Monitoring Treosulfan in Children Undergoing Stem Cell Transplant
Official title: Treosulfan Therapeutic Drug Monitoring in Pediatric Hematopoietic Stem Cell Transplant Recipients
Run by Fondazione IRCCS Policlinico San Matteo di Pavia · NCT06861257 · Data updated 2026-11-12
This study is testing how Treosulfan works in children getting a stem cell transplant to see if it can help them have better outcomes with fewer side effects.
Quick facts
| Study type | Observational |
|---|---|
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 70 (estimated) |
| Sponsor | Fondazione IRCCS Policlinico San Matteo di Pavia Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 10 sites (Bologna, bOLOGNA and 9 other locations) |
| Status | Recruiting |
| Started | February 24, 2021 |
| Main results expected | July 31, 2027 |
| Study ends | July 31, 2027 |
| Registry record updated | April 24, 2026 |
| Trial ID | NCT06861257 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children aged 0 to 18 years diagnosed with malignant or non-malignant disorders who require HSCT with Treosulfan as part of their treatment.
✕Probably not a fit
Patients with severe cardiovascular, liver, or renal dysfunction, or those with active infectious diseases 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 focuses on the use of Treosulfan as part of the pre-transplant conditioning regimen for pediatric patients undergoing hematopoietic stem cell transplantation (HSCT). It aims to gather data on the pharmacokinetics of Treosulfan in children, addressing the challenges of reducing toxicity and non-relapse mortality while maintaining treatment efficacy. The study includes children aged 0 to 18 years with various malignant and non-malignant disorders who are indicated for HSCT. By monitoring the drug's effects, the study seeks to optimize treatment protocols for better patient outcomes.
Why it matters
Potential benefit: If successful, this study could lead to improved safety and efficacy of HSCT in pediatric patients.
How similar studies have gone: While there is limited data on Treosulfan in the pediatric population, the increasing use of this drug in HSCT suggests potential for success, although this specific approach may be novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age range 0 - 18 years. * Life expectancy \> 12 weeks. * Diagnosis of malignant or non-malignant disorder. * Pre-HSCT Lansky / Karnofsky score ≥ 40%. * Indication to allogeneic or autologous HSCT with TREO as part of the pre-transplant conditioning regimen. * Negativity of pregnancy test for female patients. * Written informed consent signed by the parents or guardians. Exclusion Criteria: * Absence of written informed consent signed by the parents or guardians. * Current clinically active infectious disease (including positive HIV serology or viral RNA). * Severe cardiovascular disease (arrhythmias requiring chronic treatment, congestive heart failure or left ventricular ejection fraction \<40%). * Liver dysfunction (AST/ALT ≥ 3 times institutional upper limit normal value -ULN- or bilirubin \> 3 times ULN). * Renal dysfunction: serum creatinine \> 1.5 times ULN or calculated creatinine clearance \< 60 ml/min/1.73 m2 * End stage irreversible multi-system organ failure. * Pregnant or breast feeding female patient.
Where it's running
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Policlinico Sant'Orsola Malpighi, Clinica Pediatrica Oncologia Ed Ematologia Pediatrica "Lalla Seràgnoli"
Bologna, bOLOGNA, Italy Recruiting -
Ospedali Civili, Presidio Ospedale Dei Bambini, Oncoematologia Pediatrica e TMO
Brescia, Brescia, Italy Recruiting -
IRCCS Istituto Giannina Gaslini, U.O.S.D. Centro Trapianto di Midollo Osseo
Genova, Genova, Italy Recruiting -
Ospedale San Raffaele, U.O. Immunoematologia Pediatrica
Milan, Milano, Italy Recruiting -
Fondazione IRCCS San Gerardo dei Tintori - Clinica Pediatrica
Monza, Monza-brianza, Italy Recruiting -
Azienda Ospedaliera di Padova, Oncoematologia Pediatrica
Padova, Padova, Italy Recruiting
Show 4 more locations
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Fondazione IRCCS Policlinico San Matteo, S.C. Ematologia 2 - Oncoematologia Pediatrica
Pavia, Pavia, Italy Recruiting -
AOU Città della Salute e della Scienza Di Torino, SC Oncoematologia Pediatrica e Centro Trapianti
Torino, Torino, Italy Recruiting -
IRCCS Materno Infantile "Burlo Garofolo", SC Oncoematologia Pediatrica e SS Trapianto Di Midollo
Trieste, Trieste, Italy Recruiting -
Ospedale Donna Bambino Azienda Ospedaliera Universitaria Integrata, U.O.C. Oncoematologia Pediatrica
Verona, Vr, Italy Recruiting
Study contacts
- Study coordinator: Marco Zecca, MD
- Email: m.zecca@smatteo.pv.it
- Phone: +390382502848
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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.