Recurrent Mantle Cell Lymphoma Clinical Trial
Official title:
A Study of Hematopoietic Stem Cell Supermobilization in Patients With Non-Hodgkin Lymphoma
Verified date | May 2019 |
Source | Case Comprehensive Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This clinical trial studies etoposide, filgrastim and plerixafor in improving stem cell mobilization in patients with non-Hodgkin lymphoma. Giving colony-stimulating factors, such as filgrastim, and plerixafor and etoposide together helps stem cells move from the patient's bone marrow to the blood so they can be collected and stored.
Status | Terminated |
Enrollment | 25 |
Est. completion date | May 2016 |
Est. primary completion date | May 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 78 Years |
Eligibility |
Inclusion Criteria: - Have biopsy-confirmed non-Hodgkin lymphoma, of any type - Must be eligible for autologous transplantation according to institutional guidelines - Eastern Cooperative Oncology Group performance status of 0 or 1 - Karnofsky performance status of 70 to 100 - Negative for human immunodeficiency virus (HIV) - prior to the start of mobilization, subjects must have: - Absolute neutrophil count of >= 1.2 x 10^9/L - Platelet count of >= 100 x 10^9/L - Creatinine clearance >= 30 mL/minute - All patients must be able to comprehend and sign informed consent - If childbearing potential must either agree to complete abstinence from heterosexual intercourse or effective means of contraception during stem cell mobilization and for at least 3 months following last plerixafor dose; female patients will undergo pregnancy test prior to stem cell mobilization therapy Exclusion Criteria: - Have had previous transplants and/or prior mobilization attempts - Have evidence of progressive non-Hodgkin lymphoma - Have evidence of bone marrow involvement of lymphoma at time of transplant staging - Had evidence of active central nervous system (CNS) involvement - Have had previous radiation of the pelvic area - Have had prior radioimmunotherapy - Have received experimental therapy within 2 weeks of enrollment - Be currently enrolled in another investigational protocol - Have prior history of other malignancies, excluding basal cell carcinoma or squamous cell carcinoma of the skin |
Country | Name | City | State |
---|---|---|---|
United States | Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center | Cleveland | Ohio |
Lead Sponsor | Collaborator |
---|---|
Case Comprehensive Cancer Center | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Collection Using Plerixafor, Etoposide, and Filgrastim | Number of participants able to collect equal to or more than 8 x 10^6 CD34+ cells/kg with addition of plerixafor to etoposide and filgrastim. These participants are defined as supermobilizers. Participants with less than 8 x 10^6 CD34+ cells/kg are defined as normal mobilizers. | Within 2 days of apheresis | |
Primary | Progression-free Survival | The number of participants of patients who receive greater than or equal to 8 x 10^6 CD34+ cells/kg following collection with plerixafor, etoposide, and filgrastim and that have progression-free survival at one year | Up to 1 year post-transplant | |
Primary | Overall Survival | Number of participants who receive greater than or equal to 8 x 10^6 CD34+ cells/kg by 15% following collection with plerixafor, etoposide, and filgrastimstill alive at 1 yr post transplant | Up to 1 year post-transplant | |
Secondary | Neutrophil Recovery in Super Mobilizers and Normal Mobilizers | Neutrophil recovery in participants receiving greater than or equal to 8 and less than 8 x 10^6 CD34+ cells/kg entered as the mean cell count of super mobilizers and normal mobilizers. | Up to 28 days post treatment | |
Secondary | Platelet Recovery in Super Mobilizers and Normal Mobilizers | Platelet recovery in participants receiving greater than or equal to 8 and less than 8 x 10^6 CD34+ cells/kg. | Up to 28 days post treatment | |
Secondary | Length of Hospital Stay in Super Mobilizers and Normal Mobilizers | Length of hospital stay in participants receiving greater than or equal to 8 and less than 8 x 10^6 CD34+ cells/kg. | Up to 28 days post treatment | |
Secondary | Progression-free Survival in Supermobilizers and Normal Mobilizers | Percentage of participants who were alive and free of progression 1 year after transplant (PFS) | Up to 1 year post-transplant | |
Secondary | Overall Survival in Supermobilizers and Normal Mobilizers | Percentage of participants who were alive 1 year after transplant (OS) | Up to 1 year post-transplant | |
Secondary | Number of Days of Apheresis Required | Number of days of apheresis required to achieve goal in supermobilizers and normal mobilizers | Up to 28 days post treatment | |
Secondary | Number of Transfusion Requirements | Number of transfusions (number of packed red blood cells and platelet transfusions required from day 0 to +28 post-transplant) in supermobilizers and normal mobilizers | Up to 28 days post treatment | |
Secondary | Need for Remobilization | Number of participants that needed remobilization in supermobilizers and normal mobilizers. Remobilization can be described as follows: The first step for patients undergoing autologous hematopoietic cell transplantation is to mobilize hematopoietic progenitor/stem cells from the bone marrow using G-CSF, plerixafor and/or chemotherapy. This is followed by collection of the cells by apheresis. If sufficient number of progenitor/stem cells cannot be mobilized and then collected by apheresis to proceed with transplantation, it is considered as "mobilization failure". For these patients, mobilization of their hematopoietic progenitor/stem cells is attempted a second time ("remobilization"). The need to do a second 'mobilization' attempt is not ideal. |
Up to 28 days post treatment | |
Secondary | Correlation of Peripheral CD34+ Cell Count With Graft Content of CD34+ Cells | Correlation of peripheral CD34+ cell count with graft content of CD34+ cells assessed using Spearman correlation. | Up to 28 days post treatment |
Status | Clinical Trial | Phase | |
---|---|---|---|
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