Trial Outcomes & Findings for Phase II Maraviroc for GVHD Prevention (NCT NCT01785810)

NCT ID: NCT01785810

Last Updated: 2021-01-11

Results Overview

The cumulative incidence of grade II-IV acute GVHD by day 180 after the stem-cell infusion. This is based on consensus conference criteria.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

37 participants

Primary outcome timeframe

180 days

Results posted on

2021-01-11

Participant Flow

Participant milestones

Participant milestones
Measure
Maraviroc
Maraviroc - 300 mg
Overall Study
STARTED
37
Overall Study
COMPLETED
29
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Maraviroc for GVHD Prevention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Maraviroc
n=37 Participants
Maraviroc 300 mg
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
Comorbidity Index
Low
7 Participants
n=5 Participants
Comorbidity Index
Intermediate
12 Participants
n=5 Participants
Comorbidity Index
High
18 Participants
n=5 Participants
Diagnosis
Acute myeloid leukemia
27 Participants
n=5 Participants
Diagnosis
Myelodysplastic syndrome
6 Participants
n=5 Participants
Diagnosis
Non-Hodgkin's lymphoma
1 Participants
n=5 Participants
Diagnosis
Myeloproliferative neoplasms
1 Participants
n=5 Participants
Diagnosis
Acute lymphoblastic leukemia
2 Participants
n=5 Participants
Donor
Matched unrelated
31 Participants
n=5 Participants
Donor
Single-antigen mismatched
6 Participants
n=5 Participants
Donor Age
32 years
n=5 Participants
Cytomegalovirus Serostatus
Recipient positive
18 Participants
n=5 Participants
Cytomegalovirus Serostatus
Donor positive
9 Participants
n=5 Participants
Cytomegalovirus Serostatus
Negative
10 Participants
n=5 Participants
CD34+ cell dose
6.2 x 10^6 cells/kg
n=5 Participants
Disease Risk Index
Low
3 Participants
n=5 Participants
Disease Risk Index
Intermediate
16 Participants
n=5 Participants
Disease Risk Index
High/very high
18 Participants
n=5 Participants
Donor Sex
Male
24 Participants
n=5 Participants
Donor Sex
Female
13 Participants
n=5 Participants
CD3+ cell dose
2.2 x 10^8 cells/kg
n=5 Participants
CD4+ cell dose
1.5 x 10^8 T cells/kg
n=5 Participants
CD8+ cell dose
0.7 x 10^8 T cells/kg
n=5 Participants

PRIMARY outcome

Timeframe: 180 days

The cumulative incidence of grade II-IV acute GVHD by day 180 after the stem-cell infusion. This is based on consensus conference criteria.

Outcome measures

Outcome measures
Measure
Maraviroc
n=37 Participants
Maraviroc - 300 mg
Day +180 Rate of Grade II-IV Acute GVHD
22 Participants

Adverse Events

Maraviroc

Serious events: 5 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Maraviroc
n=37 participants at risk
Maraviroc - dose level of 300 mg
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.7%
1/37 • Number of events 1 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.7%
1/37 • Number of events 1 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Cardiac disorders
Pericardial effusion
2.7%
1/37 • Number of events 1 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
2.7%
1/37 • Number of events 1 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Blood and lymphatic system disorders
Febrile neutropenia
5.4%
2/37 • Number of events 2 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Infections and infestations
Sepsis
5.4%
2/37 • Number of events 2 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.

Other adverse events

Other adverse events
Measure
Maraviroc
n=37 participants at risk
Maraviroc - dose level of 300 mg
Blood and lymphatic system disorders
Anemia
18.9%
7/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Blood and lymphatic system disorders
Febrile Neutropenia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Musculoskeletal and connective tissue disorders
Flank pain
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hyponatremia
13.5%
5/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Cardiac disorders
Pericardial effusion
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Diarrhea
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Esophagitis
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Nervous system disorders
Dysgeusia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypoglycemia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Hemorrhoidal hemorrhage
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Vomiting
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Oral pain
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Rectal mucositis
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
White blood cell decreased
18.9%
7/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypomagnesemia
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypokalemia
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Aspartate aminotransferase increased
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Prolonged partial thromboplastin time
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypocalcemia
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Nausea
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Anorexia
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Dehydration
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hyperkalemia
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypophosphatemia
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
General disorders
Fatigue
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Postnasal drip
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Lymphocyte count decreased
18.9%
7/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Nervous system disorders
Peripheral sensory neuropathy
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypoalbuminemia
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Alanine aminotransferase increased
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Hypercalcemia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
INR Increased
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Hyperbilirubinemia
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
General disorders
Edema limbs
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Vascular disorders
Hypotension
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Oral mucositis
13.5%
5/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Constipation
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Hemorrhoids
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Nervous system disorders
Headache
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Psychiatric disorders
Depression
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Nervous system disorders
Dizziness
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hyperglycemia
16.2%
6/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Alkaline phosphatase increased
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Decreased platelets
18.9%
7/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Rectal pain
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Dysphagia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Skin and subcutaneous tissue disorders
Erythema multiforme
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Musculoskeletal and connective tissue disorders
Back pain
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Creatinine Elevated
10.8%
4/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Sore throat
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Renal and urinary disorders
Hematuria
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Musculoskeletal and connective tissue disorders
Neck pain
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Skin and subcutaneous tissue disorders
Urticaria
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Skin and subcutaneous tissue disorders
Pruritus
8.1%
3/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Investigations
Neutropenia
18.9%
7/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
General disorders
Multi-organ failure
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Psychiatric disorders
Anxiety
5.4%
2/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
General disorders
Fever
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Renal and urinary disorders
Bladder spasm
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Vascular disorders
Flushing
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Abdominal pain
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Bloating
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Abdominal distension
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Tumor lysis syndrome
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Nervous system disorders
Depressed level of consciousness
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Renal and urinary disorders
Urinary retention
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Metabolism and nutrition disorders
Hypermagnesemia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Gastrointestinal disorders
Flatulence
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.
Skin and subcutaneous tissue disorders
Rash maculopapular
2.7%
1/37 • From the initiation of maraviroc (Day -3) to d+ 120 days following stem-cell infusion.

Additional Information

Michael Gardo

Abramson Cancer Center

Phone: 215-615-2232

Results disclosure agreements

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