Trial Outcomes & Findings for Allo-HCT MUD for Non-malignant Red Blood Cell (RBC) Disorders: Sickle Cell, Thal, and DBA: Reduced Intensity Conditioning, Co-tx MSCs (NCT NCT00957931)

NCT ID: NCT00957931

Last Updated: 2018-08-06

Results Overview

Stable engraftment was defined as absolute neutrophil count (ANC) \>500 cells /µL for 3 consecutive days and platelet count \>50,000 for one week without transfusion; subsequently stable engraftment was measured by percentage of donor cells.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

Up to 1 year

Results posted on

2018-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Mesenchymal Stromal Cells
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Overall Study
STARTED
6
Overall Study
COMPLETED
2
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Mesenchymal Stromal Cells
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Overall Study
Death
4

Baseline Characteristics

Allo-HCT MUD for Non-malignant Red Blood Cell (RBC) Disorders: Sickle Cell, Thal, and DBA: Reduced Intensity Conditioning, Co-tx MSCs

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mesenchymal Stromal Cells
n=6 Participants
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Age, Continuous
10 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Number of known transfusions prior to HSCT
47.5 transfusions
n=5 Participants
Diagnosis
Sickle cell disease
4 Participants
n=5 Participants
Diagnosis
Thalassemia major
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 1 year

Stable engraftment was defined as absolute neutrophil count (ANC) \>500 cells /µL for 3 consecutive days and platelet count \>50,000 for one week without transfusion; subsequently stable engraftment was measured by percentage of donor cells.

Outcome measures

Outcome measures
Measure
Mesenchymal Stromal Cells
n=6 Participants
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Count of Participants With Stable Engraftment Post Hematopoietic Cell Transplantation (HCT)
3 Participants

SECONDARY outcome

Timeframe: 6 months

Overall survival is reported at the count of participants alive 6 months following HCT.

Outcome measures

Outcome measures
Measure
Mesenchymal Stromal Cells
n=6 Participants
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Overall Survival 6 Months Following HCT
2 Participants

SECONDARY outcome

Timeframe: 1 year

Overall survival is reported at the count of participants alive 1 year following HCT.

Outcome measures

Outcome measures
Measure
Mesenchymal Stromal Cells
n=6 Participants
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Overall Survival 1 Year Following HCT
2 Participants

SECONDARY outcome

Timeframe: 6 months

Disease-free survival is defined as alive without underlying disease.

Outcome measures

Outcome measures
Measure
Mesenchymal Stromal Cells
n=6 Participants
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Count of Participants With Disease-free Survival 6 Months Following HCT
0 Participants

SECONDARY outcome

Timeframe: 1 year

Disease-free survival is defined as alive without underlying disease.

Outcome measures

Outcome measures
Measure
Mesenchymal Stromal Cells
n=6 Participants
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Count of Participants With Disease-free Survival 1 Year Following HCT
0 Participants

Adverse Events

Mesenchymal Stromal Cells

Serious events: 6 serious events
Other events: 0 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Mesenchymal Stromal Cells
n=6 participants at risk
Patients received bone marrow transplantation using matched unrelated donors, reduced intensity conditioning regimen, and co-transplanting mesenchymal stromal cells derived from parental bone marrow.
Blood and lymphatic system disorders
Graft failure with autologous recovery
33.3%
2/6 • 1 year
Hepatobiliary disorders
SOS
16.7%
1/6 • 1 year
Immune system disorders
EBV-PTLD
16.7%
1/6 • 1 year
Immune system disorders
Grade II GVHD
16.7%
1/6 • 1 year
Immune system disorders
Grade III acute GVHD
16.7%
1/6 • 1 year
Infections and infestations
Adenovirus reactivation
16.7%
1/6 • 1 year
Infections and infestations
BK virus reactivation
16.7%
1/6 • 1 year
Infections and infestations
CMV pneumonitis
16.7%
1/6 • 1 year
Infections and infestations
CMV reactivation
16.7%
1/6 • 1 year
Infections and infestations
CMV viremia
33.3%
2/6 • 1 year
Infections and infestations
Disseminated toxoplasmosis
16.7%
1/6 • 1 year
Infections and infestations
Gram-negative septic shock
16.7%
1/6 • 1 year
Infections and infestations
HHV-6 viremia
16.7%
1/6 • 1 year
Infections and infestations
Klebsiella and enterobacter
16.7%
1/6 • 1 year
Infections and infestations
Klebsiella bacteremia
16.7%
1/6 • 1 year
Nervous system disorders
Intracranial bleeding
16.7%
1/6 • 1 year
Nervous system disorders
Intracranial hemorrhage
16.7%
1/6 • 1 year
Nervous system disorders
PRES
16.7%
1/6 • 1 year

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sandhya Kharbanda, MD

University of California, San Francisco

Results disclosure agreements

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