Trial Outcomes & Findings for CD34+ Stem Cell Infusion to Augment Graft Function (NCT NCT01856582)

NCT ID: NCT01856582

Last Updated: 2019-11-22

Results Overview

Successful augmentation of graft function achieved if donor chimerism is doubled compared to the value immediately pre-infusion at 12 months.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

12 months

Results posted on

2019-11-22

Participant Flow

Participant milestones

Participant milestones
Measure
CD34+ Selected Stem Cell Infusion
A single infusion of selected CD34+ stem cells will be given without any preparative regimen. Stem cells will be depleted of T-cells using a CliniMACS CD34+ cell selection device and infused into the patient with a maximum T-cell dose of 5 x 10\^4/kg. The minimum number of CD34+ cells that will be infused is 1x10\^6/kg.
Overall Study
STARTED
23
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
CD34+ Selected Stem Cell Infusion
A single infusion of selected CD34+ stem cells will be given without any preparative regimen. Stem cells will be depleted of T-cells using a CliniMACS CD34+ cell selection device and infused into the patient with a maximum T-cell dose of 5 x 10\^4/kg. The minimum number of CD34+ cells that will be infused is 1x10\^6/kg.
Overall Study
Died prior to Boost infusion
1

Baseline Characteristics

CD34+ Stem Cell Infusion to Augment Graft Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CD34+ Selected Stem Cell Infusion
n=23 Participants
An infusion of selected CD34+ stem cells will be given without any preparative regimen. CD34+: CD34+ cells are selected using the CliniMACS System; without preparative regimen
Age, Categorical
<=18 years
16 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 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
2 Participants
n=5 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Selected data from this study was combined with a clinical retrospective study for analysis and published.

Successful augmentation of graft function achieved if donor chimerism is doubled compared to the value immediately pre-infusion at 12 months.

Outcome measures

Outcome measures
Measure
CD34+ Selected Stem Cell Infusion
n=22 Participants
An infusion of selected CD34+ stem cells will be given without any preparative regimen. CD34+: CD34+ cells are selected using the CliniMACS System; without preparative regimen
Number of Participants Who Showed Successful Augmentation of Graft Function
3 Participants

Adverse Events

CD34+ Selected Stem Cell Infusion

Serious events: 8 serious events
Other events: 2 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
CD34+ Selected Stem Cell Infusion
n=23 participants at risk
An infusion of selected CD34+ stem cells will be given without any preparative regimen. CD34+: CD34+ cells are selected using the CliniMACS System; without preparative regimen
Respiratory, thoracic and mediastinal disorders
Hypoxia
8.7%
2/23 • Number of events 3 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Respiratory, thoracic and mediastinal disorders
Chronic Sinusitis
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.3%
1/23 • Number of events 2 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Renal and urinary disorders
Renal Failure
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Nervous system disorders
Encephalopathy
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Gastrointestinal disorders
Ascites
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Hepatobiliary disorders
Liver Failure
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Skin and subcutaneous tissue disorders
Cellulitis
4.3%
1/23 • Number of events 2 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Cardiac disorders
Hypotension
8.7%
2/23 • Number of events 4 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
General disorders
Fever
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
General disorders
Multiorgan Failure
8.7%
2/23 • Number of events 3 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Infections and infestations
Infection
17.4%
4/23 • Number of events 4 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.

Other adverse events

Other adverse events
Measure
CD34+ Selected Stem Cell Infusion
n=23 participants at risk
An infusion of selected CD34+ stem cells will be given without any preparative regimen. CD34+: CD34+ cells are selected using the CliniMACS System; without preparative regimen
Cardiac disorders
Hemolysis
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Injury, poisoning and procedural complications
Hemorrhage
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.
Infections and infestations
Febrile Neutropenia
4.3%
1/23 • Number of events 1 • All AEs were collected for 30 days post stem cell infusion. Protocol-defined AEs related to study treatment were followed for three years.

Additional Information

Rebecca Marsh, MD/Associate Professor of Pediatrics

Cincinnati Children's Hospital Medical Center

Phone: 513-803-9063

Results disclosure agreements

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