Centers For Clinical Research on TransplantaTION

移植临床研究中心

• 批准号: 6330649
• 负责人: EVA C GUINAN
• 金额: --
• 依托单位: DANA-FARBER CANCER INST
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 2004-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6330649
• 关键词: cell transplantation; clinical research; graft versus host disease; hematopoietic stem cells; hematopoietic tissue transplantation; histocompatibility; homologous transplantation; human subject; human therapy evaluation; transplant rejection; umbilical cord

This study is designed to determine if stem and progenitor cells from umbilical cord blood units (UCBUs) are a clinically acceptable alternative to those from marrow or peripheral blood for unrelated-donor allogeneic transplantation. Questions to be answered about UCBU transplantation include: 1) can children unrelated to the neonate-donors be transplanted with a graft failure rate no greater than 5-10 percent? 2) can adults and larger children (>40 Kg) also be transplanted successfully (all successful matched sib and matched unrelated-donor cord blood transplants to date have been for patients weighing less than 40 Kg)? 3) is graft-vs-host disease (GvHD) usually mild and easily manageable? 4) how much and what kind of HLA disparity can be tolerated? 5) is there enough graft-vs-leukemia (GvL) effect to prevent relapse? 6) what is the course of immune reconstitution? To answer these and other questions about UCBU transplantation will require establishing: a) two to four collection and storage centers (Cord Blood Banks - CBBs) to provide the necessary resource by collecting, processing, cryopreserving and distributing human umbilical cord blood for transplantation to unrelated recipients; b) six to eight Cord Blood Transplant Centers (CBTCs) to follow common protocols for the transplantation of cord blood stem and progenitor cells; and c) a Medical Coordinating Center (MCC) to manage donor searches, facilitate the provision of cord blood units for transplants and collect and analyze data from these transplants. The purpose of this program is to accelerate and oversee clinical research in the rapidly emerging use of umbilical cord blood in place of marrow for transplantation.

这项研究旨在确定干细胞和祖细胞是否来自 脐带血单位（UCBU）是临床可接受的 对于无关捐赠者来说，可以替代骨髓或外周血 同种异体移植。 关于 UCBU 需要回答的问题 移植包括：1）与新生儿捐献者无关的儿童可以吗？ 移植失败率不超过5-10%？ 2）成人和较大儿童（>40公斤）也可以移植吗 成功（所有成功匹配的同胞和匹配的无关捐赠者脐带 迄今为止，血液移植只适用于体重不足 40 岁的患者 公斤）？ 3) 移植物抗宿主病 (GvHD) 通常较轻且容易发生 可以管理吗？ 4) 可以容忍多少和什么样的HLA差异？ 5）是否有足够的移植物抗白血病（GvL）效应来预防复发？ 6）免疫重建的过程是怎样的？ 为了回答这些问题和 有关 UCBU 移植的其他问题需要确定：a) 两到四个采集和储存中心（脐带血库 - CBB） 通过收集、加工、冷冻保存提供必要的资源 并分发用于移植的人类脐带血 不相关的收件人； b) 六至八个脐带血移植中心 (CBTC) 遵循脐带血移植的通用方案 干细胞和祖细胞； c) 医疗协调中心 (MCC) 管理捐赠者搜索，促进脐带血单位的提供 移植并收集和分析来自这些移植的数据。 该计划的目的是加速和监督临床 迅速兴起的使用脐带血代替脐带血的研究 用于移植的骨髓。