Unique ID issued by UMIN | UMIN000001346 |
---|---|
Receipt number | R000001633 |
Scientific Title | Prospective study of Foscarnet sodium administration for the prevention of HHV-6 encephalitis after hematopoietic stem cell transplantation |
Date of disclosure of the study information | 2008/08/30 |
Last modified on | 2009/05/08 15:46:52 |
Prospective study of Foscarnet sodium administration for the prevention of HHV-6 encephalitis after hematopoietic stem cell transplantation
Preemptive therapy with Foscarnet for the prevention of HHV-6 encephalitis
Prospective study of Foscarnet sodium administration for the prevention of HHV-6 encephalitis after hematopoietic stem cell transplantation
Preemptive therapy with Foscarnet for the prevention of HHV-6 encephalitis
Japan |
Patients with hematologic malignancies, transplanted unrelated cord blood (UCBT) or HLA-one haplotype mismatch graft from a relative (haplo SCT)
Hematology and clinical oncology |
Malignancy
NO
Limbic encephalitis is a complication after UCBT, caused by Human Herpesvirus-6 (HHV-6) with poor prognosis. Ganciclovir (GCV) and Foscarnet (PFA) are known as therapeutic drugs for HHV-6 infection, but no drugs are approved in Japan. PFA is easy-to-use after hematopoietic stem cell transplantation (HSCT), because GCV causes bone marrow suppression as a major side effect. We conduct a prospective study of PFA preemptive therapy after SCT to validate; 1. safety of PFA administration, 2. change of plasma HHV-6 DNA, 3. preventative effect for limbic encephalitis.
Safety
Confirmatory
Pragmatic
Phase I,II
Frequency of adverse event caused by PFA administration by day 35 after SCT.
1. Change of plasma HHV-6 DNA after PFA administration by day 35 after SCT.
2. Preventive effect of PFA administration by day 35 after SCT.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
We measure the amount of HHV-6 DNA in plasma triweekly. When the amount of HHV-6 DNA excess 5x10e2 copy/ml, we start PFA administration 90mg/kg/day and continue the measurement triweekly. In case the amount of HHV-6 DNA excess 1x10e5 copy/ml, we increase PFA doses for 180mg/kg/day, and in case HHV-6 DNA become negative, stop PFA administration.
16 | years-old | <= |
75 | years-old | >= |
Male and Female
Patients with hematologic disease who are transplanted unrelated cord blood or HLA-haploidentical hematopoietic stem cell from a relative.
1. Hypersensitive for PFA
2. Existence of comorbid disease, grade 3 or more in CTCAE v3.0 (except renal insufficiency)
3. Existence of renal insufficiency, grade 2 or more in CTCAE v3.0
4. Unsuitable for enrollment judged by attending physian
10
1st name | |
Middle name | |
Last name | NAKAO, Shinji |
Graduate School of Medical Science,
Kanazawa University
Cellular transplantation biology
13-1, Takaramachi, Kanazawa, Ishikawa, Japan
1st name | |
Middle name | |
Last name | ISHIYAMA, Ken |
Graduate School of Medical Science, Kanazawa University
Cellular transplantation biology
ishiyamak@med3.m.kanazawa-u.ac.jp
Cellular transplantation biology,
Graduate School of Medical Science, Kanazawa University
Study group 'Morishima-han' to establish allo-SCT for refractory hematologic malignancies in adults, Ministry of Health, Labour and welfare.
NO
2008 | Year | 08 | Month | 30 | Day |
Partially published
Completed
2007 | Year | 09 | Month | 16 | Day |
2007 | Year | 09 | Month | 01 | Day |
2009 | Year | 03 | Month | 01 | Day |
2009 | Year | 04 | Month | 01 | Day |
2009 | Year | 05 | Month | 01 | Day |
2009 | Year | 05 | Month | 01 | Day |
2008 | Year | 08 | Month | 30 | Day |
2009 | Year | 05 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001633