Phase II Study of Isatuximab for Treating Immune Blood Cell Disorders After Stem Cell Transplant

Sponsor: Memorial Sloan Kettering Cancer Center

Sponsor score: 60

ClinicalTrials ID:NCT05873205

This clinical trial is exploring whether the drug isatuximab can effectively treat immune-related blood cell disorders in patients who have undergone a stem cell transplant from a donor.

Patient Parameters

Program Overview

The aim of this study is to determine if isatuximab is a successful treatment for patients who develop immune-related blood cell disorders, known as immune cytopenias, after receiving a stem cell transplant from a donor. These disorders can affect the body's ability to produce healthy blood cells.

Eligibility Criteria

Inclusion Criteria

  • Must be 18 years or older.
  • The disease for which the patient had a stem cell transplant must be in remission.
  • Must have previously shown recovery of white blood cells and platelets after the transplant.
  • Must be at least 45 days post-transplant.
  • Must have been diagnosed with immune cytopenias, such as:
    • Autoimmune Hemolytic Anemia (AIHA): Low hemoglobin levels with specific test results.
    • Immune Thrombocytopenia (ITP): Low platelet count or need for platelet transfusions.
    • Pure Red Cell Aplasia (PRCA): Severe anemia with low reticulocyte count.
  • Must have not fully responded to previous treatments, such as steroids or other medications.
  • Must have a certain level of neutrophils in the blood.
  • No active hepatitis infection.
  • Women of childbearing potential must have a negative pregnancy test and agree to use effective birth control.
  • Men must agree not to donate sperm and use contraception during and after the study.
  • Must be able to provide informed consent.

Exclusion Criteria

  • Relapse or progression of the disease for which the transplant was done.
  • Anemia or low platelet count due to specific transplant-related conditions.
  • Active graft-versus-host disease (GVHD) requiring treatment, unless controlled.
  • Organ failure based on specific criteria.
  • Pregnancy or unwillingness to use birth control.
  • Known HIV or active hepatitis A, B, or C infection.
  • Any uncontrolled medical condition that poses a risk or may interfere with the study.
  • Allergy or intolerance to study drugs or components.
  • Recent use of investigational drugs.
  • On maintenance therapy post-transplant, unless agreed upon by the study team.
  • Unable to consent or comply with study procedures.

Locations

FACILITYZIPCITYSTATE
Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)07920Basking RidgeNew Jersey
Memorial Sloan Kettering Monmouth (Limited Protocol Activities)07748MiddletownNew Jersey
Memorial Sloan Kettering Bergen (Limited protocol activities)07645MontvaleNew Jersey
Memorial Sloan Kettering Suffolk-Commack (All Protocol Activities )11725CommackNew York
Memorial Sloan Kettering Westchester (Limited Protocol Activities)10604HarrisonNew York
Memorial Sloan Kettering Cancer Center (All Protocol Activities)10065New YorkNew York
Memorial Sloan Kettering Nassau (All protocol activities)11553Rockville CentreNew York

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