Trial Outcomes & Findings for Cytoxan, Fludara, and Antithymocyte Globulin Conditioning Followed By Stem Cell Transplant in Treating Fanconi Anemia (NCT NCT00630253)

NCT ID: NCT00630253

Last Updated: 2021-10-12

Results Overview

graft failure = absolute neutrophil count (ANC) \<5 x 10\^8/L and an acellular bone marrow aspirate/biopsy

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

31 participants

Primary outcome timeframe

From Day 1 to event, assessed up to100 days

Results posted on

2021-10-12

Participant Flow

Participant milestones

Participant milestones
Measure
Marrow Isolex
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
Umbilical Cord Blood (UCB) Arm
No processing
Marrow Clinimax
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Overall Study
STARTED
16
9
6
Overall Study
COMPLETED
16
9
6
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cytoxan, Fludara, and Antithymocyte Globulin Conditioning Followed By Stem Cell Transplant in Treating Fanconi Anemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Marrow Isolex
n=16 Participants
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 Participants
No processing
Marrow Clinimax
n=6 Participants
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
13 Participants
n=5 Participants
9 Participants
n=7 Participants
4 Participants
n=5 Participants
26 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
18 Participants
n=4 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
5 Participants
n=7 Participants
1 Participants
n=5 Participants
13 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
30 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
7 Participants
n=7 Participants
3 Participants
n=5 Participants
22 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
9 participants
n=7 Participants
6 participants
n=5 Participants
31 participants
n=4 Participants

PRIMARY outcome

Timeframe: From Day 1 to event, assessed up to100 days

graft failure = absolute neutrophil count (ANC) \<5 x 10\^8/L and an acellular bone marrow aspirate/biopsy

Outcome measures

Outcome measures
Measure
Marrow Isolex
n=16 Participants
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 Participants
No processing
Marrow Clinimax
n=6 Participants
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Number of Participants Experiencing Graft Failure
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 42

Acute Graft-Versus-Host Disease is a severe short-term complication created by infusion of donor cells into a foreign host.

Outcome measures

Outcome measures
Measure
Marrow Isolex
n=16 Participants
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 Participants
No processing
Marrow Clinimax
n=6 Participants
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Number of Participants With Acute Graft-Versus-Host Disease (GVHD)
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 1 Year

The percentage of people in a study or treatment group who are alive for a certain period of time after they were diagnosed with or treated for a disease, such as cancer. Also called survival rate. Overall survival will be defined as time from enrollment to date of death or censored at the date of last documented contact for patients still alive.

Outcome measures

Outcome measures
Measure
Marrow Isolex
n=16 Participants
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 Participants
No processing
Marrow Clinimax
n=6 Participants
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Number of Participants Experiencing Overall Survival
15 Participants
8 Participants
5 Participants

SECONDARY outcome

Timeframe: 1 Year

Chronic Graft-Versus-Host Disease is a severe long-term complication created by infusion of donor cells into a foreign host.

Outcome measures

Outcome measures
Measure
Marrow Isolex
n=16 Participants
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 Participants
No processing
Marrow Clinimax
n=6 Participants
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Number of Participants With Chronic Graft-Versus-Host Disease (GVHD)
2 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 100

In the field of transplantation, toxicity is high and all deaths without previous relapse or progression are usually considered as related to transplantation

Outcome measures

Outcome measures
Measure
Marrow Isolex
n=16 Participants
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 Participants
No processing
Marrow Clinimax
n=6 Participants
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Number of Participants With Transplant Related Deaths
1 Participants
0 Participants
1 Participants

Adverse Events

Marrow Isolex

Serious events: 0 serious events
Other events: 9 other events
Deaths: 1 deaths

UCB Arm

Serious events: 0 serious events
Other events: 6 other events
Deaths: 1 deaths

Marrow Clinimax

Serious events: 1 serious events
Other events: 5 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Marrow Isolex
n=16 participants at risk
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 participants at risk
No processing
Marrow Clinimax
n=6 participants at risk
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Gastrointestinal disorders
Hemorrhage
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year

Other adverse events

Other adverse events
Measure
Marrow Isolex
n=16 participants at risk
bone marrow processed using Isolex 300i (for patients enrolled through April 2010)
UCB Arm
n=9 participants at risk
No processing
Marrow Clinimax
n=6 participants at risk
bone marrow processed using CliniMACS (for patients enrolled beginning with the August 2010 protocol version)
Nervous system disorders
Brain Infarction
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/9 • 1 year
0.00%
0/6 • 1 year
Cardiac disorders
Cardiac arrect
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Cardiac disorders
Cardiopumonary shock
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Infections and infestations
Cystitis
12.5%
2/16 • Number of events 2 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
0.00%
0/6 • 1 year
Investigations
Elevaed ALT
12.5%
2/16 • Number of events 2 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
0.00%
0/6 • 1 year
Investigations
Elevaed bilirubin
6.2%
1/16 • Number of events 1 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
0.00%
0/6 • 1 year
Gastrointestinal disorders
GI bleeding
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
General disorders
Graft failure
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/9 • 1 year
0.00%
0/6 • 1 year
Renal and urinary disorders
Hematuria
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Blood and lymphatic system disorders
Hemolysis
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/9 • 1 year
0.00%
0/6 • 1 year
Infections and infestations
Hepatitis
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/9 • 1 year
0.00%
0/6 • 1 year
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/16 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
0.00%
0/6 • 1 year
Vascular disorders
Hypertension
6.2%
1/16 • Number of events 1 • 1 year
22.2%
2/9 • Number of events 2 • 1 year
50.0%
3/6 • Number of events 3 • 1 year
Nervous system disorders
Hypoxic ischemic encephalopathy
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Infections and infestations
Infection
43.8%
7/16 • Number of events 27 • 1 year
55.6%
5/9 • Number of events 13 • 1 year
66.7%
4/6 • Number of events 10 • 1 year
Respiratory, thoracic and mediastinal disorders
Intubation
0.00%
0/16 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Hepatobiliary disorders
Liver Ischemia
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Nervous system disorders
Neurotoxicity
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/9 • 1 year
0.00%
0/6 • 1 year
Ear and labyrinth disorders
Ototoxicity
0.00%
0/16 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
0.00%
0/6 • 1 year
Cardiac disorders
Pericardial effusion
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/9 • 1 year
0.00%
0/6 • 1 year
Infections and infestations
Pneumonia
0.00%
0/16 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
33.3%
2/6 • Number of events 2 • 1 year
Infections and infestations
Pneumonitis
0.00%
0/16 • 1 year
11.1%
1/9 • Number of events 1 • 1 year
0.00%
0/6 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary hemorrhage
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory acidosis
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/16 • 1 year
0.00%
0/9 • 1 year
16.7%
1/6 • Number of events 1 • 1 year

Additional Information

Margaret L. MacMillan, M.D.

Masonic Cancer Center, University of Minnesota

Phone: 612-273-2800

Results disclosure agreements

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