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NCT02964325: MIPLATE

Efficacy of Mirasol-treated Apheresis Platelets in Patients With Hypoproliferative Thrombocytopenia

Terminated NA Results posted Last updated 19 August 2021
What this trial tests

NA trial testing Mirasol platelets (MIR PLTs) in Hematologic Malignancies in 422 participants. Terminated before completion.

Timeline
5 May 2017
Primary endpoint
25 June 2020
25 June 2020

Quick facts

Lead sponsorTerumo BCTbio
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposesupportive care
Enrollment422
Start date5 May 2017
Primary completion25 June 2020
Estimated completion25 June 2020
Sites10 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Terumo BCTbio — full company profile →

Who can join

Eligibility, any sex, with Hematologic Malignancies or Hypoproliferative Thrombocytopenia. 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.

Days of ≥ Grade 2 Bleeding Primary · From the first post-randomization platelet transfusion through 28 days following the first transfusion.

Number of days of Grade 2 or higher bleeding recorded from treatment start date through 28 days following the first transfusion, until transfusion independence (10 days without PLT transfusion) prior to Day 28, or study termination, whichever occurred first. Subjects who obtained transfusion independence prior to Day 28 were assumed to have zero bleeding events between the date of transfusion independence and Day 28. Observed and simulated data for off-protocol transfusion intervals were included.

GroupValue95% CI
MIRASOL1.7± 4.05
CONTROL0.6± 1.51
Number and Percentage of Subjects With Human Leukocyte Antigen (HLA) Alloimmunization Secondary · HLA antibodies were measured at Baseline and Days 14, 28, and 56.

The outcome was the development of a new HLA Class I antibodies among subjects negative at baseline within each treatment group. Positivity for Class I HLA antibodies was determined by the 5 SD normalized background ratio cutoffs assay threshold (\>59.2, LABScreen Mixed LSM12, One Lambda).

GroupValue95% CI
MIRASOL4
CONTROL2
Number and Percentage of Subjects With ≥ Grade 2 Bleeding Secondary · From the first post-randomization platelet transfusion through 28 days following the first transfusion.

The number and percentage of subjects with at least 1 day of ≥ Grade 2 bleeding from Day 0 through Day 27 (or until transfusion independence was achieved) by treatment group

GroupValue95% CI
MIRASOL58
CONTROL46
Number and Percentage of Subjects at the First Timepoint of ≥ Grade 2 Bleeding Secondary · From the first post-randomization platelet transfusion through 28 days following the first transfusion.

The time to first ≥ Grade 2 bleeding was analyzed using a log-rank test comparing survival curves stratified by treatment group.

Day 4
GroupValue95% CI
MIRASOL115
CONTROL128
Day 8
GroupValue95% CI
MIRASOL92
CONTROL110
Day 12
GroupValue95% CI
MIRASOL72
CONTROL85
Day 16
GroupValue95% CI
MIRASOL33
CONTROL48
Day 20
GroupValue95% CI
MIRASOL11
CONTROL27
Day 24
GroupValue95% CI
MIRASOL5
CONTROL13
Day 28
GroupValue95% CI
MIRASOL4
CONTROL11
Number and Percentage of Subjects With ≥ Grade 3 Bleeding Secondary · From the first post-randomization platelet transfusion through 28 days following the first transfusion.

The number and percentage of subjects with at least 1 day of ≥ Grade 3 bleeding from Day 0 through Day 27 (or until transfusion independence was achieved).

GroupValue95% CI
MIRASOL6
CONTROL2
Number and Percentage of Subjects With PLT Refractoriness Secondary · From the first post-randomization platelet transfusion through 28 days following the first transfusion.

The number and percentage of subjects with PLT refractoriness defined as 2 sequential transfusions, each with corrected count increments (CCIs) \< 5000 measured 1 hour post-transfusion.

GroupValue95% CI
MIRASOL41
CONTROL20
Number and Percentage of Subjects With Immune Platelet Refractoriness Secondary · Initial post-randomization platelet transfusion through high Class I HLA development.

The number and percentage of subjects with PLT refractoriness for each treatment group. Subjects were defined as immune PLT refractoriness based on 2 sequential transfusion episodes, each with CCIs \< 5000 measured 1 hour post transfusion, and who also had a positive antibody test within 14 days before or after the onset of PLT refractoriness.

GroupValue95% CI
MIRASOL1
CONTROL1
Number and Percentage of Subjects With Unanticipated Adverse Device Effects (UADEs) Secondary · From initial post-randomization PLT transfusion through 72 hours following the last per protocol PLT transfusion.

UADEs are identified as treatment emergent adverse events reported by the investigator as serious, unanticipated, at least possibly related to study device or at least possibly related to treatment. UADEs were coded using Medical Dictionary for Regulatory Activities (MedDRA) Version 19.1

GroupValue95% CI
MIRASOL1
CONTROL0
MIRASOL140
CONTROL161

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs) that occurred from initial post randomization platelet transfusion through seventy-two (72) hours following the transfusion end time of the last on-protocol PLT transfusion were reported. Deaths that occurred (including deaths due to bleeding) thirty days (30) following the transfusion end time of the last on-protocol PLT transfusion were reported.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

MIRASOL
Serious: 22/141 (16%)
Deaths: 1/141
CONTROL
Serious: 33/161 (20%)
Deaths: 3/161

Serious adverse events (56 terms)

ReactionSystemMIRASOLCONTROL
Febrile neutropeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
BacteraemiaInfections and infestations
HypotensionVascular disorders
Septic ShockInfections and infestations
Streptococcal bacteremiaInfections and infestations
Stomatococcal infectionInfections and infestations
Respiratory failureRespiratory, thoracic and mediastinal disorders
Mental status changesPsychiatric disorders
Staphylococcal bacteraemiaInfections and infestations
Bronchopulmonary aspergillosisInfections and infestations
Candida infectionInfections and infestations
CellulitisInfections and infestations
Clostridium difficile infectionInfections and infestations
Cystitis viralInfections and infestations
Device related infectionInfections and infestations
DiverticulitisInfections and infestations
Enterococcal bacteraemiaInfections and infestations
Enterococcal infectionInfections and infestations
Human herpesvirus 6 infectionInfections and infestations
PneumoniaInfections and infestations
Pseudomonal bacteraemiaInfections and infestations
Septic arthritis staphylococcalInfections and infestations
Deep vein thrombosisVascular disorders
EmbolismVascular disorders
Other adverse events (18 terms — click to expand)

ReactionSystemMIRASOLCONTROL
DiarrhoeaGastrointestinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
HypokalaemiaMetabolism and nutrition disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Mucosal inflammationGeneral disorders
Oedema peripheralGeneral disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
StomatitisGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
DizzinessNervous system disorders
Decreased appetiteMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
Febrile nonhaemolytic transfusion reactionInjury, poisoning and procedural complications

Most-reported serious reactions: Febrile neutropenia, Pyrexia, Bacteraemia, Hypotension, Septic Shock, Streptococcal bacteremia, Stomatococcal infection, Respiratory failure.

Data from ClinicalTrials.gov NCT02964325 adverse events section.

Sponsor's own description

This is a prospective, multi-center, controlled, randomized, non-inferiority study to evaluate the clinical effectiveness of Conventional versus Mirasol-treated apheresis platelets in subjects with hypoproliferative thrombocytopenia who are expected to have platelet count(s) ≤ 10,000/μL requiring ≥ 2 platelet transfusions.

Publications & conference data

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

  1. Platelets treated with pathogen reduction technology: current status and future direction.
    Lu W, Fung M. · · 2020 · cited 21× · PMID 32047608 · DOI 10.12688/f1000research.20816.1
  2. Implications of the US Food and Drug Administration draft guidance for mitigating septic reactions from platelet transfusions.
    Sachais BS, Paradiso S, Strauss D, Shaz BH. · · 2017 · cited 6× · PMID 29296756 · DOI 10.1182/bloodadvances.2017008334

Verify or expand the search:

Other recruiting trials for Hematologic Malignancies

Currently open trials in the same condition.

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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/NCT02964325.

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