Disease Free Survival at 2 years
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 60.8 |
Last reviewed · How we verify
Preventing Stem Cell Transplant Complications With a Blood Separator Machine
Phase 1, PHASE2 trial testing Graft Manipulation (CD34+ Selection) in MDS (Myelodysplastic Syndrome) in 41 participants. Completed in 28 June 2018.
| Lead sponsor | National Heart, Lung, and Blood Institute (NHLBI) |
|---|---|
| Phase | Phase 1, PHASE2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 41 |
| Start date | 29 May 2013 |
| Primary completion | 23 May 2018 |
| Estimated completion | 28 June 2018 |
| Sites | 1 location across United States |
National Heart, Lung, and Blood Institute (NHLBI)
Adults 2 to 80, any sex, with MDS (Myelodysplastic Syndrome) or Myeloproliferative Disorder. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Disease Free Survival at 2 years
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 60.8 |
Incidence of relapse / disease progression
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 11 |
Participants who develop acute GVHD
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 26 |
Participants who develop chronic GVHD
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 14 |
Time in days
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 12 | 9 – 28 |
Time in days
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 15 | 14 – 28 |
Determine the rate of overall survival at 200 day
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 36 |
Grade I
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 10 |
Grade II
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 7 |
Grade III
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 8 |
Grade IV
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 1 |
Extensive
| Group | Value | 95% CI |
|---|---|---|
| CD34+ Cell Positively Selected Graft Stem Cell Recipient | 10 |
Time frame: 3 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | CD34+ Cell Positively Sele… |
|---|---|---|
| Body temperature increased | Investigations | — |
| Acute graft versus host disease in intestine | Immune system disorders | — |
| Cytomegalovirus infection | Infections and infestations | — |
| Bacteraemia | Infections and infestations | — |
| Clostridium difficile infection | Infections and infestations | — |
| Pneumonia | Infections and infestations | — |
| suspected infection | Infections and infestations | — |
| Sepsis | Infections and infestations | — |
| Diarrhoea | Gastrointestinal disorders | — |
| Acute graft versus host disease in skin | Immune system disorders | — |
| Chronic graft versus host disease in intestine | Immune system disorders | — |
| Escherichia bacteraemia | Infections and infestations | — |
| Urinary tract infection | Infections and infestations | — |
| Fluid overload | Cardiac disorders | — |
| Adenovirus infection | Infections and infestations | — |
| BK virus infection | Infections and infestations | — |
| Escherichia sepsis | Infections and infestations | — |
| Anaemia | Blood and lymphatic system disorders | — |
| Engraftment syndrome | Blood and lymphatic system disorders | — |
| Febrile neutropenia | Blood and lymphatic system disorders | — |
| Thrombocytopenia | Blood and lymphatic system disorders | — |
| Cardiac failure congestive | Cardiac disorders | — |
| Cardiomyopathy acute | Cardiac disorders | — |
| Diastolic dysfunction | Cardiac disorders | — |
| Tachycardia | Cardiac 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.
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.
4 peer-reviewed publications reference this trial (live from Europe PMC):
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