Trial Outcomes & Findings for Maraviroc in Patients Undergoing Non-Myeloablative Allogeneic Stem-Cell Transplantation (NCT NCT00948753)

NCT ID: NCT00948753

Last Updated: 2022-05-17

Results Overview

number of Adverse Events following exposure to Maraviroc

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

38 participants

Primary outcome timeframe

1 year

Results posted on

2022-05-17

Participant Flow

Participant milestones

Participant milestones
Measure
Phase 1: 150mg Maraviroc
150mg twice daily 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.
Phase 1: 300mg Maraviroc
300mg twice daily 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.
Phase 2: 300mg Maraviroc
300mg twice daily 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.
Phase 1
STARTED
7
6
0
Phase 1
COMPLETED
7
6
0
Phase 1
NOT COMPLETED
0
0
0
Phase 2
STARTED
0
0
25
Phase 2
COMPLETED
0
0
25
Phase 2
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Total
n=38 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
4 Participants
n=7 Participants
15 Participants
n=5 Participants
26 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
2 Participants
n=7 Participants
10 Participants
n=5 Participants
12 Participants
n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
15 Participants
n=4 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
3 Participants
n=7 Participants
15 Participants
n=5 Participants
23 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 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
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
6 Participants
n=7 Participants
23 Participants
n=5 Participants
36 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (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
Region of Enrollment
United States
7 participants
n=5 Participants
6 participants
n=7 Participants
25 participants
n=5 Participants
38 participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 year

Population: patients receiving SCT

number of Adverse Events following exposure to Maraviroc

Outcome measures

Outcome measures
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Safety of Maraviroc
8 Number of AEs
6 Number of AEs
18 Number of AEs

PRIMARY outcome

Timeframe: 8 weeks

Efficacy is measured by number of participants progressing to acute GVHD. If acute GVHD is noted in a participant following exposure to study drug, then efficacy was not achieved. If no GVHD was noted following exposure, then efficacy was achieved in that participant

Outcome measures

Outcome measures
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Efficacy of Maraviroc
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: pre-dose, 1,2,3,4,6,12 hours post-dose

Population: not enough data was collected to reach statistical power for plasma maraviroc levels in the Phase 2 group.

Plasma maraviroc levels were measured in the blood with a target level of 100 ng per milliliter. Blood was drawn on Day 0 and Day 10-12 at pre-dose, 1, 2, 3, 4, 6, and 12 hours post-dose. Data was analyzed looking at the number of patients to achieve the target of 100 ng per milliliter at any time point.

Outcome measures

Outcome measures
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Pharmacokinetic Profile of Maraviroc in Patients Undergoing Nonmyeloablative Allogeneic SCT
4 number of patients to reach target
6 number of patients to reach target
0 number of patients to reach target

SECONDARY outcome

Timeframe: 1 year

Population: Participants

count of how many patients treated with Maraviroc during SCT go on to develop chronic GVHD in 1 year

Outcome measures

Outcome measures
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Number of Patients Treated With Maraviroc During SCT That Develop Chronic GVHD
1 Participants
3 Participants
2 Participants

SECONDARY outcome

Timeframe: 1 year

Number of participants who died without relapse within 1 year of SCT

Outcome measures

Outcome measures
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Rate of Early Mortality After Transplant
2 Participants
0 Participants
4 Participants

SECONDARY outcome

Timeframe: 1 year and 11 months

Number of participants who received Maraviroc during SCT who relapsed within 1 year and 11 months. This was based on a diagnosis made by their physician that their primary cancer had returned.

Outcome measures

Outcome measures
Measure
Phase 1: 150mg Maraviroc
n=7 Participants
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 Participants
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 Participants
300mg twice daily 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.
Number of Participants Who Relapsed During Study Period
2 Participants
2 Participants
15 Participants

Adverse Events

Phase 1: 150mg Maraviroc

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Phase 1: 300mg Maraviroc

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

Phase 2: 300mg Maraviroc

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Phase 1: 150mg Maraviroc
n=7 participants at risk
150mg twice daily 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.
Phase 1: 300mg Maraviroc
n=6 participants at risk
300mg twice daily 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.
Phase 2: 300mg Maraviroc
n=25 participants at risk
300mg twice daily 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.
Blood and lymphatic system disorders
Mucositis
28.6%
2/7 • Number of events 2
16.7%
1/6 • Number of events 1
20.0%
5/25 • Number of events 5
Blood and lymphatic system disorders
Bacteremia
14.3%
1/7 • Number of events 1
16.7%
1/6 • Number of events 1
12.0%
3/25 • Number of events 3
Gastrointestinal disorders
Abnormal LFTs
0.00%
0/7
16.7%
1/6 • Number of events 1
4.0%
1/25 • Number of events 1
Infections and infestations
Urinary Tract Infection
0.00%
0/7
16.7%
1/6 • Number of events 1
4.0%
1/25 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory failure
14.3%
1/7 • Number of events 1
0.00%
0/6
4.0%
1/25 • Number of events 1
Blood and lymphatic system disorders
Gout
14.3%
1/7 • Number of events 1
0.00%
0/6
4.0%
1/25 • Number of events 1
Blood and lymphatic system disorders
Hyperglycemia
14.3%
1/7 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/25
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/7
0.00%
0/6
4.0%
1/25 • Number of events 1
Cardiac disorders
Hypotension
14.3%
1/7 • Number of events 1
0.00%
0/6
0.00%
0/25
Infections and infestations
Septic arthritis
0.00%
0/7
0.00%
0/6
4.0%
1/25 • Number of events 1
Blood and lymphatic system disorders
Hyponatremia
14.3%
1/7 • Number of events 1
0.00%
0/6
0.00%
0/25
Psychiatric disorders
Psychosis
0.00%
0/7
16.7%
1/6 • Number of events 1
0.00%
0/25
Nervous system disorders
Headache
0.00%
0/7
0.00%
0/6
4.0%
1/25 • Number of events 1
Gastrointestinal disorders
Acute kidney injury
0.00%
0/7
0.00%
0/6
4.0%
1/25 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
0.00%
0/7
0.00%
0/6
4.0%
1/25 • Number of events 1
Gastrointestinal disorders
Diarrhea
0.00%
0/7
0.00%
0/6
4.0%
1/25 • Number of events 1

Additional Information

David Porter

University of Pennsylvania Abramson Cancer Center

Phone: 215-662-2862

Results disclosure agreements

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