Treatment of Familiar Lymphohistiocytosis (NCT02472054) | Clinical Trial Compass
CompletedPhase 1/2
Treatment of Familiar Lymphohistiocytosis
France29 participantsStarted 2015-06-29
Plain-language summary
The purpose of this project is to study the number of surviving patients until hematopoietic stem cell transplantation (HSCT) after first line treatment of hemophagocytic lymphohistiocytosis (HLH) by Alemtuzumab
Who can participate
Age range17 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria :
* Patient \< 18 years
* Patient with diagnosis of hemophagocytic lymphohistiocytic syndrome confirmed by at least one of the following two criteria :
* Genetic diagnosis FHL or other genetic disease predisposing to HLH like Chediak-Higashi syndrome, Griscelli syndrome type II and X-linked lymphoproliferative syndrome type I and II (XLP-1 and XLP-2) or positive family history of HLH
* Presence of at least 5 of the following 8 criteria (diagnostic criteria as defined by the "Histiocyte Society" ) :
* Fever
* Splenomegaly
* Cytopenia (affecting at least two cell lineages : Hemoglobin \<9.0 g / dl, Platelets \<100.000/μl, Absolute neutrophil count (ANC) \<1.000/µl)
* Hypertriglyceridemia and / or hypofibrinogenemia (Fasting triglycerides ≥ 3 mmol / l, Fibrinogen ≤ 1.5 g / l)
* Haemophagocytosis found in a histological specimen (without evidence of a malignant process and rheumatic disease)
* Decreased or absent NK function (\<10% of the laboratory standard)
* Ferritin ≥ 500μg / l
* Soluble CD25 ≥ 2.400U/ml or presence of activated T cells in the immune phenotyping
* Patient without prior specific treatment of lymphohistiocytic activation syndrome or under treatment with corticosteroids and / or ciclosporin.
* Patient beneficiary of a health insurance scheme
* Holder (s) of parental authority who signed the informed consent
* Man or woman in reproductive age willing to take reliable contraceptive measures during the treatment and 6 months…
What they're measuring
1
Number of surviving patients until HSCT
Timeframe: Day 1 until transplantation, up to 4 months