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A First-in-Human Study of HLA-Partially to Fully Matched Allogenic Cryopreserved Deceased Donor Bone Marrow Transplantation for Patients With Hematologic Malignancies

NCT05589896 · Ossium Health, Inc.
In plain English

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About this study
The goal of this clinical trial is to determine the safety and feasibility of allogeneic transplantation with bone marrow from a deceased donor in patients with acute and chronic leukemias, myelodysplastic syndrome, and certain lymphomas. Patients will either receive myeloablative conditioning or reduced intensity conditioning regimen prior to the transplant. Patients will be followed for 56 days for safety endpoints and remain in follow-up for one year.
Eligibility criteria
Inclusion Criteria: * Patient has the ability to provide informed consent according to the applicable regulatory and local institutional requirements * Male or female, aged ≥18 and ≤65 years for patients receiving MAC (Regimen A or Regimen B); aged ≥18 and ≤75 years for patients receiving RIC (Regimen C or D) * Patient must require allogeneic HCT per the discretion of the treating physician * Patient must be high-resolution, HLA partially or fully matched (4-8/8 allele matched at HLA-A, -B, -C, DRB1) to an available Ossium HPC, Marrow product * Stated willingness to comply with all study procedures and availability for the duration of the study * Diagnosed with malignant hematologic disease including: 1. Acute leukemia \[acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), acute biophenotypic leukemia (ABL), or acute undifferentiated leukemia (AUL)\], MDS without fibrosis, or chronic leukemia (CLL, CML) in the first remission or beyond with ≤5% marrow blasts documented by bone marrow assessment and no circulating blasts or extra-medullary disease within 42 days prior to anticipated start of conditioning 2. Chemosensitive non-Hodgkin's lymphomas, Hodgkin's lymphoma, or cutaneous T cell lymphomas in the first remission or beyond documented by PET/CT imaging and bone marrow assessment within 42 days prior to anticipated start of conditioning * Karnofsky performance status score ≥70% (MAC) or ≥60% (RIC) * HCT comorbidity index (HCT-CI) ≤5 * Adequate organ function defined as: 1. Cardiac: LVEF at rest ≥40% (RIC) or LVEF at rest ≥45% (MAC) 2. Pulmonary: DLCO, FEV1, FVC ≥50% predicted by pulmonary function tests (PFTs). DLCO value may be corrected for hemoglobin. 3. Hepatic: total bilirubin ≤2.0 mg/dL, and ALT, AST, and ALP \<3 x upper limit normal (ULN), unless ALT, AST, and/or ALP are disease related 4. Renal: SCr within 1.5x normal range for age. If SCr is outside normal range for age, CrCl\> 60 mL/min/1.73m2 must be obtained (measured by 24-hour urine specimen or nuclear glomerular filtration rate (GFR), or calculated GFR) Exclusion Criteria: * Availability of suitable graft from living donor (defined as 7/8 or 8/8 HLA-matched related or unrelated donors, haploidentical donors, or cord blood donors) * Prior autologous or allogeneic HCT * Pregnancy or lactation * Ongoing treatment with an investigational drug used for disease-related treatment within 5 half-lives of the drug * Current uncontrolled bacterial, viral or fungal infection defined as currently taking medication with evidence of progression of clinical symptoms or radiologic findings * Any condition(s) or diagnosis, both physical or psychological, or physical exam finding that in the investigator's opinion precludes participation
Study design
Enrollment target: 12 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-08-16
Estimated completion: 2027-03-31
Last updated: 2026-02-24
Interventions
Other: Ossium HPC Marrow, Bone Marrow TransplantOther: Pre-transplant conditioning - Myeloablative (MAC)Other: Pre-transplant conditioning - Reduced Intensity (RIC)Other: Post-transplant treatment
Primary outcomes
  • Neutrophil Engraftment (Day 28)
  • Serious Adverse Events (Day 56)
  • CTCAE Grade 3/4 Adverse Events (AEs) (Day 56)
Sponsor
Ossium Health, Inc. · industry
Contacts & investigators
ContactPreethi Prasad, M.Sc. · contact · preethi.prasad@ossiumhealth.com · 628-842-6562
All locations (9)
City of HopeRecruiting
Duarte, California, United States
Moffitt Cancer CenterRecruiting
Tampa, Florida, United States
Emory University - Winship Cancer InstituteRecruiting
Atlanta, Georgia, United States
Henry Ford Cancer InstituteRecruiting
Detroit, Michigan, United States
Oregon Health and Science UniversityRecruiting
Portland, Oregon, United States
TriStar Bone Marrow TransplantRecruiting
Nashville, Tennessee, United States
St. David's South Austin Medical CenterRecruiting
Austin, Texas, United States
Methodist Hospital, Texas TransplantRecruiting
San Antonio, Texas, United States
University of Utah - Huntsman Cancer InstituteRecruiting
Salt Lake City, Utah, United States
A First-in-Human Study of HLA-Partially to Fully Matched Allogenic Cryopreserved Deceased Donor Bone Marrow Transplantation for Patients With Hematologic Malignancies · TrialPath