Preventing Graft Rejection After Stem Cell Transplant

This study is investigating emapalumab, a drug that targets a specific pathway (RAF) involved in the immune system, to see if it can prevent graft rejection in people who have received a hematopoietic stem cell transplant (HSCT). Graft rejection happens when the body's immune system attacks the new stem cells. Researchers believe that a substance called interferon gamma plays a key role in this process, and emapalumab works by blocking it. Participants will be high-risk for graft rejection, meaning they have certain factors like a mismatched donor or a history of rejection. They will receive either a 3 mg/kg or 10 mg/kg dose of emapalumab once, with the possibility of up to two additional doses if there are concerns about rejection. The main goal is to see how well emapalumab works to prevent rejection after 100 days. The study aims to enroll 20 participants.

Study design
This is an interventional study where participants will be randomly assigned to receive one of two different doses of emapalumab. It plans to enroll 20 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The preliminary efficacy of emapalumab will be measured at 100 days.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07244419

Prevention of Graft Rejection in Hematopoietic Stem Cell Transplant (HSCT) Recipients

Recruiting
EARLY_PHASE1All AgesInterventionalTreatment
Children's Hospital Medical Center, Cincinnati
~20 participants
Updated 2026-01-22 on ClinicalTrials.gov
What's tested:Emapalumab 3 mg/kgEmapalumab 10 mg/kg

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Preliminary efficacy of Emapalumab
Measured over 100 days
Hematopoietic Stem Cell Transplantation
Graft Failure

NCT07244419

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohiostudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Anthony Sabulski, MD · PRINCIPAL_INVESTIGATOR · Children's Hospital Medical Center, Cincinnati

Opens a ready-to-send draft in your own email app — review before sending.

Want this trial checked against your situation?

Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.

Check eligibility for this trial ~2 min · HIPAA-protected · delete anytime
Eligibility criteria

Inclusion

All patients undergoing allogeneic HSCT at our institution will be evaluated for graft rejection risk factors. Patients deemed high risk for graft rejection will have 2 or more of the following: mismatched or haploidentical donor, ex vivo t-cell depleted graft, prior history of graft rejection.

Exclusion

Known hypersensitivity to any constituent of the study medication.
  • Preliminary efficacy of Emapalumab100 days

    Measured by the incidence of graft rejection in the treatment cohort.