ≤2.0ULN; ALT and AST≤3ULN, ALT and AST increases caused by cGVHD could be included in the group. * Hematopoietic function: neutrophils \>1×10\^9/L, platelets \>25×10\^9/L; Supportive treatments such as platelet transfusion and other cytokines are excluded. * The subject or the subject's guardian can understand this experiment and has signed the informed consent. * Donor age 14-70 years old, male or female; * The ECOG score of the donor is 0-1; * The donor must be a hematopoietic stem cell donor who underwent allo-HSCT prior to the subject; * Female donors must test negative for serum or urine beta-human chorionic gonadotropin (HCG) within 3 weeks of blood collection; * The donor can establish the necessary venous access for collection, without the contraindication of white blood cell collection; If peripheral venous leukocyte collection is insufficient, be willing to insert a central catheter; (15) The donor agrees to donate and signs a consent form. Exclusion Criteria: * Subjects had a recurrence of primary malignant disease before receiving Treg treatment; * The subjects had persistent, recurrent or delayed aGVHD; * Continuous use of prednisone \>1 mg/kg/day is required; * The severity of the subject's cGVHD cannot be assessed by physical examination or laboratory examination; * overlap syndrome; * The subjects had major organ (cardio-cerebrovascular, pulmonary) dysfunction not caused by cGVHD, and had previous (within 3 months) gastrointestinal active bleeding; History of uncontrolled hypertension or hypertensive crisis or hypertensive encephalopathy, history or evidence of significant cardiovascular and cerebrovascular risk, including any of the following conditions: congestive heart failure, unstable angina pectoris, clinically significant arrhythmias (e.g., ventricular fibrillation, ventricular tachycardia, etc.); History of arterial thrombosis (such as stroke, transient ischemic attack) within the last 3 months; A history of symptomatic deep vein thrombosis, pulmonary embolism, or coronary angiogenesis, defibrillation, or any clinically relevant complication or disease within the last 6 months that could pose a risk to subject safety or interfere with study evaluation, procedure, or completion; * The subjects are hemodialysis patients; * The subject or donor has an active, uncontrolled bacterial, viral, or fungal infection that requires treatment; * The subjects are pregnant or lactating women; Subjects who plan to become pregnant during the post-transfusion study, or within 1 year of completion or withdrawal from the study; * Participants who had received IL-2 therapy or drug therapy targeting IL-2 within 4 weeks prior to enrollment; * Received DLI treatment within 100 days before enrollment; * Received CAR-T or similar engineered cell therapy within 100 days prior to enrollment; * Had received new cGVHD therapies (including imatinib, BTK inhibitors, rituximab and other immunosuppressants) within 4 weeks before enrollment after transplantation; * Have a history of microvascular diseases such as TMA, hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, etc; * Subjects with poor IL-2 treatment compliance; * Participants who participated in other CGVHD-related clinical studies within 4 weeks prior to enrollment; * Subjects who are known to be allergic to any component of Treg cell injection; * Any situation that the investigator believes would compromise the safety of the subject or interfere with the study purpose, or that the investigator considers it inappropriate to participate in the study; * Having a medical condition that affects the signing of written informed consent or the inability to follow study procedures; Unwilling or unable to comply with research requirements; * The donor was a pregnant woman.
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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 places running it
1 site. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Shanghai General Hospital
RECRUITINGShanghai, 200080, China
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