Maraviroc in Patients Undergoing Non-Myeloablative Allogeneic Stem-Cell Transplantation

NCT ID: NCT00948753

Last Updated: 2022-05-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2011-04-30

Brief Summary

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This study investigates the effectiveness and safety of Maraviroc (an oral medication given twice daily given in addition to the standard GVHD prophylaxis) in preventing Graft versus Host Disease (GVHD) in patients undergoing non-myeloablative allogeneic stem-cell transplantation (SCT). Subjects will receive Maraviroc bid (in addition to standard GVHD prophylaxis) beginning after the last dose of the chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Detailed Description

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Conditions

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Graft-versus-host Disease Hematopoietic Stem Cell Transplantation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1: 150mg Maraviroc

150mg twice daily

Group Type EXPERIMENTAL

Maraviroc 150 MG

Intervention Type DRUG

Maraviroc b.i.d. (in addition to the standard prophylaxis therapy of tacrolimus and methotrexate) beginning after last dose of chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Phase 1: 300mg Maraviroc

300mg twice daily

Group Type EXPERIMENTAL

Maraviroc 300 mg

Intervention Type DRUG

Maraviroc b.i.d. (in addition to the standard prophylaxis therapy of tacrolimus and methotrexate) beginning after last dose of chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Phase 2: 300mg Maraviroc

300mg twice daily

Group Type EXPERIMENTAL

Maraviroc 300 mg Phase II

Intervention Type DRUG

Maraviroc b.i.d. (in addition to the standard prophylaxis therapy of tacrolimus and methotrexate) beginning after last dose of chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Interventions

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Maraviroc 150 MG

Maraviroc b.i.d. (in addition to the standard prophylaxis therapy of tacrolimus and methotrexate) beginning after last dose of chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Intervention Type DRUG

Maraviroc 300 mg

Maraviroc b.i.d. (in addition to the standard prophylaxis therapy of tacrolimus and methotrexate) beginning after last dose of chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Intervention Type DRUG

Maraviroc 300 mg Phase II

Maraviroc b.i.d. (in addition to the standard prophylaxis therapy of tacrolimus and methotrexate) beginning after last dose of chemotherapy conditioning regimen until day 30 after stem-cell infusion.

Intervention Type DRUG

Other Intervention Names

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CCR5 Blockade CCR5 Blockade CCR5 Blockade

Eligibility Criteria

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Inclusion Criteria

* patients scheduled to undergo non-myeloablative allogeneic stem-cell transplantation.
* meet institutional eligibility criteria for allogeneic SCT. Significant criteria are:

* Renal function: Serum creatinine \<2; or calculated creatinine clearance \> 40 mL/min/1.72m2;
* Hepatic function: Baseline direct bilirubin, ALT or AST lower than three times the upper limit of normal;
* Pulmonary disease: FVC or FEV1 \> 40% predicted; Cardiac ejection fraction \> 40%.

Exclusion Criteria

* Patients not expected to be available for follow-up in our institution for at least 100 days after the transplant
* Patients who are not undergoing standard non-myeloablative SCT with Flu/Bu conditioning and Tax/MTX GVHD prophylaxis
* Patients with uncontrolled bacterial, viral or fungal infections
* Patients who take strong inducers or inhibitors of the CYP450A4
* Patients receiving other investigational drugs for GVHD
* Women who are pregnant, plan to become pregnant or are breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abramson Cancer Center at Penn Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Porter, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

References

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Reshef R, Luger SM, Hexner EO, Loren AW, Frey NV, Nasta SD, Goldstein SC, Stadtmauer EA, Smith J, Bailey S, Mick R, Heitjan DF, Emerson SG, Hoxie JA, Vonderheide RH, Porter DL. Blockade of lymphocyte chemotaxis in visceral graft-versus-host disease. N Engl J Med. 2012 Jul 12;367(2):135-45. doi: 10.1056/NEJMoa1201248.

Reference Type DERIVED
PMID: 22784116 (View on PubMed)

Other Identifiers

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UPCC 04708

Identifier Type: -

Identifier Source: org_study_id

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