Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 60

HLA mismatched stem cell transplantation for hematologic diseases

Official title: A Prospective Single-arm Trial on Human Leukocyte Antigen (HLA) Mismatched Unrelated Allogeneic Hematopoietic Stem Cell Transplantation

Run by Zhejiang University · NCT06809712 · Data updated 2026-11-12

This study is testing a new stem cell transplant approach for patients with blood cancers who can't find matching donors to see if it can improve their chances of recovery.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment29 (estimated)
SponsorZhejiang University
Academic / other
Locations1 site (Hangzhou)
StatusRecruiting
StartedAugust 4, 2022
Main results expectedOctober 31, 2026
Study endsOctober 31, 2027
Registry record updatedJune 9, 2026
Trial IDNCT06809712 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18-60 with hematological malignancies needing stem cell transplantation and lacking suitable donors.

Probably not a fit

Patients with severe liver or kidney dysfunction, active infections, or significant cardiopulmonary issues 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 clinical trial is a single center, prospective, single arm exploratory study aimed at patients with hematological malignancies who require allogeneic hematopoietic stem cell transplantation but lack suitable donors. The trial will utilize highly mismatched unrelated HLA donors to establish a transplantation plan that could improve disease prognosis. By focusing on patients who cannot find suitable donors, the study seeks to ensure that more individuals have access to potentially life-saving treatments. The interventions include Busulfan, Cyclophosphamide, Fludarabine, and Semustine.

Why it matters

Potential benefit: If successful, this approach could provide a viable transplantation option for patients who currently have no suitable donor matches.

How similar studies have gone: While the use of HLA mismatched donors is a novel approach, similar studies have shown promise in expanding donor options for patients in need of stem cell transplants.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult patients (18-60 years old) with hematological malignancies and indications for hematopoietic stem cell transplantation;
* Non blood donors without human leukocyte antigen (HLA) high-resolution typing ≥ 9/10, or those who have difficulty finding non blood donors due to urgent medical conditions;
* No suitable HLA matching haploidentical donor available;
* There are suitable unrelated HLA mismatched (HLA high-resolution typing\<9/10) donors;
* The subjects or their legal representatives shall sign an informed consent form before the start of the clinical study.

Exclusion Criteria:

* Patients with severe liver and kidney function (alanine aminotransferase\>2.5 times the upper limit of normal, blood creatinine\>1.5 times the upper limit of normal) and cardiopulmonary dysfunction (New York Heart Association (NYHA) III/IV heart function, ejection fraction\<50%, severe obstructive or restrictive ventilation dysfunction);
* Merge active infections;
* Eastern Cooperative Oncology Group Performance Status (ECOG) score ≥ 2 points;
* Secondary tumors with merged activity;
* Severe central nervous system or mental illness leading to the inability to autonomously choose to enter or exit clinical trials;
* Combine other allo hematopoietic stem cell transplantation (HSCT) contraindications.

Where it's running

  • The First Affiliated Hospital, Zhejiang University School of Medicine
    Hangzhou, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.