Population PK-guided ATG Dosing in Haploidentical Stem Cell Transplant
Official title: A Randomized Controlled Trial of Population Pharmacokinetics-Guided Targeted Dosing of Anti-Thymocyte Globulin (ATG) in Patients Undergoing Haploidentical Hematopoietic Stem Cell Transplantation
Run by Chinese PLA General Hospital · NCT07862127 · Data updated 2026-11-12
This trial tests a population PK-guided ATG dosing strategy in people undergoing haploidentical hematopoietic stem cell transplantation to see if it improves outcomes.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 14 Years to 75 Years |
| Sex | All |
| Enrollment | 324 (estimated) |
| Sponsor | Chinese PLA General Hospital Academic / other |
| Locations | 1 site (Beijing, Beijing Municipality) |
| Status | Recruiting |
| Started | August 1, 2026 |
| Main results expected | August 1, 2028 |
| Study ends | August 1, 2028 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT07862127 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults and adolescents aged 14–75 with malignant hematologic diseases in CR1 or CR2 who have an eligible donor (haploidentical, related, or unrelated) and meet organ function and performance status criteria.
✕Probably not a fit
Patients outside the eligibility criteria, with advanced disease (CR3 or higher), or with unresolved infections or significant comorbidities may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 interventional study uses population pharmacokinetics to guide anti-thymocyte globulin dosing in haploidentical HSCT. The aim is to improve safety and efficacy by tailoring ATG to individual patient characteristics and observe GVHD-free, relapse-free survival in the treated cohort. The trial focuses on patients with malignant hematologic diseases who have a haploidentical or related donor and meet standard transplant eligibility criteria. Primary considerations include GVHD prevention, transplant-related morbidity, and overall long-term survival. Conducted at the Chinese PLA General Hospital in Beijing, it seeks to advance GVHD prevention strategies to potentially improve quality of life after transplant.
Why it matters
Potential benefit: If successful, this dosing strategy could reduce GVHD and improve relapse-free and overall survival after haploidentical HSCT.
How similar studies have gone: Previous studies have supported ATG-based GVHD prevention in HSCT, with ongoing exploration of PK-guided dosing in this setting; this trial aims to advance those findings to broader, international applicability.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with indications for allogeneic hematopoietic stem cell transplantation, with malignant hematologic diseases in CR1 or CR2 before transplantation. * Have an HLA-matched sibling, unrelated, or haploidentical donor. * Age ≥ 14 years and ≤ 75 years. * Liver function: ALT and AST ≤ 2.5 × upper limit of normal, bilirubin ≤ 2 × upper limit of normal. * Renal function: creatinine ≤ upper limit of normal. * No uncontrolled infection or severe mental or psychological disorders. * ECOG performance status score of 0-2. * Signed informed consent. Exclusion Criteria: * No HLA-matched donor. * Malignant hematologic disease in CR3 or higher disease stage, or refractory/relapsed status. * Patient age \< 14 years or \> 75 years. * Pregnancy of either the donor or the recipient. * Presence of mental illness or other conditions that preclude compliance with the protocol.
Where it's running
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Chinese PLA General Hospital
Beijing, Beijing Municipality, China Recruiting
Study contacts
- Study coordinator: Dai-Hong Liu, director
- Email: daihongrm@163.com
- Phone: 86-010-66937232
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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.