UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061499
Receipt number R000070369
Scientific Title Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion
Date of disclosure of the study information 2026/06/01
Last modified on 2026/05/08 20:14:52

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Basic information

Public title

Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion

Acronym

Depletion of Anti-HLA Antibodies by HLA-Expressing Platelet

Scientific Title

Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion

Scientific Title:Acronym

Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion

Region

Japan


Condition

Condition

Hematologic diseases requiring allogeneic hematopoietic cell transplantation

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate whether transfusion of platelet products expressing target HLA antigens can adsorb and reduce circulating anti-HLA antibodies in patients with hematologic diseases who need allogeneic hematopoietic cell transplantation, thereby improving engraftment outcomes after transplantation. Furthermore, this study aims to investigate the structural characteristics and immunological background of anti-HLA antibody responses by performing detailed analyses of changes in antibody reactivity against multiple HLA antigens sharing common eplets through the combined use of eplet analysis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in anti-HLA antibody levels (mean fluorescence index: MFI) before and after transfusion of target HLA-expressing platelets

Key secondary outcomes

1) Identification of anti-HLA antibody recognition sites by eplet analysis
2) Engraftment rate following transfusion of target HLA-expressing platelets
3) Evaluation of complications associated with transfusion of target HLA-expressing platelets


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

1. Preparation of Target HLA-Expressing Platelets
If platelet products expressing the target HLA antigens are available from the Japanese Red Cross Society, those products will be used. If such products cannot be supplied by the Japanese Red Cross Society, platelet collection will be performed from related donors, such as family members, who possess the corresponding HLA type. Eligible cooperating donors will include relatives within the fourth degree of kinship and spouses who meet eligibility criteria equivalent to those applied to hematopoietic cell transplantation donors. Platelet collection will be performed according to standard apheresis procedures approved in routine clinical practice. The target collection volume will generally be approximately 10-20 units, determined comprehensively based on the patient's anti-HLA antibody levels, body size, and clinical condition.

2. Procedures for Transfusion of Target HLA-Expressing Platelets and Hematopoietic Cell Transplantation
Collected platelet products will undergo irradiation with 17.5 Gy in the transfusion department and will subsequently be transfused to the patient over approximately 2 hours. Hematopoietic cell transplantation will then be performed after an interval of 2 hours following completion of the platelet transfusion. Both the transfusion and transplantation procedures will be conducted in accordance with standard techniques used in routine clinical practice.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Eligibility for allogeneic hematopoietic cell transplantation at our institution
2. Presence of donor-specific anti-HLA antibodies (DSA) with an MFI of >=5,000
3. Availability of target HLA-expressing platelet products

Key exclusion criteria

None

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Kazuhiro
Middle name
Last name Ikegame

Organization

Aichi Medical University

Division name

Hematopoietic cell transplantation center

Zip code

480-1195

Address

1-1 Yazakokarimata, Nagakute City, Aichi 480-1195, Japan

TEL

+81-561-63-2086

Email

kame@aichi-med-u.ac.jp


Public contact

Name of contact person

1st name Kazuhiro
Middle name
Last name Ikegame

Organization

Aichi Medical University

Division name

Hematopoietic cell transplantation center

Zip code

480-1195

Address

1-1 Yazakokarimata, Nagakute City, Aichi 480-1195, Japan

TEL

+81-561-63-2086

Homepage URL


Email

kame@aichi-med-u.ac.jp


Sponsor or person

Institute

Aichi Medical University

Institute

Department

Personal name



Funding Source

Organization

Aichi Medical University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB, Aichi Medical University

Address

1-1 Yazakokarimata, Nagakute City, Aichi 480-1195, Japan

Tel

+81-561-62-3311

Email

aichi-med@esct.bvits.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2026 Year 05 Month 08 Day

Date of IRB

2026 Year 06 Month 01 Day

Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2032 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 05 Month 08 Day

Last modified on

2026 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070369