Trial Outcomes & Findings for Intravenous AMD3100 for Collection of Autologous Peripheral Blood Stem Cells in Patients With Lymphoma (NCT NCT00733824)

NCT ID: NCT00733824

Last Updated: 2017-03-09

Results Overview

* MTD: the highest dose level of AMD3100 at which ≤ 1 of 6 participants experience a dose limiting toxicity (DLT). The MTD will be the Phase II dose. * DLT: selected grade III or higher (hematologic, cardiac, pulmonary, hepatobiliary/pancreatic, renal, or CNS) not attributable to any other cause.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

61 participants

Primary outcome timeframe

7 days from first dose of IV AMD3100

Results posted on

2017-03-09

Participant Flow

Participant milestones

Participant milestones
Measure
Phase I - Cohort 1
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * 160 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I - Cohort 2
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I - Cohort 3
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I - Cohort 4
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I
STARTED
10
3
6
6
0
Phase I
COMPLETED
9
3
6
6
0
Phase I
NOT COMPLETED
1
0
0
0
0
Phase II
STARTED
0
0
0
0
36
Phase II
COMPLETED
0
0
0
0
36
Phase II
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase I - Cohort 1
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * 160 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I - Cohort 2
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I - Cohort 3
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I - Cohort 4
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
* 240 µg/kg SC AMD3100 Day -5 * 10 µg/kg SC G-CSF Day -4 thru Day -1 * MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 * Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase I
Withdrawal by Subject
1
0
0
0
0

Baseline Characteristics

Intravenous AMD3100 for Collection of Autologous Peripheral Blood Stem Cells in Patients With Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=10 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 160 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 2
n=3 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
n=6 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
n=6 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
n=36 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Total
n=61 Participants
Total of all reporting groups
Age, Continuous
49.5 years
n=5 Participants
48 years
n=7 Participants
50 years
n=5 Participants
47 years
n=4 Participants
60 years
n=21 Participants
53 years
n=8 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
12 Participants
n=21 Participants
20 Participants
n=8 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
24 Participants
n=21 Participants
41 Participants
n=8 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
3 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
36 participants
n=21 Participants
61 participants
n=8 Participants

PRIMARY outcome

Timeframe: 7 days from first dose of IV AMD3100

* MTD: the highest dose level of AMD3100 at which ≤ 1 of 6 participants experience a dose limiting toxicity (DLT). The MTD will be the Phase II dose. * DLT: selected grade III or higher (hematologic, cardiac, pulmonary, hepatobiliary/pancreatic, renal, or CNS) not attributable to any other cause.

Outcome measures

Outcome measures
Measure
Phase 1 (Dose Levels 1-4)
n=25 Participants
Cohort 2
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached) AMD3100 G-CSF Apheresis
Maximum Tolerated Dose (MTD) of IV AMD3100 + G-CSF in Mobilization of Peripheral Blood Stem Cell in Patients With Lymphoma (Phase I Only)
400 micrograms/kilograms

PRIMARY outcome

Timeframe: 7 days from first dose of IV AMD3100

Dose limiting toxicity: selected grade III or higher (hematologic, cardiac, pulmonary, hepatobiliary/pancreatic, renal, or CNS) not attributable to any other cause.

Outcome measures

Outcome measures
Measure
Phase 1 (Dose Levels 1-4)
n=10 Participants
Cohort 2
n=3 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
n=6 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
n=6 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached) AMD3100 G-CSF Apheresis
Number of Participants Who Experienced Dose Limiting Toxicities in Phase I Portion of Study
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: From baseline to Day 1

Outcome measures

Outcome measures
Measure
Phase 1 (Dose Levels 1-4)
n=61 Participants
Cohort 2
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached) AMD3100 G-CSF Apheresis
Kinetics of Stem Cell Mobilization Using IV AMD3100 as Measured by Median Fold Change in the Number of CD34+ Cells After AMD3100 IV Administration
2.1 fold change
Interval 0.8 to 7.0

SECONDARY outcome

Timeframe: 1 year

Outcome measures

Outcome measures
Measure
Phase 1 (Dose Levels 1-4)
n=25 Participants
Cohort 2
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached) AMD3100 G-CSF Apheresis
Pharmacodynamic Response to a Dose of SC AMD3100 as Measured by Mean Percentage of the Circulating CD34+ Count With the 34+RA-123+/- Phenotype
49.0 mean percentage of total CD34+ cells
Standard Deviation 13.2

SECONDARY outcome

Timeframe: 30 days post transplant

Outcome measures

Outcome measures
Measure
Phase 1 (Dose Levels 1-4)
n=10 Participants
Cohort 2
n=3 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
n=6 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
n=6 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
n=36 Participants
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached) AMD3100 G-CSF Apheresis
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Neutrophils (ANC)
3 participants
3 participants
6 participants
6 participants
29 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Hemoglobin
3 participants
2 participants
4 participants
4 participants
20 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Leukocytes (WBC)
4 participants
3 participants
6 participants
6 participants
32 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Lymphopenia
3 participants
3 participants
3 participants
5 participants
29 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Platelets
5 participants
3 participants
5 participants
6 participants
34 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Alkaline phosphtase
1 participants
0 participants
0 participants
0 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
SGPT (ALT)
1 participants
0 participants
1 participants
0 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Hypoxia
3 participants
0 participants
0 participants
0 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Hypotension
0 participants
1 participants
0 participants
0 participants
2 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Mucositis
0 participants
0 participants
0 participants
1 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Infection with neutropenia
0 participants
0 participants
0 participants
2 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Febrile neutropenia
0 participants
0 participants
0 participants
4 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
INR
0 participants
0 participants
0 participants
1 participants
0 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
PTT
0 participants
0 participants
0 participants
1 participants
8 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Bleeding at catheter site
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Hemorrhage - spleen
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Atrial fibrillation
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Diarrhea
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Ileus
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Nausea
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Vomiting
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Hyperbilirubinemia
1 participants
0 participants
0 participants
0 participants
2 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Fungal infection
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Opportunistic infection
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Clostridium difficile
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Colitis
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
E. coli infection
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Leptotrichia
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Lung infection (pneumonia)
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Staph infection
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Typhlitis
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Glucose - high
0 participants
0 participants
0 participants
0 participants
2 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Magnesium - high
0 participants
0 participants
0 participants
0 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Potassium - low
1 participants
0 participants
0 participants
2 participants
1 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Sodium - low
0 participants
0 participants
0 participants
1 participants
6 participants
Toxicity of the Combination IV AMD3100 and G-CSF to Mobilize ≥ 2 x 106 CD34+ Cells/kg as Measured by Number of Participants Who Experience Grade 3 or Higher Adverse Event Broken Down by Adverse Event
Cough
0 participants
0 participants
0 participants
0 participants
1 participants

Adverse Events

Cohort 1

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Cohort 2

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Cohort 3

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

Cohort 4

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

Phase II

Serious events: 2 serious events
Other events: 36 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1
n=10 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 160 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 2
n=3 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
n=6 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
n=6 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
n=36 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Gastrointestinal disorders
Abdominal pain
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Gastrointestinal disorders
Constipation
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
General disorders
Death - disease progression
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
General disorders
Hemorrhage - spleen
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Gastrointestinal disorders
Nausea
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Gastrointestinal disorders
Vomiting
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Respiratory, thoracic and mediastinal disorders
Respiratory failure
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36

Other adverse events

Other adverse events
Measure
Cohort 1
n=10 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 160 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 2
n=3 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 240 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 3
n=6 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 320 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Cohort 4
n=6 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 400 µg/kg IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Phase II
n=36 participants at risk
240 µg/kg SC AMD3100 Day -5 10 µg/kg SC G-CSF Day -4 thru Day -1 MTD as determined in Phase I IV AMD3100 and 10 µg/kg SC G-CSF Day 1 Pheresis (this will be repeated on Day 2 through Day 4 until target of ≥5X106 CD34+ cell/kg is reached)
Gastrointestinal disorders
Diarrhea
80.0%
8/10
0.00%
0/3
16.7%
1/6
100.0%
6/6
50.0%
18/36
Nervous system disorders
Dizziness
0.00%
0/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
19.4%
7/36
Gastrointestinal disorders
Dry mouth
0.00%
0/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
5.6%
2/36
Gastrointestinal disorders
Dyspepsia/heartburn
0.00%
0/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
2.8%
1/36
Musculoskeletal and connective tissue disorders
Bone pain
30.0%
3/10
33.3%
1/3
0.00%
0/6
33.3%
2/6
38.9%
14/36
Metabolism and nutrition disorders
Calcium (high)
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
5.6%
2/36
Metabolism and nutrition disorders
Calcium - low
20.0%
2/10
0.00%
0/3
16.7%
1/6
100.0%
6/6
11.1%
4/36
Injury, poisoning and procedural complications
Catheter site - neck pain
30.0%
3/10
33.3%
1/3
16.7%
1/6
16.7%
1/6
11.1%
4/36
Cardiac disorders
Chest (tightness, pressure)
0.00%
0/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
0.00%
0/36
Infections and infestations
Clostridium difficile
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Infections and infestations
Colitis
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Respiratory, thoracic and mediastinal disorders
Congestion
0.00%
0/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
0.00%
0/36
Gastrointestinal disorders
Constipation
20.0%
2/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Respiratory, thoracic and mediastinal disorders
Cough
30.0%
3/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
2.8%
1/36
Investigations
Creatinine
10.0%
1/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
0.00%
0/36
Metabolism and nutrition disorders
Dehydration
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
General disorders
Diaphoresis
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Gastrointestinal disorders
Abdominal distension/bloating
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
5.6%
2/36
Gastrointestinal disorders
Abdominal pain
60.0%
6/10
66.7%
2/3
33.3%
2/6
33.3%
2/6
8.3%
3/36
Metabolism and nutrition disorders
Albumin - low
20.0%
2/10
0.00%
0/3
0.00%
0/6
50.0%
3/6
5.6%
2/36
Investigations
Alkaline phosphatase
70.0%
7/10
33.3%
1/3
83.3%
5/6
100.0%
6/6
72.2%
26/36
Immune system disorders
Allergic reaction (platelets)
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Immune system disorders
Allergic reaction/hypersensitivity
20.0%
2/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
10.0%
1/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
2.8%
1/36
Metabolism and nutrition disorders
Anorexia
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Psychiatric disorders
Anxiety
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Musculoskeletal and connective tissue disorders
Arthralgia (joint)
0.00%
0/10
0.00%
0/3
0.00%
0/6
33.3%
2/6
19.4%
7/36
Cardiac disorders
Atrial fibrillation
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
5.6%
2/36
Musculoskeletal and connective tissue disorders
Back pain
30.0%
3/10
33.3%
1/3
0.00%
0/6
0.00%
0/6
19.4%
7/36
Injury, poisoning and procedural complications
Bleeding at catheter site
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Eye disorders
Blurred vision
0.00%
0/10
0.00%
0/3
0.00%
0/6
33.3%
2/6
0.00%
0/36
Respiratory, thoracic and mediastinal disorders
Dyspnea
30.0%
3/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Renal and urinary disorders
Dysuria
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Infections and infestations
E. coli infection
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
General disorders
Edema
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
13.9%
5/36
General disorders
Fatigue
80.0%
8/10
100.0%
3/3
33.3%
2/6
83.3%
5/6
22.2%
8/36
Infections and infestations
Febrile neutropenia
0.00%
0/10
0.00%
0/3
0.00%
0/6
66.7%
4/6
0.00%
0/36
General disorders
Fever
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
General disorders
Flu-like syndrome
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Vascular disorders
Flushing
0.00%
0/10
33.3%
1/3
0.00%
0/6
0.00%
0/6
5.6%
2/36
Infections and infestations
Fungal infection
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
General disorders
General body ache
0.00%
0/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
0.00%
0/36
Metabolism and nutrition disorders
Glucose - high
40.0%
4/10
0.00%
0/3
0.00%
0/6
50.0%
3/6
8.3%
3/36
Metabolism and nutrition disorders
Glucose - low
10.0%
1/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
0.00%
0/36
General disorders
HSV blister - lip
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Nervous system disorders
Headache
50.0%
5/10
0.00%
0/3
16.7%
1/6
16.7%
1/6
11.1%
4/36
Vascular disorders
Hematoma
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Blood and lymphatic system disorders
Hemoglobin
90.0%
9/10
66.7%
2/3
100.0%
6/6
100.0%
6/6
75.0%
27/36
Vascular disorders
Hot flashes
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Investigations
Hyperbilirubinemia
10.0%
1/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
8.3%
3/36
Gastrointestinal disorders
Hypersalivation
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Vascular disorders
Hypotension
20.0%
2/10
33.3%
1/3
0.00%
0/6
83.3%
5/6
8.3%
3/36
Respiratory, thoracic and mediastinal disorders
Hypoxia
30.0%
3/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Investigations
INR
0.00%
0/10
0.00%
0/3
0.00%
0/6
50.0%
3/6
8.3%
3/36
Gastrointestinal disorders
Ileus
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Infections and infestations
Infection with neutropenia
0.00%
0/10
0.00%
0/3
0.00%
0/6
33.3%
2/6
0.00%
0/36
Psychiatric disorders
Insomnia
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Skin and subcutaneous tissue disorders
Itching
10.0%
1/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
0.00%
0/36
Musculoskeletal and connective tissue disorders
Leg pain
0.00%
0/10
0.00%
0/3
33.3%
2/6
0.00%
0/6
0.00%
0/36
Infections and infestations
Leptotrichia infection
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Investigations
Leukocytes (WBC)
60.0%
6/10
100.0%
3/3
100.0%
6/6
100.0%
6/6
91.7%
33/36
Infections and infestations
Lung infection (pneumonia)
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Investigations
Lymphopenia
60.0%
6/10
100.0%
3/3
50.0%
3/6
83.3%
5/6
86.1%
31/36
Metabolism and nutrition disorders
Magnesium (high)
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Metabolism and nutrition disorders
Magnesium - low
20.0%
2/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Gastrointestinal disorders
Mucositis
50.0%
5/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
0.00%
0/36
Musculoskeletal and connective tissue disorders
Muscle cramping
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Musculoskeletal and connective tissue disorders
Muscle weakness
20.0%
2/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
5.6%
2/36
Musculoskeletal and connective tissue disorders
Muscle weakness - left arm
0.00%
0/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
0.00%
0/36
Gastrointestinal disorders
Nausea
50.0%
5/10
0.00%
0/3
66.7%
4/6
66.7%
4/6
36.1%
13/36
Investigations
Neutrophils (ANC)
30.0%
3/10
100.0%
3/3
100.0%
6/6
100.0%
6/6
80.6%
29/36
Endocrine disorders
Night sweats
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Renal and urinary disorders
Nocturia
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Infections and infestations
Opportunistic infection w/grade 2 or higher lymphopenia
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Investigations
PTT
0.00%
0/10
0.00%
0/3
0.00%
0/6
66.7%
4/6
41.7%
15/36
Cardiac disorders
Palpitations
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Investigations
Platelets
70.0%
7/10
0.00%
0/3
83.3%
5/6
100.0%
6/6
97.2%
35/36
Metabolism and nutrition disorders
Potassium - low
30.0%
3/10
0.00%
0/3
0.00%
0/6
66.7%
4/6
5.6%
2/36
Renal and urinary disorders
Proteinuria
0.00%
0/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
8.3%
3/36
Skin and subcutaneous tissue disorders
Rash
30.0%
3/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
General disorders
Rigors/chills
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Investigations
SGOT (AST)
30.0%
3/10
0.00%
0/3
16.7%
1/6
66.7%
4/6
16.7%
6/36
Investigations
SGPT (ALT)
60.0%
6/10
0.00%
0/3
33.3%
2/6
83.3%
5/6
13.9%
5/36
Nervous system disorders
Sensory neuropathy
0.00%
0/10
0.00%
0/3
16.7%
1/6
0.00%
0/6
44.4%
16/36
Infections and infestations
Sinus infection
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Cardiac disorders
Sinus tachycardia
30.0%
3/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Metabolism and nutrition disorders
Sodium - low
10.0%
1/10
0.00%
0/3
0.00%
0/6
33.3%
2/6
16.7%
6/36
Infections and infestations
Staph infection
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Cardiac disorders
Tachycardia
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Gastrointestinal disorders
Toothache
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Nervous system disorders
Tremor
0.00%
0/10
0.00%
0/3
0.00%
0/6
16.7%
1/6
0.00%
0/36
Infections and infestations
Typhlitis
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Metabolism and nutrition disorders
Uric acid (high)
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
2.8%
1/36
Reproductive system and breast disorders
Vaginal bleeding
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Gastrointestinal disorders
Vomiting
50.0%
5/10
0.00%
0/3
16.7%
1/6
33.3%
2/6
13.9%
5/36
Investigations
Weight gain
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
Investigations
Weight loss
10.0%
1/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/36
General disorders
Whole body pain
0.00%
0/10
0.00%
0/3
0.00%
0/6
0.00%
0/6
8.3%
3/36

Additional Information

Amanda F. Cashen, M.D.

Washington University School of Medicine

Phone: 314-454-8304

Results disclosure agreements

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