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NCT01036009 · ADVERSE EVENTS

Adverse events

A Study of Withdrawal of Immunosuppression and Donor Lymphocyte Infusions Following Allogeneic Transplant for Pediatric Hematologic Malignancies · Source last updated 2016-06-23

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Adverse events occurred during the study; they are not necessarily caused by treatment. Serious events are not interchangeable with severe/grade 3–4 events. These safety populations may differ from efficacy populations.

Collection time frame
2 years
Other-event reporting threshold
5%

Due to the severity of illness in this patient population, this study collected and reported Adverse Events only if at least possibly related to study participation, and only in patients undergoing study intervention (intervention arm).

Participants affected / participants at risk, as reported
Safety groupSerious eventsOther eventsDeaths
Group I: Observation

Group I (observation): Patients with full donor chimerism and no evidence of MRD continue to undergo clinical monitoring for acute and chronic graft-vs-host disease and relapse until 3 years post-transplant. Patients undergo repeat chimerism testing at 12 and 24 months post-transplant.

0 / 00 / 0Not reported / Not reported
Group II: Intervention

Group II (intervention): Patients undergo withdrawal of immunosuppression and receive donor lymphocyte infusions between days 60-365 post-transplant (or until full donor chimerism is achieved). Patients also undergo clinical monitoring and repeat chimerism testing as in group I. Withdrawal of immunosuppression and donor lymphocyte infusion: Intervention will involve fast withdrawal of immunosuppression and DLI until full donor chimerism is achieved.

1 / 269 / 26Not reported / Not reported

Group identifiers: EG000: Group I: Observation · EG001: Group II: Intervention

Serious adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    severe cGVHD that involved lungs, treated with Prednisone, death due to fungal lung infection
    organ System
    Respiratory, thoracic and mediastinal disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      26
      num Events
      1
    term
    intervention-related-death

Other reported adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Immune system disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      26
      num Events
      3
    term
    aGVHD grade I-III
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Immune system disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      26
      num Events
      2
    term
    cGVHD
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      4
      num At Risk
      26
      num Events
      4
    term
    progressive disease
Complete source fields
description
Due to the severity of illness in this patient population, this study collected and reported Adverse Events only if at least possibly related to study participation, and only in patients undergoing study intervention (intervention arm).
event Groups
  1. description
    Group I (observation): Patients with full donor chimerism and no evidence of MRD continue to undergo clinical monitoring for acute and chronic graft-vs-host disease and relapse until 3 years post-transplant. Patients undergo repeat chimerism testing at 12 and 24 months post-transplant.
    id
    EG000
    other Num Affected
    0
    other Num At Risk
    0
    serious Num Affected
    0
    serious Num At Risk
    0
    title
    Group I: Observation
  2. description
    Group II (intervention): Patients undergo withdrawal of immunosuppression and receive donor lymphocyte infusions between days 60-365 post-transplant (or until full donor chimerism is achieved). Patients also undergo clinical monitoring and repeat chimerism testing as in group I. Withdrawal of immunosuppression and donor lymphocyte infusion: Intervention will involve fast withdrawal of immunosuppression and DLI until full donor chimerism is achieved.
    id
    EG001
    other Num Affected
    9
    other Num At Risk
    26
    serious Num Affected
    1
    serious Num At Risk
    26
    title
    Group II: Intervention
frequency Threshold
5
other Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Immune system disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      26
      num Events
      3
    term
    aGVHD grade I-III
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Immune system disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      26
      num Events
      2
    term
    cGVHD
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      4
      num At Risk
      26
      num Events
      4
    term
    progressive disease
serious Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    severe cGVHD that involved lungs, treated with Prednisone, death due to fungal lung infection
    organ System
    Respiratory, thoracic and mediastinal disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      0
      num Events
      0
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      26
      num Events
      1
    term
    intervention-related-death
time Frame
2 years

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Preserved source evidence · Not medical advice