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NCT01474681

Safety and Tolerability of HSC835 in Patients With Hematological Malignancies

Completed Phase 1, PHASE2 Results posted Last updated 30 December 2020
What this trial tests

Phase 1, PHASE2 trial testing HSC835 in Acute Myelocytic Leukemia in 27 participants. Completed in 3 October 2016.

Timeline
9 January 2012
Primary endpoint
3 October 2016
3 October 2016

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment27
Start date9 January 2012
Primary completion3 October 2016
Estimated completion3 October 2016
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

Adults 10 to 55, any sex, with Acute Myelocytic Leukemia or Acute Lymphocytic Leukemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety and Tolerability of HSC835 for Clinical Use Were Measured by Infusional Toxicity (Within First 48 Hours After Transplant) and Absence of Graft Failure After 32 Days in Excess of That Currently Observed With UCBT. Primary · 32 days

The safety and tolerability of HSC835 for clinical use were measured by infusional toxicity and absence of graft failure in excess of that currently observed with UCBT. Infusional toxicity - AE from transplant until first 48 hours. Administration of the HSC835 expanded CD34-positive cell product, infused over a period of approximately 15 minutes may theoretically cause adverse reactions based on hemodynamic effects, the release of factors like cytokines through administration into the systemic circulation, or acute hypersensitivity, among others.

Infusional Toxicity 48 hrs after transplant
GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs0
DUCBT < 18 Yrs0
DUCBT >= 18 Yrs1
Absence of graft failure after 32 days
GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs0
DUCBT < 18 Yrs0
DUCBT >= 18 Yrs0
Incidence of Neutrophil Recovery Within 42 Days Secondary · 42 days

Neutrophil recovery (engraftment) is defined as the first of three consecutive days with ANC \> 0.5 x 109/L which occurred for all patients before 42 days post transplant.

GroupValue95% CI
SUCBT < 18 Yrs1
SUCBT >= 18 Yrs8
DUCBT < 18 Yrs3
DUCBT >= 18 Yrs15
Incidence of Platelet Recovery Within Six Months Secondary · 6 months

Incidence of platelet recovery within six months. Number of participants recovering platelet to ≥50,000 × 109/L for at least one week without transfusion in the prior 7 days to the first measurement.

GroupValue95% CI
SUCBT < 18 Yrs1
SUCBT >= 18 Yrs6
DUCBT < 18 Yrs2
DUCBT >= 18 Yrs11
Frequency of Expanded Unit Predominance at Day 100 (DUCBT Recipients Only) Secondary · Day 100

Frequency of expanded unit predominance at day 100 (DUCBT recipients only) unit predominance was assessed by differences in microsatellite patterns between the recipient, HSC835 and the unmanipulated cord blood unit. Evaluation of sorted CD15-positive/CD33-positive myeloid and CD3-positive T cells in the peripheral blood, revealed three patterns: predominance of HSC835, Mixed dominance an unique chimerism pattern was observed with the CD15/CD33 population predominantly derived from HSC835 and the CD3 population almost exclusively derived from the unmanipulated unit, and predominance of the unm

Predominance of HSC835
GroupValue95% CI
DUCBT < 18 Yrs0
DUCBT >= 18 Yrs6
Mixed dominance
GroupValue95% CI
DUCBT < 18 Yrs3
DUCBT >= 18 Yrs3
Predominance of the unmaninpulated unit
GroupValue95% CI
DUCBT < 18 Yrs0
DUCBT >= 18 Yrs6
Incidence of Transplant Related Mortality (TRM) Within 100 Days and One Year Secondary · Day 100 and Month 12

Number of participants with incidence of transplant related mortality (TRM) within 100 days and one year

Day 100
GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs1
DUCBT < 18 Yrs1
DUCBT >= 18 Yrs3
Month 12
GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs1
DUCBT < 18 Yrs1
DUCBT >= 18 Yrs6
Incidence of Acute Graft Versus Host Disease (aGVHD) Within 100 Days and Chronic Graft Versus Host Disease (cGVHD) Within 1 Year Secondary · Day 100 and Monnth 12

Number of participants with incidence of Acute Graft Versus Host Disease (aGVHD) within 100 days and Chronic Graft Versus Host Disease (cGVHD) within 1 year

aGVHD-Day 100
GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs5
DUCBT < 18 Yrs3
DUCBT >= 18 Yrs8
cGVHD-Month12
GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs1
DUCBT < 18 Yrs0
DUCBT >= 18 Yrs2
Incidence of Relapse Within One Year Secondary · Month 12

Number of participants with Incidence of relapse within one year

GroupValue95% CI
SUCBT < 18 Yrs0
SUCBT >= 18 Yrs2
DUCBT < 18 Yrs1
DUCBT >= 18 Yrs0
Overall Survival (OS) Within One Year Secondary · Month 12

Number of participants with Overall survival (OS) within one year

GroupValue95% CI
SUCBT < 18 Yrs1
SUCBT >= 18 Yrs5
DUCBT < 18 Yrs1
DUCBT >= 18 Yrs9
Disease Free Survival (DFS) Within One Year Secondary · Month 12

Number of participants with Disease Free Survival (DFS) within one year. Patients are considered to have achieved DFS or relapse-free survival if they had not experienced either relapse or death (of any cause)

GroupValue95% CI
SUCBT < 18 Yrs1
SUCBT >= 18 Yrs5
DUCBT < 18 Yrs1
DUCBT >= 18 Yrs9

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SUCBT < 18 Yrs
Serious: 1/1 (100%)
Deaths:
SUCBT >= 18 Yrs
Serious: 7/8 (88%)
Deaths:
DUCBT < 18 Yrs
Serious: 3/3 (100%)
Deaths:
DUCBT >= 18 Yrs
Serious: 14/15 (93%)
Deaths:
SUCBT
Serious: 8/9 (89%)
Deaths:
DUCBT
Serious: 17/18 (94%)
Deaths:

Serious adverse events (53 terms)

ReactionSystemSUCBT < 18 YrsSUCBT >= 18 YrsDUCBT < 18 YrsDUCBT >= 18 YrsSUCBTDUCBT
Acute graft versus host diseaseImmune system disorders
Acute kidney injuryRenal and urinary disorders
Pulmonary alveolar haemorrhageRespiratory, thoracic and mediastinal disorders
Engraftment syndromeImmune system disorders
Human herpesvirus 6 infectionInfections and infestations
PneumoniaInfections and infestations
Pneumonia cytomegaloviralInfections and infestations
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders
Chronic graft versus host diseaseImmune system disorders
BK virus infectionInfections and infestations
Cytomegalovirus viraemiaInfections and infestations
Enterococcal bacteraemiaInfections and infestations
InfluenzaInfections and infestations
Pneumonia fungalInfections and infestations
Staphylococcal bacteraemiaInfections and infestations
Staphylococcal sepsisInfections and infestations
Acute myeloid leukaemia recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Febrile neutropeniaBlood and lymphatic system disorders
Thrombotic thrombocytopenic purpuraBlood and lymphatic system disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Impaired gastric emptyingGastrointestinal disorders
NauseaGastrointestinal disorders
CholecystitisHepatobiliary disorders
Acute graft versus host disease in skinImmune system disorders
Adenovirus infectionInfections and infestations
Other adverse events (81 terms — click to expand)

ReactionSystemSUCBT < 18 YrsSUCBT >= 18 YrsDUCBT < 18 YrsDUCBT >= 18 YrsSUCBTDUCBT
Febrile neutropeniaBlood and lymphatic system disorders
Decreased appetiteMetabolism and nutrition disorders
StomatitisGastrointestinal disorders
HypertensionVascular disorders
Staphylococcal bacteraemiaInfections and infestations
HeadacheNervous system disorders
Fluid overloadMetabolism and nutrition disorders
ChillsGeneral disorders
InsomniaPsychiatric disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
BK virus infectionInfections and infestations
Cytomegalovirus viraemiaInfections and infestations
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
Clostridium difficile infectionInfections and infestations
Human herpesvirus 6 infectionInfections and infestations
HyperglycaemiaMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Sinus tachycardiaCardiac disorders
TachycardiaCardiac disorders
Face oedemaGeneral disorders
PainGeneral disorders
Adenovirus infectionInfections and infestations
Enterococcal bacteraemiaInfections and infestations
Enterococcal infectionInfections and infestations
Pneumonia fungalInfections and infestations
Staphylococcal infectionInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
Neuropathy peripheralNervous system disorders
AnxietyPsychiatric disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HiccupsRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Atrial fibrillationCardiac disorders
Eye painEye disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders

Most-reported serious reactions: Acute graft versus host disease, Acute kidney injury, Pulmonary alveolar haemorrhage, Engraftment syndrome, Human herpesvirus 6 infection, Pneumonia, Pneumonia cytomegaloviral, Acute respiratory distress syndrome.

Data from ClinicalTrials.gov NCT01474681 adverse events section.

Sponsor's own description

This study evaluated the safety and tolerability of using HSC835 in patients with hematological malignancies.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Phase I/II Trial of StemRegenin-1 Expanded Umbilical Cord Blood Hematopoietic Stem Cells Supports Testing as a Stand-Alone Graft.
    Wagner JE, Brunstein CG, Boitano AE, DeFor TE, et al · · 2016 · cited 260× · PMID 26669897 · DOI 10.1016/j.stem.2015.10.004
  2. Advances in umbilical cord blood manipulation-from niche to bedside.
    Lund TC, Boitano AE, Delaney CS, Shpall EJ, et al · · 2015 · cited 60× · PMID 25511187 · DOI 10.1038/nrclinonc.2014.215
  3. Optimizing cord blood selection.
    Ruggeri A. · · 2019 · cited 21× · PMID 31808851 · DOI 10.1182/hematology.2019000056
  4. Development and clinical advancement of small molecules for <i>ex vivo</i> expansion of hematopoietic stem cell.
    Li J, Wang X, Ding J, Zhu Y, et al · · 2022 · cited 15× · PMID 35755294 · DOI 10.1016/j.apsb.2021.12.006
  5. Clinical Progress and Preclinical Insights Into Umbilical Cord Blood Transplantation Improvement.
    Sun Z, Yao B, Xie H, Su X. · · 2022 · cited 9× · PMID 35972332 · DOI 10.1093/stcltm/szac056
  6. How to Improve Cord Blood Engraftment?
    Beksac M, Yurdakul P. · · 2016 · cited 9× · PMID 26925402 · DOI 10.3389/fmed.2016.00007
  7. Umbilical cord blood derived cell expansion: a potential neuroprotective therapy.
    Penny TR, Jenkin G, Miller SL, McDonald CA. · · 2024 · cited 8× · PMID 39075614 · DOI 10.1186/s13287-024-03830-0
  8. Expansion of Haematopoietic Stem and Progenitor Cells: Paving the Way for Next-Generation Haematopoietic Stem Cell Transplantation.
    Bari S, Chong P, Hwang WYK. · · 2019 · PMID 37588101 · DOI 10.31547/bct-2019-004

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Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01474681.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing