| 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 |
Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion
Depletion of Anti-HLA Antibodies by HLA-Expressing Platelet
Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion
Depletion of Anti-HLA Antibodies by Targeted HLA-Expressing Platelet Transfusion
| Japan |
Hematologic diseases requiring allogeneic hematopoietic cell transplantation
| Hematology and clinical oncology |
Malignancy
NO
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.
Safety,Efficacy
Exploratory
Changes in anti-HLA antibody levels (mean fluorescence index: MFI) before and after transfusion of target HLA-expressing platelets
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
1
Treatment
| Other |
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.
| 18 | years-old | <= |
| 70 | years-old | >= |
Male and Female
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
None
10
| 1st name | Kazuhiro |
| Middle name | |
| Last name | Ikegame |
Aichi Medical University
Hematopoietic cell transplantation center
480-1195
1-1 Yazakokarimata, Nagakute City, Aichi 480-1195, Japan
+81-561-63-2086
kame@aichi-med-u.ac.jp
| 1st name | Kazuhiro |
| Middle name | |
| Last name | Ikegame |
Aichi Medical University
Hematopoietic cell transplantation center
480-1195
1-1 Yazakokarimata, Nagakute City, Aichi 480-1195, Japan
+81-561-63-2086
kame@aichi-med-u.ac.jp
Aichi Medical University
Aichi Medical University
Other
IRB, Aichi Medical University
1-1 Yazakokarimata, Nagakute City, Aichi 480-1195, Japan
+81-561-62-3311
aichi-med@esct.bvits.com
NO
| 2026 | Year | 06 | Month | 01 | Day |
Unpublished
Enrolling by invitation
| 2026 | Year | 05 | Month | 08 | Day |
| 2026 | Year | 06 | Month | 01 | Day |
| 2026 | Year | 06 | Month | 01 | Day |
| 2032 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 05 | Month | 08 | Day |
| 2026 | Year | 05 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070369