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T Cell-Depleted Hematopoietic Stem Cell Transplantation-University of Nebraska-Multiple Myeloma refers to a specific autologous cell therapy protocol investigated at the University of Nebraska for the treatment of multiple myeloma. The procedure involves the ex vivo processing of a patient's harvested peripheral blood stem cells to enrich for CD34+ hematopoietic progenitor cells while depleting T lymphocytes, typically through immunomagnetic selection. This T cell-depleted graft is administered intravenously to patients following high-dose conditioning chemotherapy (such as melphalan) to restore hematopoiesis. In the context of University of Nebraska clinical trials, this approach is specifically used to study the kinetics of immune system recovery and the effectiveness of post-transplant vaccinations, such as the tetanus toxoid vaccine, compared to standard unmanipulated autologous stem cell transplantation.
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