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NCT01866839

Preventing Stem Cell Transplant Complications With a Blood Separator Machine

Completed Phase 1, PHASE2 Results posted Last updated 21 July 2020
What this trial tests

Phase 1, PHASE2 trial testing Graft Manipulation (CD34+ Selection) in MDS (Myelodysplastic Syndrome) in 41 participants. Completed in 28 June 2018.

Timeline
29 May 2013
Primary endpoint
23 May 2018
28 June 2018

Quick facts

Lead sponsorNational Heart, Lung, and Blood Institute (NHLBI)
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment41
Start date29 May 2013
Primary completion23 May 2018
Estimated completion28 June 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Who can join

Adults 2 to 80, any sex, with MDS (Myelodysplastic Syndrome) or Myeloproliferative Disorder. 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.

Disease Free Survival at 2 Years Secondary · 2 years

Disease Free Survival at 2 years

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient60.8
Disease Progression Secondary · 3 years

Incidence of relapse / disease progression

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient11
Incidence of Acute GVHD Secondary · 100 days

Participants who develop acute GVHD

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient26
Incidence of Chronic GVHD Secondary · 3 years

Participants who develop chronic GVHD

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient14
Median Time to ANC>500/mm3 Secondary · 3 years

Time in days

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient129 – 28
Median Time to Platelets>20K/mm3 Secondary · 3 years

Time in days

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient1514 – 28
Overall Survival Primary · 200 days

Determine the rate of overall survival at 200 day

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient36
Severity of Acute GVHD Secondary · 100 days

Grade I

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient10
Severity of Acute GVHD Secondary · 100 days

Grade II

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient7
Severity of Acute GVHD Secondary · 100 days

Grade III

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient8
Severity of Acute GVHD Secondary · 100 days

Grade IV

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient1
Severity of Chronic GVHD Secondary · 3 years

Extensive

GroupValue95% CI
CD34+ Cell Positively Selected Graft Stem Cell Recipient10

Adverse events — posted to ClinicalTrials.gov

Time frame: 3 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CD34+ Cell Positively Selected Graft Stem Cell Recipient
Serious: 38/40 (95%)
Deaths: 11/40

Serious adverse events (78 terms)

ReactionSystemCD34+ Cell Positively Sele…
Body temperature increasedInvestigations
Acute graft versus host disease in intestineImmune system disorders
Cytomegalovirus infectionInfections and infestations
BacteraemiaInfections and infestations
Clostridium difficile infectionInfections and infestations
PneumoniaInfections and infestations
suspected infectionInfections and infestations
SepsisInfections and infestations
DiarrhoeaGastrointestinal disorders
Acute graft versus host disease in skinImmune system disorders
Chronic graft versus host disease in intestineImmune system disorders
Escherichia bacteraemiaInfections and infestations
Urinary tract infectionInfections and infestations
Fluid overloadCardiac disorders
Adenovirus infectionInfections and infestations
BK virus infectionInfections and infestations
Escherichia sepsisInfections and infestations
AnaemiaBlood and lymphatic system disorders
Engraftment syndromeBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Cardiomyopathy acuteCardiac disorders
Diastolic dysfunctionCardiac disorders
TachycardiaCardiac disorders

Most-reported serious reactions: Body temperature increased, Acute graft versus host disease in intestine, Cytomegalovirus infection, Bacteraemia, Clostridium difficile infection, Pneumonia, suspected infection, Sepsis.

Data from ClinicalTrials.gov NCT01866839 adverse events section.

Sponsor's own description

Background: \- Researchers are working to make stem cell transplant procedures safer and more effective. One complication of transplants is graft-versus-host disease (GVHD). This complication happens when certain white blood cells from the donor attack the recipient's own body. Researchers want to test a blood separator machine that may help remove more of the donor's white blood cells before transplant. They will study donors and recipients during stem cell transplant to see how well this process can prevent GVHD and other complications. Objectives: \- To see if a new blood separator machine can improve outcomes of stem cell transplants. Eligibility: * Individuals between 10 and 75 years of age who are having a stem cell transplant for leukemia or other blood-related cancers. * Donors for the stem cell transplant. Design: * Recipients and donors will be screened with a physical exam and medical history. * Donors will have two blood collection procedures. The first will collect only white blood cells, and return the rest of the blood. After the first collection, participants will have filgrastim injections to help their stem cells enter their blood. Then, they will have a second blood collection for the stem cells. * Recipients will have radiation and chemotherapy to prepare for the stem cell transplant. They will then have the stem cell transplant with the donor cells that have been treated with the blood separator machine. * Recipients will be monitored closely after the procedure. They may receive some of their donor's white blood cells if needed to fight serious infections. * Recipients will have the regular standard of care after their transplant. Blood samples will be taken and any side effects will be monitored and treated.

Publications & conference data

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

  1. Over-expression of PD-1 Does Not Predict Leukemic Relapse after Allogeneic Stem Cell Transplantation.
    Jain P, Tian X, Cordes S, Chen J, et al · · 2019 · cited 10× · PMID 30292745 · DOI 10.1016/j.bbmt.2018.09.037
  2. Distinct Biomarker Profiles in Ex Vivo T Cell Depletion Graft Manipulation Strategies: CD34<sup>+</sup> Selection versus CD3<sup>+</sup>/19<sup>+</sup> Depletion in Matched Sibling Allogeneic Peripheral Blood Stem Cell Transplantation.
    Cantilena CR, Ito S, Tian X, Jain P, et al · · 2018 · cited 2× · PMID 29197677 · DOI 10.1016/j.bbmt.2017.11.028
  3. CD34+ selection and the severity of oropharyngeal mucositis in total body irradiation-based allogeneic stem cell transplantation.
    Anand A, Anandi P, Jain NA, Lu K, et al · · 2016 · cited 2× · PMID 26190358 · DOI 10.1007/s00520-015-2848-9
  4. Improved reproducibility and quality of GvHD biomarker assay: application of multiplex microfluidic channel system.
    Anandi P, Tian X, Chinian F, Cantilena CR, et al · · 2016 · cited 1× · PMID 27595279 · DOI 10.1038/bmt.2016.226

Verify or expand the search:

Other recruiting trials for MDS (Myelodysplastic Syndrome)

Currently open trials in the same condition.

Other National Heart, Lung, and Blood Institute (NHLBI) trials

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/NCT01866839.

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