Second haploidentical stem cell transplantation for graft failure

A Multicenter Prospective Study of Second Haploidentical Transplantation for Graft Failure After the First Haploidentical Transplantation

Not applicable Interventional Peking University People's Hospital · NCT06512519

This study is testing if a second stem cell transplant from a partially matched donor can help patients with blood cancers who had problems with their first transplant.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment34 (estimated)
Ages14 Years and up
SexAll
SponsorPeking University People's Hospital Academic / other
Drugs / interventionscyclophosphamide, fludarabine
Locations1 site (Beijing, Beijing Municipality)
Trial IDNCT06512519 on ClinicalTrials.gov

What this trial studies

This study evaluates the safety and efficacy of a second haploidentical stem cell transplantation for patients who have experienced graft failure after their first transplant. The approach involves using a different donor and conditioning with fludarabine and cyclophosphamide. The trial aims to validate previous encouraging outcomes observed in a small, single-center study by expanding to a multicenter setting. Eligible participants include those with hematological malignancies who meet specific criteria related to their condition and timing of the second transplant.

Who should consider this trial

Good fit: Ideal candidates are patients aged 14 and older with hematological malignancies who have experienced graft failure within 180 days of their first haploidentical stem cell transplantation.

Not a fit: Patients with active infections, organ dysfunction, or severe comorbidities may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could provide a new treatment option for patients suffering from graft failure after stem cell transplantation.

How similar studies have performed: Previous studies have shown promising results with similar haploidentical transplantation approaches, but this specific protocol requires further validation.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 1\. Primary disease: hematological malignancies (AML, CML, MDS, lymphoma, etc.); 2. Graft failure after the first haploidentical stem cell transplantation; 3. Time from the first transplantation to the second transplantation is less than 180 days; 4. Age≥14 years.

Exclusion Criteria:

* 1\. Active infections; 2. Active GVHD; 3. Organ dysfunction: hepatic injury (Tbil≥2ULN), renal injury (Cr≥1.5ULN), heart injury (EF%\<50% or symptomatic heart failure); 4. Eastern Cooperative Oncology Group (ECOG) score\>2; 5. Expected life time\<30 days; 5. Patients could not cooperate; 6. Other situations that are considered inappropriate for enrollment by the investigators,

Where this trial is running

Beijing, Beijing Municipality

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Graft FailureStem Cell Transplant Complications
Last reviewed 2026-06-09 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.