Trial Outcomes & Findings for Bone Marrow Transplantation in Young Adults With Severe Sickle Cell Disease (NCT NCT01565616)

NCT ID: NCT01565616

Last Updated: 2017-11-21

Results Overview

Event-free survival is defined as stable donor erythropoiesis with no new clinical evidence of sickle cell disease. Primary or late graft rejection, disease recurrence, and death are considered events for this endpoint.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

22 participants

Primary outcome timeframe

1 year after transplant

Results posted on

2017-11-21

Participant Flow

Participants were enrolled from 8 study locations between March, 2012 and June, 2015.

The first component of the study was restricted to 5 patients with a related donor. If no more than 2 of the first 5 patients experienced unacceptable toxicity within six months of transplantation then the safety of the regimen was considered promising and the study could include patients with a related or unrelated HLA matched donor.

Participant milestones

Participant milestones
Measure
Bone Marrow Transplant Recipients
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Overall Study
STARTED
22
Overall Study
First Component: 5 Related Donors
5
Overall Study
Second Component: Related or Unrelated
17
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bone Marrow Transplantation in Young Adults With Severe Sickle Cell Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals receiving a bone marrow transplant at one of 10 study locations, between March 2012 and June, 2015.
Age, Customized
16-19 years of age
6 Participants
n=5 Participants
Age, Customized
20-24 years of age
8 Participants
n=5 Participants
Age, Customized
24-29 years of age
6 Participants
n=5 Participants
Age, Customized
30-40 years of age
2 Participants
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
22 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
22 Participants
n=5 Participants
Donor Relation
Related
17 Participants
n=5 Participants
Donor Relation
Unrelated
5 Participants
n=5 Participants
Indication of Severe Sickle Cell Disease
Significant neurological event (stroke)
2 Participants
n=5 Participants
Indication of Severe Sickle Cell Disease
Acute chest syndrome
2 Participants
n=5 Participants
Indication of Severe Sickle Cell Disease
Recurrent pain events
15 Participants
n=5 Participants
Indication of Severe Sickle Cell Disease
Regular RBC transfusion therapy
4 Participants
n=5 Participants
Indication of Severe Sickle Cell Disease
Elevated TRJ Velocity
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year after transplant

Event-free survival is defined as stable donor erythropoiesis with no new clinical evidence of sickle cell disease. Primary or late graft rejection, disease recurrence, and death are considered events for this endpoint.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Event -Free Survival Rate
19 Participants

SECONDARY outcome

Timeframe: 1 year after transplant

Primary graft failure occurs when a transplant recipient does not achieve donor chimerism following a bone marrow transplant. Secondary graft failure occurs when graft fails after donor chimerism had initially occurred.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Graft Failure
Primary graft failure
0 Participants
Graft Failure
Secondary graft failure
1 Participants

SECONDARY outcome

Timeframe: 1 year after transplant

Acute GVHD was graded according to the Center for International Blood and Marrow Transplant Research (CIBMTR) consensus criteria. Clinical manifestations of acute GVHD include skin, liver, and gastrointestinal symptoms. Grading of acute GVHD is determined by size of maculopapular rash, bilirubin and stool output. Acute GVHD grades range from 0 to 4 with 0 indicating no GVHD and 4 representing the most severe grade. Grade II is defined as a maculopapular rash over 25-50% of body surface area (BSA), bilirubin of 3.1 to 6 mg/dL, and stool output of 1000-1500 mL/d (for adults). Grade III is defined as a maculopapular rash over more than 50% of BSA, bilirubin of 6.1 to 15 mg/dL, and stool output of greater than 1500 mL/d (for adults). Grade IV is defined as generalized erythroderma with bullous formation, bilirubin greater than 15 mg/dL, and severe abdominal pain with or without ileus.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Acute Graft Versus Host Disease (GVHD)
Grade II Acute GVHD
3 Participants
Acute Graft Versus Host Disease (GVHD)
Grade III Acute GVHD
1 Participants
Acute Graft Versus Host Disease (GVHD)
Grade IV Acute GVHD
0 Participants

SECONDARY outcome

Timeframe: 1 year after transplant

Chronic GVHD was graded according to the National Institutes of Health (NIH) 2014 Consensus Criteria Diagnosis and scoring the severity of chronic GVHD is determined by evaluating symptoms of the skin, nails, hair, mouth, eyes, genitalia, gastrointestinal tract, liver, lungs, muscles, fascia and joints, immune function as well as other symptoms such as ascites and neuropathy. Chronic GVHD is graded as mild, moderate or severe based on the number of organ sites impacted and the severity of symptoms.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Chronic Graft Versus Host Disease (GVHD)
Mild Chronic GVHD
3 Participants
Chronic Graft Versus Host Disease (GVHD)
Moderate Chronic GVHD
2 Participants
Chronic Graft Versus Host Disease (GVHD)
Severe Chronic GVHD
1 Participants

SECONDARY outcome

Timeframe: 1 year after transplant

Overall survival is defined as survival with or without sickle cell disease after hematopoietic cell transplantation (HCT).

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Overall Survival
20 Participants

SECONDARY outcome

Timeframe: 1 year after transplant

Time to neutrophil engraftment is defined as the first of 3 measurements on different days when the patient has an absolute neutrophil count of at least 500/µL after conditioning. Time to Platelet engraftment is defined as the first day of a minimum of 3 measurements on different days that the patient has achieved a platelet count \> 50,000/µL, without receiving a platelet transfusion in the previous 7 days.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Time to Neutrophil and Platelet Engraftment
Neutrophil engraftment
17 Days
Interval 12.0 to 26.0
Time to Neutrophil and Platelet Engraftment
Platelet
21 Days
Interval 13.0 to 26.0

SECONDARY outcome

Timeframe: 1 year after transplant

Common transplant related complications were monitored as a secondary outcome measure of this study. These transplant related complications include hepatic veno-occlusive disease (VOD), idiopathic pneumonia syndrome (IPS), central nervous system (CNS) toxicity complications of posterior reversible encephalopathy syndrome (PRES), hemorrhage, and seizures, cytomegalovirus (CMV) infection, adenovirus infection, Epstein-Barr virus (EBV) infection, post-transplant lymphoproliferative disease (PTLD), and invasive fungal infection.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=22 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Transplant Related Outcomes
Hepatic Veno-occlusive Disease (VOD)
0 Participants
Transplant Related Outcomes
Idiopathic Pneumonia Syndrome (IPS)
1 Participants
Transplant Related Outcomes
PRES
1 Participants
Transplant Related Outcomes
Central Nervous System Toxicity: Hemorrhage
1 Participants
Transplant Related Outcomes
Central Nervous System Toxicity: Seizure
1 Participants
Transplant Related Outcomes
Cytomegalovirus (CMV) Infection
11 Participants
Transplant Related Outcomes
Adenovirus Infection
0 Participants
Transplant Related Outcomes
Epstein-Barr Virus (EBV) Infection
4 Participants
Transplant Related Outcomes
Post-transplant Lymphoproliferative Disease
1 Participants
Transplant Related Outcomes
Invasive Fungal Infection
0 Participants

POST_HOC outcome

Timeframe: Baseline, 1 year after transplant

Population: This outcome measure compared quality of life scores one year post-HCT to baseline in the 17 participants who completed the surveys.

Health related quality of life was measured with the 57 item Patient-Reported Outcomes Measurement Information System (PROMIS-57). The PROMIS-57 includes 8 domains of health. The domains of Anxiety, Depression, Fatigue, Pain Interference, Physical Function, Satisfaction with Social Role, and Sleep Disturbances each include 8 items. Respondents indicate the degree to which statements about specific health issues are problematic on a scale of 1 to 5 and responses are converted to a t-score metric. A score of 50 is the mean score for the general population in the United States, with a standard deviation of 10. Scores above 50 indicate the topic of the domain is being experienced more than average while scores below 50 mean that it is less than average. The domain of Pain Intensity is measured with a single item asking participants to rate their average pain on a scale from 0 (no pain) to 10 (worst imaginable pain). The raw mean score is used.

Outcome measures

Outcome measures
Measure
Bone Marrow Transplant Recipients
n=17 Participants
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
PROMIS-57 Scores Health Related Quality of Life
Anxiety domain score: baseline
50.6 units on a scale
Standard Deviation 10.4
PROMIS-57 Scores Health Related Quality of Life
Anxiety domain score: 1 year
48.1 units on a scale
Standard Deviation 10.5
PROMIS-57 Scores Health Related Quality of Life
Depression domain score: baseline
44.7 units on a scale
Standard Deviation 6.7
PROMIS-57 Scores Health Related Quality of Life
Depresssion domain score: 1 year
46.9 units on a scale
Standard Deviation 10.3
PROMIS-57 Scores Health Related Quality of Life
Fatigue domain score: baseline
48.0 units on a scale
Standard Deviation 10.5
PROMIS-57 Scores Health Related Quality of Life
Fatigue domain score: 1 year
46.1 units on a scale
Standard Deviation 13.4
PROMIS-57 Scores Health Related Quality of Life
Pain interference domain score: baseline
58.5 units on a scale
Standard Deviation 10.3
PROMIS-57 Scores Health Related Quality of Life
Pain interference domain score: 1 year
50.1 units on a scale
Standard Deviation 11.6
PROMIS-57 Scores Health Related Quality of Life
Physical function domain score: baseline
44.1 units on a scale
Standard Deviation 8.0
PROMIS-57 Scores Health Related Quality of Life
Physical function domain score: 1 year
50.1 units on a scale
Standard Deviation 11.0
PROMIS-57 Scores Health Related Quality of Life
Social role satisfaction domain score: baseline
51.7 units on a scale
Standard Deviation 11.6
PROMIS-57 Scores Health Related Quality of Life
Social role satisfaction domain score: 1 year
52.4 units on a scale
Standard Deviation 12.3
PROMIS-57 Scores Health Related Quality of Life
Sleep disturbance domain score: baseline
47.7 units on a scale
Standard Deviation 11.9
PROMIS-57 Scores Health Related Quality of Life
Sleep disturbance domain score: 1 year
46.9 units on a scale
Standard Deviation 9.6
PROMIS-57 Scores Health Related Quality of Life
Pain intensity domain score: baseline
3.2 units on a scale
Standard Deviation 3.4
PROMIS-57 Scores Health Related Quality of Life
Pain intensity domain score: 1 year
2.4 units on a scale
Standard Deviation 3.0

Adverse Events

Bone Marrow Transplant Recipients

Serious events: 14 serious events
Other events: 12 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Bone Marrow Transplant Recipients
n=22 participants at risk
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Gastrointestinal disorders
Hospitalization due to abdominal pain, diarrhea, and bloody stools
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Gastrointestinal disorders
Hospitalization due to abdominal pain, nausea, vomiting, and elevated liver enzymes
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Hospitalization due to acute inflammatory bronchitis
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hospitalization due to acute on chronic pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Anemia secondary to hemolysis
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Hospitalization due to chest pain, secondary to pneumonia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Cholelithiasis
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Elevated liver enzymes
9.1%
2/22 • Number of events 3 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Surgical and medical procedures
Hospitalization due to elevated prograf level
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hospitalization due to exacerbation of pain syndrome
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Facial swelling with sore throat
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Infections and infestations
Hospitalization due to fever, malaise, and chills
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Gallbladder obstruction
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Gallstones with hyperbilirubinemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Gastrointestinal disorders
Gastritis
4.5%
1/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Generalized pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Headache requiring Norco
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Hemolysis with rising creatinine
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Hypercalcemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Gastrointestinal disorders
Mucositis
9.1%
2/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Mucosistis, esophageal pain, and low back pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Nervous system disorders
Neurological changes
9.1%
2/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Injury, poisoning and procedural complications
Opioid-induced over-sedation
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Hospitalization due to pain crisis
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Cardiac disorders
Hospitalization due to pericardial effusion
9.1%
2/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Cardiac disorders
Pericarditis
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hospitalization due to persistent fever
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Hospitalization due to pneumonia with hypoxia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Vascular disorders
PRES with intercerebral hemorrhage associated with severe hypertension
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Surgical and medical procedures
Prograf toxicity
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Hospitalization due to progressive respiratory distress with hypoxemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Removal of central venous catheter due to possible thrombus
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Respiratory distress secondary to large pharyngeal blood clot
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Infections and infestations
Hospitalization due to seizure and infection
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Gastrointestinal disorders
Hospitalization due to severe nausea, vomiting and diarrhea
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Renal and urinary disorders
Urinary retention, dysuria, and hesitancy
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Vascular disorders
Vascular disorder with facial swelling
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).

Other adverse events

Other adverse events
Measure
Bone Marrow Transplant Recipients
n=22 participants at risk
Individuals with severe sickle cell disease receiving hematopoietic cell transplantation (HCT) from a human leukocyte antigen (HLA)-identical sibling donor or an unrelated HLA-matched donor
Immune system disorders
Alopecia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Anorexia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Psychiatric disorders
Anxiety
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Musculoskeletal and connective tissue disorders
Arthralgia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Bronchiolitis obliterans
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Infections and infestations
Catheter related infection
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Nervous system disorders
Cranial Bell's Palsy
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Deep bone pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Endocrine disorders
Diabetes mellitus
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Gastrointestinal disorders
Diarrhea
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Elevated alkaline phosphatase
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Elevated alanine transaminase
9.1%
2/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Extremity pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Fever
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Headache
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Reduced hemoglobin
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Blood and lymphatic system disorders
Central nervous system hemorrhage
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Endocrine disorders
Hyperglycemia
9.1%
2/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hyperkalemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Vascular disorders
Hypertension
13.6%
3/22 • Number of events 4 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hypocalcemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hypokalemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Hypomagnesemia
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Idiopathic pneumonia syndrome
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Hepatobiliary disorders
Increased liver function tests
4.5%
1/22 • Number of events 2 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Infections and infestations
Infection
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Lethargy and confusion
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Nervous system disorders
Neuropathic extremity pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Surgical and medical procedures
Post transplant lymphoproliferative disorder
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Surgical and medical procedures
Prograf toxicity
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Vascular disorders
Pulmonary hypertension
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Rectal pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Renal and urinary disorders
Renal failure
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Renal and urinary disorders
Renal insufficiency
9.1%
2/22 • Number of events 4 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Severe itching
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Severe pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Somnolence, depressed level of consciousness
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Gastrointestinal disorders
Stomatitis
31.8%
7/22 • Number of events 10 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
General disorders
Tremors
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Renal and urinary disorders
Urinary disorder
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Reproductive system and breast disorders
Vaginal pain
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).
Infections and infestations
Increased white blood cell count
4.5%
1/22 • Number of events 1 • Data on adverse events were collected from when the patient consented to participate in the study through 1 year after hematopoietic cell transplantation (HCT).

Additional Information

Lakshmanan Krishnamurti, MD

Emory University

Results disclosure agreements

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