Examining factors that affect the effectiveness of post-transplant cyclophosphamide
Official title: Elucidation of Factors Predicting Efficacy and Toxicity of Post Transplantation Cyclophosphamide (PTCy) as a Strategy for Graft Versus Host Disease Prevention in Haploidentical, Matched Related Donor and Matched Unrelated Donor Peripheral Blood Hematopoietic Cell Transplantation
Run by Wake Forest University Health Sciences · NCT03555851 · Data updated 2026-11-12
This study is trying to see how genetic factors and drug levels affect the success of a treatment called post-transplant cyclophosphamide in patients who have had a stem cell transplant.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Wake Forest University Health Sciences Academic / other |
| Drugs / interventions | cyclophosphamide |
| Locations | 1 site (Charlotte, North Carolina) |
| Status | Recruiting |
| Started | July 13, 2018 |
| Main results expected | October 2033 |
| Study ends | August 2035 |
| Registry record updated | July 13, 2026 |
| Trial ID | NCT03555851 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older who are scheduled for hematopoietic stem cell transplants with haploidentical or matched related donors and are planned to receive post-transplant cyclophosphamide.
✕Probably not a fit
Patients who are not undergoing hematopoietic stem cell transplants or those receiving unrelated donor transplants may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to investigate how donor and recipient pharmacogenetics, drug pharmacokinetics, and T cell phenotypes influence the efficacy of post-transplant cyclophosphamide (PTCy) in patients undergoing hematopoietic stem cell transplants. The primary goal is to identify associations between genetic factors and the incidence and severity of acute and chronic graft versus host disease (GVHD). Additionally, the study will measure cyclophosphamide exposure and its correlation with GVHD and adverse events. Initially, 20 participants will be enrolled, followed by an additional 100 subjects to enhance the study's findings.
Why it matters
Potential benefit: If successful, this study could lead to a more personalized dosing strategy for post-transplant cyclophosphamide, improving patient outcomes and reducing the risk of GVHD.
How similar studies have gone: While this study explores a specific approach, similar studies have shown promise in tailoring treatments based on pharmacogenetics, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria Recipients and donors must meet all of the following applicable inclusion criteria to participate in this study: 1. Informed consent and HIPAA authorization for release of personal health information signed by the subject. 2. Age ≥ 18 years at the time of consent. 3. Subject is scheduled as a recipient or respective donor (Donor consent/participation is not required for subjects undergoing matched unrelated donor HCT) for the following hematopoietic stem cell transplants (HCT) procedures using a non-myeloablative regimen at Levine Cancer Institute (LCI), and has been deemed a qualified candidate by his/her physician, per LCI medical standards: haplo-identical donor HCT, match related donor (MRD) HCT, matched unrelated donor (MUD) HCT. 4. Recipient only: Planned post-transplant cyclophosphamide 5. As determined by the enrolling physician, ability of the subject to understand and comply with study procedures for the entire length of the study Exclusion Criteria Subjects meeting any of the criteria below may not participate in the study: 1. Recipient only (applies only to haplo-identical and MRD HCT recipients; not required for MUD HCT recipients): Does not have a respective donor who is willing to sign informed consent for participation in this study. 2. Recipient only: Treatment with any investigational drug within 30 days prior to day -6 of treatment 3. Donor only (applies only to haplo-identical and MRD HCTs; donor participation is not required for MUD HCTs): Does not have a respective recipient who is willing to sign informed consent for participation in this study.
Where it's running
-
Levine Cancer Institute
Charlotte, North Carolina, United States Recruiting
Study contacts
- Principal investigator: Aleksander Chojecki, MD — Wake Forest University Health Sciences
- Study coordinator: Elizabeth Parke
- Email: elizabeth.parke@atriumhealth.org
- Phone: 980-442-2011
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Polatuzumab Vedotin plus Rituximab with Reduced-dose chemo for frail seniors with DLBCL
This trial tests whether a gentler, first-line treatment (Polatuzumab Vedotin with Rituximab and reduced-dose chemo) helps older, frail patients with DLBCL stay disease-free longer.
-
Chemotherapy sensitivity-guided Culmerciclib combo for HR+/HER2- breast cancer before surgery
This trial tests whether adding Culmerciclib to chemotherapy before surgery can help people with HR+/HER2- breast cancer who don’t respond to initial TAC treatment.
-
Orelabrutinib plus Pola-R-CHP as first-line treatment for intermediate- to high-risk DLBCL
This trial tests whether adding orelabrutinib to the Pola-R-CHP regimen can improve outcomes for adults with intermediate- to high-risk newly diagnosed DLBCL.
-
Can older adults with breast cancer tolerate a dense CMF chemo schedule
This study tests whether giving a condensed CMF chemotherapy regimen is feasible for people 70 and older with breast cancer.
-
Lower Dose Cyclophosphamide After Haploidentical Stem Cell Transplant
This trial tests whether giving half the usual amount of cyclophosphamide after haploidentical stem cell transplantation can still prevent GVHD in adults with blood cancers.
-
Auricular Point Stimulation With Dexamethasone vs Standard Anti-nausea Medications for Docetaxel‑Cyclophosphamide Therapy
This study tests whether adding ear acupuncture-like stimulation to dexamethasone can match or be as effective as standard antiemetic drugs for preventing nausea and vomiting in people receiving the docetaxel–cyclophosphamide chemotherapy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.