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NCT04022889

In Vivo Study to Assess the Recovery and Survival of Radiolabeled Autologous INTERCEPT Apheresis Platelet Components Suspended in 100% Plasma Stored for up to 7 Days

Completed Phase 2 Results posted Last updated 27 October 2022
What this trial tests

Phase 2 trial testing INTERCEPT Treated Platelets in Healthy in 37 participants. Completed in 17 April 2021.

Timeline
5 November 2019
Primary endpoint
16 April 2021
17 April 2021

Quick facts

Lead sponsorCerus Corporation
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposeother
Enrollment37
Start date5 November 2019
Primary completion16 April 2021
Estimated completion17 April 2021
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Cerus Corporation — full company profile →

Who can join

18 and older, any sex, with Healthy. 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.

Post Infusion Recovery of Test Platelets at End of Storage (Day 7) Primary · 11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 7 days and fresh Control platelets

Recovery of Test platelets stored for 7 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is \>66% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test-0.66\*Control) in survival is greater than or equal to zero.

GroupValue95% CI
Stage 1 - Variant 1 Arm - TEST39.5± 10.3
Stage 1 - Variant 1 Arm - CONTROL57.8± 11.6
Stage 1 - BEST Arm- TEST39.1± 10.6
Stage 1 - BEST Arm - CONTROL60.4± 10.5
Stage 2 - TEST37.6± 8.4
Stage 2 - CONTROL56.8± 9.2
Post Infusion Survival of Test Platelets at End of Storage Primary · 11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 7 days and fresh Control platelets

Survival of Test platelets stored for 7 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is \>58% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test - 0.58 \* Control) in survival is greater than or equal to zero.

GroupValue95% CI
Stage 1 - Variant 1 Arm- TEST150.1± 21.6
Stage 1 - Variant 1 Arm - CONTROL208.9± 15.8
Stage 1 - BEST Arm- TEST143.2± 33.6
Stage 1 - BEST Arm - CONTROL202.9± 24.4
Stage 2 - TEST151.4± 20.1
Stage 2 - CONTROL209.6± 13.9
Platelet Dose in Test Component Secondary · At the end of INTERCEPT treatment on Day 1 or Day 2

Percentage of Test components with ≥ 3.0×10\^11 platelets

GroupValue95% CI
Stage 1 - Variant 1 Arm12
Stage 1 - BEST Arm13
Stage 222
Platelet Yield Retention Secondary · At the end of INTERCEPT treatment on Day 1 or Day 2

Percentage of Test components with ≥80% platelet yield retention

GroupValue95% CI
Stage 1 - Variant 1 Arm12
Stage 1 - BEST Arm12
Stage 222
pH 22°C Secondary · At the end of storage on Day 7

Percentage of Test components with pH 22°C ≥ 6.2

GroupValue95% CI
Stage 1 - Variant 1 Arm13
Stage 1 - BEST Arm13
Stage 223
Assessment of the Stored Test (INTERCEPT) Platelet Components: Component Volume Secondary · At the end of storage on Day 7

Component volume was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm334± 17
Stage 1 - BEST Arm338± 12
Stage 2330± 20
Assessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Count Secondary · At the end of storage on Day 7

Platelet count was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm1116± 185
Stage 1 - BEST Arm1086± 112
Stage 21133± 176
Assessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Dose Secondary · At the end of storage on Day 7

Platelet dose was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm3.7± 0.7
Stage 1 - BEST Arm3.7± 0.4
Stage 23.7± 0.5
Assessment of the Stored Test (INTERCEPT) Platelet Components: MPV Secondary · At the end of storage on Day 7

MPV was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm7.3± 0.6
Stage 1 - BEST Arm7.2± 0.7
Stage 27.0± 0.7
Assessment of the Stored Test (INTERCEPT) Platelet Components: pO2 Secondary · At the end of storage on Day 7

pO2 was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm152.2± 7.6
Stage 1 - BEST Arm147.2± 13.8
Stage 2152.3± 8.3
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pO2 Secondary · At the end of storage on Day 7

pO2 normalized for platelet count was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm43.5± 10.6
Stage 1 - BEST Arm42.4± 7.3
Stage 242.5± 8.4
Assessment of the Stored Test (INTERCEPT) Platelet Components: pCO2 Secondary · At the end of storage on Day 7

pCO2 was summarized descriptively for Stage 1 and Stage 2 Test components

GroupValue95% CI
Stage 1 - Variant 1 Arm26.5± 3.1
Stage 1 - BEST Arm27.4± 2.3
Stage 226.3± 2.8

Adverse events — posted to ClinicalTrials.gov

Time frame: All AE/SAEs that occur following the start of the apheresis collection through 24 hours and from Day 1 to Day 11 ±1post infusion blood sample (1-3 weeks post collection), in both arms of Stage 1 (Variant 1 or BEST) and/or Stage 2. AEs were collected for the Safety Analysis Set, comprised of all subjects who initiated an apheresis collection.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Stage 1-Variant 1
Serious: 0/13 (0%)
Deaths: 0/13
Stage 1-BEST
Serious: 0/15 (0%)
Deaths: 0/15
Stage 2-Variant 1
Serious: 0/17 (0%)
Deaths: 0/17
Other adverse events (21 terms — click to expand)

ReactionSystemStage 1-Variant 1Stage 1-BESTStage 2-Variant 1
Paraesthesia OralGastrointestinal disorders
Injection site extravasationGeneral disorders
ParaesthesiaNervous system disorders
HaematomaVascular disorders
Vessel puncture site bruiseGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal distentionGastrointestinal disorders
Abdominal painGastrointestinal disorders
FatigueGeneral disorders
Injection site haematomaGeneral disorders
Injection site painGeneral disorders
PyrexiaGeneral disorders
BronchitisInfections and infestations
Kidney InfectionInfections and infestations
Pharyngitis streptococcalInfections and infestations
Urinary tract infectionInfections and infestations
Clavicle fractureInjury, poisoning and procedural complications
ArthraigiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
PresyncopeNervous system disorders
Pharyngeal erythemaRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT04022889 adverse events section.

Sponsor's own description

The principle objective of this study is to evaluate the hypothesis that INTERCEPT Platelets in 100% plasma stored for 5 or more days (up to 7 days) after apheresis collection retain sufficient viability for therapeutic transfusion efficacy. The post-infusion recovery and survival of autologous radiolabeled 7 day INTERCEPT platelets (Test) stored in 100% plasma will be measured in comparison to "fresh" autologous radiolabeled platelets (Control) according to FDA guidance for platelet testing (FDA 1999) in Stage 2 of this study protocol. A secondary objective is to compare the recovery and survival results for Test platelets prepared for radiolabeling using the procedures outlined by the Biomedical Excellence for Safer Transfusion Collaboration (BEST) or a variation of the BEST procedure (referred to as Variant 1) in Stage 1 of this study protocol. Cerus has demonstrated that the Variant 1 method, which does not incorporate an initial soft spin in the presence of ACD A, results in improved in vitro platelet recovery and quality during preparation for radiolabeling compared to the BEST procedure. This comparison will evaluate the hypothesis that preparation methods prior to radiolabeling may influence in vitro quality of the radiolabeled platelets and post-infusion viability outcomes.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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