Challenges in the harmonization of immune monitoring studies and trial design for cell-based therapies in the context of hematopoietic cell transplantation for pediatric cancer patients

Stefan Nierkens, Arjan C. Lankester, R. Maarten Egeler, Peter Bader, Franco Locatelli, Michael A. Pulsipher, Catherine M. Bollard, Jaap Jan Boelens

Research output: Contribution to journalArticlepeer-review

Abstract

Clinical trials aimed at improving results of hematopoietic cell transplantation (HCT) by adjuvant cell-based interventions in children have been limited by small numbers and pediatric-specific features. The need for a larger number of pediatric HCT centers to participate in trials has resulted in a demand for harmonization of disease-specific clinical trials and immune-monitoring. Thus far, most phase I/II trials select different end points evaluated at disparate time points, making inter-study comparisons difficult and, sometimes, impossible. In this review, we discuss the various aspects that are important to consider for harmonizing clinical trial design as well as the critical elements for standardized (immune)-monitoring protocols in cell-based intervention trials in the context of HCT. Comparison data from trials applying harmonized trial design will lead to optimized immunotherapeutic treatment protocols to maximize clinical efficacy while minimizing toxicity.

Original languageEnglish
Pages (from-to)1667-1674
Number of pages8
JournalCytotherapy
Volume17
Issue number12
DOIs
Publication statusPublished - Dec 1 2015

Keywords

  • Cell based therapy
  • Clinical trial design
  • Hematopoietic cell transplantation, immune monitoring
  • Pediatric cancer

ASJC Scopus subject areas

  • Immunology
  • Immunology and Allergy
  • Oncology
  • Genetics(clinical)
  • Transplantation
  • Cancer Research
  • Cell Biology

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