NCT00006055

Autologous Peripheral Blood Stem Cell Transplantation in Patients With Life Threatening Autoimmune Diseases

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 10 (planned)
• Sponsor: Fairview University Medical Center · Academic / Other
• Sex: All
• Age: 1 Year – 55 Years
• Healthy volunteers: Not accepted

Summary

OBJECTIVES: I. Determine whether there is prompt engraftment after autologous peripheral blood stem cell transplantation using filgrastim (G-CSF) mobilization in patients with life threatening autoimmune diseases. II. Determine the kinetics of T- and B-cell immune reconstitution after a combination of timed plasmapheresis, high dose cyclophosphamide and total lymphoid irradiation, and posttransplant immunosuppression with cyclosporine in these patients. III. Determine whether this treatment regimen beneficially influences the clinical course of these patients.

Detailed description

PROTOCOL OUTLINE: Patients receive filgrastim (G-CSF) SC daily until peripheral blood stem cells (PBSC) are collected. On the fifth day of G-CSF therapy, PBSC are collected. Patients undergo plasmapheresis on days -9 to -7. Patients receive cyclophosphamide IV on days -6 to -3 and total lymphoid irradiation on day -1. PBSC are reinfused on day 0. Following PBSC reinfusion, patients receive prophylaxis with oral prednisone or methylprednisolone IV on days -1 to 28, antithymocyte globulin IV on days 1-3, and cyclosporine every 12 hours on days 1-60. Patients with autoimmune thrombocytopenia purpura, autoimmune hemolytic anemia, or pure red cell aplasia are followed on days 7, 14, 21, 28, 60, and 100, 6 months, and 1, 2, and 5 years. Patients with rheumatoid arthritis, juvenile rheumatoid arthritis, or systemic lupus erythematosus are followed on days 14, 28, 60, and 100, and then every 6 months. Patients with vasculitis are monitored for abnormal clinical and laboratory parameters characteristic of the individual type of vasculitis.

Conditions

• Purpura, Schoenlein-Henoch
• Graft Versus Host Disease
• Anemia, Hemolytic, Autoimmune
• Rheumatoid Arthritis
• Churg-Strauss Syndrome
• Hypersensitivity Vasculitis
• Wegener's Granulomatosis
• Systemic Lupus Erythematosus
• Giant Cell Arteritis
• Pure Red Cell Aplasia
• Juvenile Rheumatoid Arthritis
• Polyarteritis Nodosa
• Autoimmune Thrombocytopenic Purpura
• Takayasu Arteritis

Interventions

Type	Name	Description
DRUG	anti-thymocyte globulin
DRUG	cyclophosphamide
DRUG	cyclosporine
DRUG	filgrastim
DRUG	methylprednisolone
DRUG	prednisone
PROCEDURE	Autologous Peripheral Blood Stem Cell Transplantation

Timeline

• Start date: 2000-03-01
• First posted: 2000-07-06
• Last updated: 2005-06-24

Locations

1 site across 1 country: United States