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Autologous Hematopoietic Stem Cell Transplantation for Refractory Multiple Sclerosis
Sponsor: Tianjin Medical University General Hospital
Summary
Autologous hematopoietic stem cell transplantation (aHSCT) is the only treatment for refractory autoimmune diseases capable of inducing long-term, drug-free and asymptomatic remission. Over the past two decades, aHSCT has been used to treat inflammatory autoimmune disease of the CNS. Patients with relapsing-remitting multiple sclerosis benefit from aHSCT treatment. However, a certain percentage of patients still experience recurrence 3 or 5 years after transplantation. Therefore, exploration of conditioning regimens will drive therapeutic advances in aHSCT in autoimmune diseases of the CNS.
Key Details
Gender
All
Age Range
18 Years - 60 Years
Study Type
INTERVENTIONAL
Enrollment
20
Start Date
2026-12-01
Completion Date
2029-01-01
Last Updated
2025-05-30
Healthy Volunteers
No
Conditions
Interventions
Autologous haemopoietic stem cell transplantation
Immuno-ablation and autologous CD34 selected hematopoietic stem cell transplantation (HSCT). Stem cell mobilization with cyclophosphamide 2g/m2 and filgrastim 10 ug/kg/d x 5 day. Stem cell collection with cobe cpectra stem cell purification with Miltenyi CliniMACS Stem cell transplant conditioning with busulphan 3.2 mg/kg ; fludarabine 30mg/m2 or cladribine 10mg ;cytarabine 1-2g/m2 or idarubicin 8mg/m2;cyclophosphamide 40mg/kg followed by CD34 selected autologous hematopoietic stem cell transplant.