Collection of Bone Marrow From Donors Treated With or Without Filgrastim

NCT ID: NCT01149096

Last Updated: 2020-02-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-14

Study Completion Date

2016-09-30

Brief Summary

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This randomized clinical trial is studying the side effects of collection of bone marrow from donors treated with or without filgrastim. Giving colony-stimulating factors, such as filgrastim (G-CSF), to donors helps the stem cells move from the bone marrow to the blood so they can be collected and stored.

Detailed Description

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PRIMARY OBJECTIVES:

I. To evaluate short- and long-term toxicities in bone marrow donors treated with vs without filgrastim before harvest.

II. To compare 10-year mortality and cancer in donors treated with vs without filgrastim.

SECONDARY OBJECTIVES:

I. To correlate the incidence of acute and chronic graft-vs-host disease in the marrow recipients enrolled on COG-ASCT0631 with four parameters assessed in the bone marrow harvests: absolute T-cell numbers, Th1 vs Th2 profile of T-cells, dendritic cell populations, and T-regulatory cell content.

OUTLINE: Donors are randomized to 1 of 2 treatment arms.

ARM I (unstimulated harvest): Donors undergo conventional (i.e., unstimulated) bone marrow harvest on day 0.

ARM II (stimulated harvest): Donors receive filgrastim subcutaneously on days -4 through 0. Donors then undergo bone marrow harvest on day 0.

After completion of study treatment, donors are followed up at 1, 6, and 12 months and then annually for up to 10 years.

Conditions

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Healthy Stem Cell Donor No Evidence of Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Arm I (conventional bone marrow harvest)

Donors undergo conventional (i.e., unstimulated) bone marrow harvest on day 0.

Group Type ACTIVE_COMPARATOR

Bone Marrow Donation

Intervention Type PROCEDURE

Undergo bone marrow harvest

Laboratory Biomarker Analysis

Intervention Type OTHER

Optional correlative studies

Arm II (filgrastim, bone marrow harvest)

Donors receive filgrastim subcutaneously on days -4 through 0. Donors then undergo bone marrow harvest on day 0.

Group Type EXPERIMENTAL

Bone Marrow Donation

Intervention Type PROCEDURE

Undergo bone marrow harvest

Filgrastim

Intervention Type BIOLOGICAL

Given subcutaneously

Laboratory Biomarker Analysis

Intervention Type OTHER

Optional correlative studies

Interventions

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Bone Marrow Donation

Undergo bone marrow harvest

Intervention Type PROCEDURE

Filgrastim

Given subcutaneously

Intervention Type BIOLOGICAL

Laboratory Biomarker Analysis

Optional correlative studies

Intervention Type OTHER

Other Intervention Names

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G-CSF Neupogen r-metHuG-CSF Recombinant Methionyl Human Granulocyte Colony Stimulating Factor rG-CSF Tevagrastim

Eligibility Criteria

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Inclusion Criteria

* Appropriately human leukocyte antigen (HLA)-matched (HLA, A, B, DRB1 identical or antigen mismatched \[i.e., 5/6 or 6/6 antigens matched\]) sibling of the bone marrow recipient enrolled on COG-ASCT0631
* Adequate size relative to the recipient (i.e., harvesting the maximum of 20 cc/kg from the donor would result in a bone marrow graft that will provide an adequate cell and volume dose to the recipient, in the opinion of the treating physician)
* Enrolled on the COG Umbrella Long-Term Follow-Up Study COG-ALTE05N1
* Not pregnant or nursing
* No human immunodeficiency virus (HIV) positivity
* No sickle cell trait or sickle cell anemia/disease
* Not at an increased risk from bone marrow donation after filgrastim administration due to a pre-existing medical condition, as determined by an independent physician separate from the research team
* None of the following:

* Active infection, especially pulmonary
* Splenomegaly or a history of splenic injury
* Active or recent pulmonary disease (i.e., pneumonia within the past 4 weeks)
* A condition that would make the donor unsuitable to donate, as determined by an independent physician separate from the research team
* No autoimmune disease
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Children's Oncology Group

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephan A Grupp

Role: PRINCIPAL_INVESTIGATOR

Children's Oncology Group

Locations

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UCSF Medical Center-Parnassus

San Francisco, California, United States

Site Status

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status

Johns Hopkins All Children's Hospital

St. Petersburg, Florida, United States

Site Status

Lurie Children's Hospital-Chicago

Chicago, Illinois, United States

Site Status

Indiana University/Melvin and Bren Simon Cancer Center

Indianapolis, Indiana, United States

Site Status

Riley Hospital for Children

Indianapolis, Indiana, United States

Site Status

Norton Children's Hospital

Louisville, Kentucky, United States

Site Status

Johns Hopkins University/Sidney Kimmel Cancer Center

Baltimore, Maryland, United States

Site Status

C S Mott Children's Hospital

Ann Arbor, Michigan, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Children's Mercy Hospitals and Clinics

Kansas City, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

New York Medical College

Valhalla, New York, United States

Site Status

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, United States

Site Status

Rainbow Babies and Childrens Hospital

Cleveland, Ohio, United States

Site Status

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Childrens Oncology Group

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, United States

Site Status

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee, United States

Site Status

Primary Children's Hospital

Salt Lake City, Utah, United States

Site Status

Virginia Commonwealth University/Massey Cancer Center

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2011-02237

Identifier Type: REGISTRY

Identifier Source: secondary_id

CDR0000675536

Identifier Type: -

Identifier Source: secondary_id

COG-ASCT0631D

Identifier Type: -

Identifier Source: secondary_id

ASCT0631D

Identifier Type: OTHER

Identifier Source: secondary_id

ASCT0631D

Identifier Type: OTHER

Identifier Source: secondary_id

U10CA098543

Identifier Type: NIH

Identifier Source: secondary_id

View Link

ASCT0631D

Identifier Type: -

Identifier Source: org_study_id

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