Myelodysplastic Syndrome (MDS) Clinical Trial
Official title:
A Phase I/II Study Evaluating the Safety and Efficacy of Intravenous POL6326 for the Mobilization and Transplantation of HLA-Matched Sibling Donor Hematopoietic Stem Cells in Patients With Advanced Hematological Malignancies
Determine the safety and tolerability of POL6326 when used as a single mobilization agent.
Current protocols use G-CSF to mobilize hematopoietic progenitor cells from matched sibling
donors. This process requires from four to six days of G-CSF injection and is associated
with significant morbidity, most notably bone pain. POL6326 is associated with few side
effects and collection of cells occurs on the same day as POL6326 administration.
This study will evaluate the safety and efficacy of this novel agent for hematopoietic
progenitor cell mobilization and allogeneic transplantation based on the following
hypotheses:
1. Donors mobilized with intravenous POL6326 will require fewer collections than have
previously been seen for donors mobilized with subcutaneous plerixafor.
2. Healthy HLA-matched donors receiving one or two infusions of POL6326 will mobilize
sufficient CD34+ cells (at least 2.0 x 106 CD34+ cells/kg recipient weights) following
leukapheresis to support a hematopoietic cell transplant.
3. IV POL6326 will result in more rapid kinetics and a higher maximum (peak) of human
CD34+ stem cells mobilized from human normal allogeneic donors compared to previous
donors who were mobilized with plerixafor.
4. The hematopoietic cells mobilized by IV POL6326 will be functional and will result in
prompt and durable hematopoietic engraftment following transplantation into
HLA-identical siblings with advanced hematological malignancies using various
non-myeloablative and myeloablative conditioning regimens and regimens for routine GVHD
prophylaxis.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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