Multiple Myeloma Clinical Trial
Official title:
Plerixafor Rescue Mobilization For Autologous Stem Cell Transplant Patients With Inadequate Response to G-CSF
Verified date | April 2014 |
Source | Duke University |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
Plerixafor, administered at a dose of 240 ug/kg, potentiates the effect of granulocyte
colony-stimulating factor (G-CSF) to increase peripheral blood progenitor cells in both
healthy volunteers and cancer patients. Furthermore, in cancer patients, cells collected via
apheresis using Plerixafor and G-CSF have been successfully transplanted. In December 2008,
Plerixafor received approval from the Food and Drug administration for use in combination
with G-CSF to aid in mobilization of progenitor cells for apheresis. The proposed study is
not designed to support approval of a new indication or change in the advertising for
Plerixafor. The route of administration and dosage level are identical to that which is
listed on the package insert. Although Plerixafor is not approved for patients with Hodgkins
Lymphoma, there is no known or theoretic increased risk of the use of this drug in this
patient population.
The study hypothesis for this study is that patients with a circulating CD34+ count < 20
cells/ul after 5 days of mobilization with G-CSF alone will achieve > or equal to 2 X
10(6)CD34+ cells/kg within 3 days of apheresis after receiving Plerixafor with G-CSF.
Status | Completed |
Enrollment | 21 |
Est. completion date | May 2013 |
Est. primary completion date | August 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - Age 18 to 75 years. - Diagnosis of NHL, HD or MM - Eligible for autologous transplantation - CD34+ cell count < 7 cells/ul after 5 days of mobilization with G-CSF or CD34+ cell count between 7 and 19 (inclusive) on day 5 of mobilization with G-CSF and < 1.3 x 106 CD34+ cells collected by apheresis on day 5 of G-CSF therapy. - < or equal to 5 prior regimens of chemotherapy (Rituxan is not considered chemotherapy for the purpose of this study) - = 3 weeks since last cycle of chemotherapy and the beginning of G-CSF mobilization (Rituxan and Lenalidomide are not considered chemotherapy for the purpose of this study) - Total dose of melphalan < or equal to 200 mg - ECOG performance status of 0 or 1 - Recovered from all acute toxic effects of prior chemotherapy - Absolute PMN count > 1.0 X 10(9)/l prior to first dose of G-CSF - PLT count > 75 X 10(9)/l prior to first dose of G-CSF - Serum creatinine < or equal to 2.5 mg/dl - SGOT, SGPT and total bilirubin < 2 X upper limit of normal (ULN) prior to the first dose of G-CSF - Cardiac and pulmonary status sufficient to undergo apheresis and transplantation as determined by standard institutional practice - Signed informed consent - Patients of childbearing potential agree to use an approved form of contraception Exclusion Criteria: - A co-morbid condition which, in the view of the investigator, renders the patient at high risk from treatment complications - Failed previous stem cell collection or collection attempts - A residual acute medical condition resulting from prior chemotherapy - Active brain metastases or carcinomatous meningitis - Active infection requiring antibiotic treatment (excluding controlled catheter-related bacteremia) - Received prior radio-immunotherapy with Zevalin or Bexxar - Received thalidomide, dexamethasone, and/or Velcade within 7 days prior to the first dose of G-CSF - Positive pregnancy test in female patients - Lactating females - Patients who previously received experimental therapy within 4 weeks of enrolling in this protocol |
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Duke University Medical Center | Durham | North Carolina |
Lead Sponsor | Collaborator |
---|---|
Duke University | Genzyme, a Sanofi Company |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Participants Who Achieved > or Equal to 2 X 10(6)CD34+ Cells/kg Within 3 Days of Apheresis After Receiving Plerixafor With G-CSF. | 5 days after receiving G-CSF | No | |
Secondary | Number of Participants Experiencing a Grade III/IV Toxicity | Safety of plerixafor as measured by Grade III/IV Toxicity | 6 months post transplant or until relapse | Yes |
Secondary | Number of Subjects Experiencing Graft Failure | To investigate the hematological activity of Plerixafor as measured by Graft Failure. Graft failure is defined as failure of initial engraftment (primary graft failure) or initial engraftment, but subsequent loss of hematopoiesis (secondary graft failure). | 12 months | Yes |
Secondary | Days to Absolute Neutrophil Count >500 | 12 months | Yes | |
Secondary | Number of Subjects Experiencing Durability of Engraftment | Durability of engraftment is defined as the duration and stability of hematopoiesis following autologous transplantation. Subjects who experience durable engraftment have neutrophil counts greater than 500 and platelet counts greater than 20,000 within the specified time frame. | 12 months | Yes |
Secondary | Platelet Engraftment | Days to platelet count >20,000 | 12 months | Yes |
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