Trial Outcomes & Findings for Megadose CD34 Selected Progenitor Cells for Transplantation in Patients With Advanced Hematological Malignant Diseases (NCT NCT00038857)

NCT ID: NCT00038857

Last Updated: 2012-08-10

Results Overview

Absolute neutrophil engraftment defined as first of 3 consecutive days with Absolute neutrophil count (ANC) equal to or more than 0.5 \* 10\^9/L. Baseline to Day 30 post transplant.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

Day 0 up to Day 30

Results posted on

2012-08-10

Participant Flow

Recruitment Period:October 1, 2001 to November 1, 2008. All participants recruited at UT MD Anderson Cancer Center.

Of the 29 participants enrolled, one participant was excluded from the trial and did not receive any treatment.

Participant milestones

Participant milestones
Measure
CD34 PBPC
Melphalan 140 mg/m\^2 given IV for one day. Thiotepa 10 mg/kg given IV for one day. Fludarabine 40 mg/m\^2 given IV daily for four days. Rabbit ATG 1.5 mg/kg given IV daily for four days. Stem Cell Infusion of CD34+ Selected Cells given on Day 0.
Overall Study
STARTED
29
Overall Study
COMPLETED
28
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Megadose CD34 Selected Progenitor Cells for Transplantation in Patients With Advanced Hematological Malignant Diseases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CD34 PBPC
n=29 Participants
Melphalan 140 mg/m\^2 given IV for one day. Thiotepa 10 mg/kg given IV for one day. Fludarabine 40 mg/m\^2 given IV daily for four days. Rabbit ATG 1.5 mg/kg given IV daily for four days. Stem Cell Infusion of CD34+ Selected Cells given on Day 0.
Age Continuous
36 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 0 up to Day 30

Population: Analysis per protocol.

Absolute neutrophil engraftment defined as first of 3 consecutive days with Absolute neutrophil count (ANC) equal to or more than 0.5 \* 10\^9/L. Baseline to Day 30 post transplant.

Outcome measures

Outcome measures
Measure
Melphalan + Thiotepa + Fludarabine + Rabbit ATG + CD34 PBPC
n=28 Participants
Melphalan 140 mg/m\^2 given for one day. Thiotepa 10 mg/kg given for one day. Fludarabine 40 mg/m\^2 given daily for four days. Rabbit ATG 1.5 mg/kg given daily for four days. Infusion of CD34+ Selected Cells given on Day 0.
Number of Participants With Absolute Neutrophil Count Engraftment
21 participant

Adverse Events

CD34 PBPC

Serious events: 21 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CD34 PBPC
n=28 participants at risk
Melphalan 140 mg/m\^2 given IV for one day. Thiotepa 10 mg/kg given IV for one day. Fludarabine 40 mg/m\^2 given IV daily for four days. Rabbit ATG 1.5 mg/kg given IV daily for four days. Stem Cell Infusion of CD34+ Selected Cells given on Day 0.
General disorders
Graft Failure
21.4%
6/28 • Number of events 6 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Infections and infestations
Infection
60.7%
17/28 • Number of events 17 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Renal and urinary disorders
Left Ureteral Obstruction
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Gastrointestinal disorders
Mucositis
7.1%
2/28 • Number of events 2 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Hepatobiliary disorders
Elevated alanine aminotransferase (ALT)
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Metabolism and nutrition disorders
Hypokalemia
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Fever
32.1%
9/28 • Number of events 9 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Disease Relapse
14.3%
4/28 • Number of events 4 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Graft vs Host Disease
7.1%
2/28 • Number of events 2 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
17.9%
5/28 • Number of events 5 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Blood and lymphatic system disorders
Hemolysis
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Nervous system disorders
Neuropathy
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Renal and urinary disorders
Renal Failure
7.1%
2/28 • Number of events 2 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Death
14.3%
4/28 • Number of events 4 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Cardiac disorders
Cardiac Failure
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Blood and lymphatic system disorders
Thrombotic Microangiopathy
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Respiratory, thoracic and mediastinal disorders
Diffuse Alveolar Hemorrhage
10.7%
3/28 • Number of events 3 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Nervous system disorders
Encephalopathy
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)

Other adverse events

Other adverse events
Measure
CD34 PBPC
n=28 participants at risk
Melphalan 140 mg/m\^2 given IV for one day. Thiotepa 10 mg/kg given IV for one day. Fludarabine 40 mg/m\^2 given IV daily for four days. Rabbit ATG 1.5 mg/kg given IV daily for four days. Stem Cell Infusion of CD34+ Selected Cells given on Day 0.
Blood and lymphatic system disorders
Low Platelets
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Cardiac disorders
Hypertension
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Fever
14.3%
4/28 • Number of events 4 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Gastrointestinal disorders
Diarrhea
35.7%
10/28 • Number of events 10 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Gastrointestinal disorders
Mucositis
39.3%
11/28 • Number of events 11 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Gastrointestinal disorders
Gastrointestinal Bleed
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Gastrointestinal disorders
Nausea
50.0%
14/28 • Number of events 14 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Renal and urinary disorders
Elevated Creatinine
7.1%
2/28 • Number of events 2 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Infections and infestations
BK Virus
10.7%
3/28 • Number of events 3 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Renal and urinary disorders
Hemorrhagic Cystitis
21.4%
6/28 • Number of events 6 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Hepatobiliary disorders
Elevated Alkaline Phosphatase
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Hepatobiliary disorders
Elevated Alanine Aminotransferase
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Hepatobiliary disorders
Elevated Bilirubin
7.1%
2/28 • Number of events 2 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Infections and infestations
Infecrtion
50.0%
14/28 • Number of events 14 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Neutropenic Fever
25.0%
7/28 • Number of events 7 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Respiratory, thoracic and mediastinal disorders
Cough
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Respiratory, thoracic and mediastinal disorders
Bronchiolitis
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Respiratory, thoracic and mediastinal disorders
Pneumonia
10.7%
3/28 • Number of events 3 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Fluid Overload
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
General disorders
Graft versus Host Disease
25.0%
7/28 • Number of events 7 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)
Eye disorders
Diplopia
3.6%
1/28 • Number of events 1 • 7 Years, 1 Month (October 1, 2001 to November 1, 2008)

Additional Information

Dr. Richard E. Champlin

MDAnderson Cancer Center

Phone: 713-792-8750

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place