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Phase I Trial on the Safety of Delayed Infusion of a Naïve T Cell-Depleted Hematopoietic Graft With Memory T Cells in Solid Organ Transplant Recipients

RecruitingPhase 1Ages 0 Years - anyAllFrancisco Hernández Oliveros
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In plain words

What the trial is, and whether it could suit you

The goal of this clinical trial is to evaluate the safety and feasibility of inducing hematopoietic mixed chimerism to promote immune tolerance and potentially reduce the need for lifelong immunosuppression in pediatric and adult patients undergoing solid organ transplantation (SOT), including kidney, lung, and multivisceral transplants. The main questions it aims to answer are: * Is it safe to infuse a naïve T cell-depleted hematopoietic graft along with memory T-lymphocytes after SOT? * Can this approach support immune tolerance and reduce the incidence of rejection and infection without long-term immunosuppression? Participants will: * Undergo a solid organ transplant from a living or deceased donor. * Wait through a stabilization period to ensure resolution of early transplant-related complications. * Receive low-dose preconditioning (TLI and thymic irradiation) to prepare for he

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📋 Eligibility rules (as published)
Inclusion Criteria: * Pediatric patients (\<18 years old) who are candidates to receive intestinal or lung transplantation (before SOT). * Pediatric (\<18 years old) or adult patients (≥18 years old) who are either candidates for renal transplantation or have already undergone renal transplantation and remain candidates for subsequent HSCT. * Patients who provide informed consent (or their legal guardians in the case of minors) before any study-related procedures. * Recipients should have no active infectious disease or other medical condition that would contraindicate the combined transplantation procedure, as determined by the investigational team. Exclusion Criteria: * Recipients with existing bone marrow disorders or those receiving medications known to adversely affect bone marrow function. * Patients with advanced organ dysfunction (hepatic, cardiac, or pulmonary) incompatible with successful combined transplantation. * Patients with active or uncontrolled autoimmune conditions that may interfere with transplantation and the induction of chimerism. * Patients with known allergies to medications or products required for conditioning or transplantation. * Patients with severe psychiatric or cognitive disorders that may interfere with adherence to study instructions or postoperative care. * Patients currently enrolled in another clinical trial that could interfere with the outcomes or safety of this study. * Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test. * Any other condition that, in the opinion if the Investigator, may interfere with the efficacy and/or safety evaluation of the trial.
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What it tests

  • Investigational cellular therapy consisting on a HSCT using a graft enriched in CD34+, depleted of naïve T-lymphocytes and supplemented with memory lymphocytes
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Where

1 site
La Paz University Hospital
Madrid, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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