Clinical trial · Interventional
Immune Reconstitution After Autologous Hematopoietic Stem Cell Transpl for High-Risk Lymphoma
Immune Reconstitution After Autologous Hematopoietic Stem Cell Transplantation for High-Risk Lymphoma and Myeloma
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
RATIONALE: Vaccines may help the body build an effective immune response to kill cancer cells. Giving vaccine therapy after an autologous stem cell transplant may kill any cancer cells that remain after transplant. PURPOSE: This clinical trial is studying how well vaccine therapy works in treating patients who have undergone autologous stem cell transplant for high-risk lymphoma or multiple myeloma.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Lymphoma | Lymphoma | ONTOLOGY_EXACT | 0.90 |
| Multiple Myeloma and Plasma Cell Neoplasm | — | UNRESOLVED | — |
| Small Intestine Cancer | Small Intestinal Carcinoma | ALIAS | 0.90 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| laboratory correlative studies | Other | — | UNRESOLVED |
| quality-of-life assessment | Other | — | UNRESOLVED |
| Streptococcus pneumoniae | Biological | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Prevnar
- description
- The conjugate vaccine for Streptococcus pneumoniae will be administered during weeks 9, 17, and 25 after autologous HSCT - the study nurse will arrange for the vaccine to be administered at the specified time and the patient will be instructed to notify an investigator or study nurse of any side effects of vaccine administration. At the specified times, patients will fill out the quality-of-life assessment. All patients enrolled on this trial will have samples procured for all proposed laboratory correlative studies.
- interventionNames
- Biological: Streptococcus pneumoniae
- Other: laboratory correlative studies
- Other: quality-of-life assessment
Primary outcomes (1)
- measure
- Number of Participants Experiencing Immune Reconstitution
- timeFrame
- Up to 2 years
- description
- Immune reconstitution as measured by response to conjugate vaccine to Streptococcus pneumoniae (Prevnar, PCV7), NK cell activity against autologous lymphoblastoid cell lines, and CMV \& EBV tetramer responses after autologous transplant for myeloma
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS:
* Diagnosis of multiple myeloma OR any of the following high-risk lymphomas:
* Diffuse large B-cell lymphoma meeting any of the following criteria:
* Failed induction therapy but responded to salvage therapy
* Relapsed \< 1 year after completion of induction therapy
* Elevated lactic dehydrogenase (LDH) at relapse
* Stage III or IV disease at relapse
* Positive PET scan after induction or salvage therapy
* Age 60 to 75 years
* Follicular lymphoma meeting any of the following criteria:
* Progressive disease after two or more prior regimens
* Transformed to aggressive diffuse large B-cell lymphoma but is still chemotherapy sensitive
* Not considered to be a good candidate for allogeneic stem cell transplantation
* Hodgkin lymphoma meeting any of the following criteria:
* Primary refractory disease
* Relapsed \< 1 year after completion of induction therapy
* Relapsed with PET positive disease after salvage therapy
* Relapsed refractory disease and is not considered to be a good candidate for allogeneic stem cell transplantation
* Mantle cell lymphoma meeting any of the following criteria:
* Chemotherapy sensitive disease after induction therapy
* Chemotherapy sensitive relapsed disease and is not considered to be a good candidate for allogeneic stem cell transplantation
* T-cell non-Hodgkin lymphoma (NHL) meeting any of the following criteria:
* Peripheral T-cell lymphoma, not otherwise specified meeting at least one of the following criteria:
* High LDH at diagnosis
* Marrow involvement at diagnosis
* Age \> 60 years at diagnosis
* Low platelet count at diagnosis
* Chemotherapy sensitive relapsed disease
* Angioimmunoblastic lymphadenopathy with dysproteinemia
* ALK-negative anaplastic NHL
* Enteropathy-associated T-cell NHL
* Stage III or IV NK-/T-cell NHL at diagnosis
* NK-blastic NHL
* Has undergone autologous hematopoietic stem cell transplantation and received 200 mg/m² of melphalan (for multiple myeloma) OR BEAM chemotherapy comprising carmustine, etoposide, cytarabine, and methotrexate (for high-risk lymphoma) as conditioning therapy
PATIENT CHARACTERISTICS:
* ECOG or WHO performance status 0-2
* ANC ≥ 1,000/μL
* Platelet count ≥ 75,000/μL
* Total bilirubin ≤ 1.5 mg/dL
* Alkaline phosphatase ≤ 2 times upper limit of normal (ULN)
* AST and ALT ≤ 2 times the ULN
* Not pregnant or nursing
* No severe or uncontrolled systemic illness
* No "currently active" second malignancy, other than nonmelanoma skin cancer or carcinoma in situ of the cervix
* Patients are not considered to have a "currently active" malignancy if they completed therapy for the malignancy, are disease free from the malignancy for \> 5 years, and are considered by their physician to be at \< 30% risk of relapse
* No significant history of uncontrolled cardiac disease including, but not limited to, any of the following:
* Uncontrolled hypertension
* Unstable angina
* Recent myocardial infarction (within the past 6 months)
* Uncontrolled congestive heart failure
* No active bacterial, fungal, or viral infection
* No known HIV infection or active hepatitis B and/or hepatitis C infection
* No other medical condition, including mental illness or substance abuse, deemed by the investigator(s) to likely interfere with the patient's ability to sign informed consent, cooperate and participate in the study, or interfere with the interpretation of the study results
PRIOR CONCURRENT THERAPY:
* No concurrent biologic therapy, chemotherapy, or other antineoplastic therapyReferences
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