Non-Hodgkin's Lymphoma Clinical Trial
Official title:
A Randomized Controlled Trial Evaluating the Use of G-CSF After Plerixafor-Mobilized Autologous Stem Cell Transplant (Auto HSCT)
Verified date | November 2022 |
Source | Thomas Jefferson University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This phase II trial studies how well stem cell transplant with or without tbo-filgrastim works in treating patients with multiple myeloma or non-Hodgkin lymphoma. Eliminating the use of tbo-filgrastim after transplant may still help maintain a similar time to discharge.
Status | Completed |
Enrollment | 76 |
Est. completion date | November 16, 2022 |
Est. primary completion date | June 1, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Undergoing autologous stem cell transplant for one of the following diagnoses: - Multiple myeloma - Non-Hodgkin lymphoma - Karnofsky performance status of >= 70% - Patients must meet the Thomas Jefferson University Hospital (TJUH) bone marrow transplant (BMT) standard of procedure (SOP) guidelines for "Patient Criteria for Autologous HSCT" - Left ventricular ejection fraction (LVEF) of = 40% - Adjusted Carbon monoxide diffusing capability (DLCO) > 45% of predicted corrected for hemoglobin - Serum bilirubin < 1.8 - Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) < 2.5 X upper limit of normal - Serum creatinine =< 2.0 mg/dl and/or creatinine clearance of > 40 ml/min (excludes multiple myeloma patients receiving high dose melphalan conditioning) - Willingness to use contraception if childbearing potential - Has the ability to give informed consent, or for cognitively or decisionally impaired individuals (vulnerable population), the availability of a family member or guardian to give consent and assist in the consent process - Life expectancy of > 12 months (exclusive of the disease for which the auto HSCT is being performed) - Patients must have undergone stem cell mobilization with the combination of G-CSF and plerixafor as per TJUH BMT SOP guidelines - Collection of an adequate number of CD34+ stem cells, i.e. >= 4-6 x 10^6/kg from apheresis Exclusion Criteria: - Uncontrolled human immunodeficiency virus (HIV) - Uncontrolled bacterial infection - Active central nervous system (CNS) disease - Pregnancy or lactation - Evidence of another malignancy, exclusive of a skin cancer that requires only local treatment |
Country | Name | City | State |
---|---|---|---|
United States | Sidney Kimmel Cancer Center at Thomas Jefferson University | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Sidney Kimmel Cancer Center at Thomas Jefferson University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of days to discharge | Will compare days to discharge readiness between the two groups. | Up to 60 days | |
Secondary | Median days post autologous hematopoietic cell transplantation (auto HSCT) to neutrophil engraftment | Will be defined as absolute neutrophil count > 500 x 10^9/L x 3 days. Day of engraftment is the first of the 3 days of absolute neutrophil count > 500 x 10^9/L. | Up to 60 days | |
Secondary | Median days post auto HSCT to platelet engraftment | Will be defined as date platelet greater than or equal to 20 x 10^9 /L without a platelet transfusion within the last 7 days. | Up to 60 days | |
Secondary | Incidence of engraftment syndrome | Will be defined by the Maiolino Criteria. Will be summarized by treatment arm and compared using a chi-square test | Up to 60 days | |
Secondary | Median number of febrile days during the auto HSCT inpatient stay | Will be summarized by treatment arm and compared using Wilcoxon rank sum tests | Up to 60 days | |
Secondary | Median number of days of febrile neutropenia during the auto HSCT inpatient stay | Will be summarized by treatment arm and compared using Wilcoxon rank sum tests. | Up to 60 days | |
Secondary | Median number of documented infections treatment during the auto HSCT inpatient stay | Will be defined as a positive blood culture not ultimately deemed to be due to a contaminant | Up to 60 days | |
Secondary | Median number of antibiotic days during the auto HSCT inpatient stay | Will be summarized by treatment arm and compared using Wilcoxon rank sum tests. | Up to 60 days | |
Secondary | Median number of days on corticosteroids | Will be summarized by treatment arm and compared using Wilcoxon rank sum tests. | Up to 60 days | |
Secondary | Number of post discharge granulocyte colony-stimulating factor administrations through day +60 post auto HSCT | Will be summarized by treatment arm and compared using Wilcoxon rank sum tests. | Up to 60 days |
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