Safety and Efficacy of Human Myeloid Progenitor Cells (CLT-008) During Chemotherapy for Acute Myeloid Leukemia

NCT ID: NCT02282215

Last Updated: 2018-09-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2017-09-22

Brief Summary

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The purpose of the study is to explore the safety and efficacy of CLT-008 as an extra supportive care measure after induction chemotherapy for patients with acute myeloid leukemia (AML).

Detailed Description

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The prolonged period of severe neutropenia caused by induction chemotherapy for the treatment of AML is associated with a nearly universal risk of febrile neutropenia. Standard supportive care strategies include administration of prophylactic anti-bacterial and anti-fungal agents, but serious breakthrough bacterial and fungal infections still occur. Granulocyte colony-stimulating factor (G-CSF; filgrastim, Neupogen®) has been shown to shorten the duration of severe neutropenia, fever, antibiotic use and hospitalization following induction chemotherapy for AML. CLT-008, a human allogeneic myeloid progenitor cell product, is intended to provide the cellular target for G-CSF to produce neutrophils during the period of chemotherapy-induced bone marrow suppression when the patient's own progenitor cells may be limited in responding to G-CSF. It is hypothesized that the production of allogeneic neutrophils from CLT-008 will be sufficient to mitigate the infection-related consequences of induction chemotherapy for AML.

Conditions

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Acute Myeloid Leukemia Neutropenia Infection

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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CLT-008 low dose with G-CSF

Dose escalation

Group Type EXPERIMENTAL

CLT-008

Intervention Type BIOLOGICAL

Single intravenous infusion

G-CSF

Intervention Type BIOLOGICAL

Daily subcutaneous injections

CLT-008 high dose with G-CSF

Dose escalation

Group Type EXPERIMENTAL

CLT-008

Intervention Type BIOLOGICAL

Single intravenous infusion

G-CSF

Intervention Type BIOLOGICAL

Daily subcutaneous injections

CLT-008 with G-CSF

Randomized

Group Type EXPERIMENTAL

CLT-008

Intervention Type BIOLOGICAL

Single intravenous infusion

G-CSF

Intervention Type BIOLOGICAL

Daily subcutaneous injections

G-CSF

Randomized

Group Type ACTIVE_COMPARATOR

G-CSF

Intervention Type BIOLOGICAL

Daily subcutaneous injections

Interventions

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CLT-008

Single intravenous infusion

Intervention Type BIOLOGICAL

G-CSF

Daily subcutaneous injections

Intervention Type BIOLOGICAL

Other Intervention Names

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human allogeneic myeloid progenitor cells (hMPC) romyelocel-L Neupogen (filgrastim) granulocyte colony-stimulating factor Zarxio Granix (tbo-filgrastim)

Eligibility Criteria

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Inclusion Criteria

1. Acute myeloid leukemia arising de novo (per European LeukemiaNet)
2. Treated with any established chemotherapy regimen based on either:

1. 7+3: Standard-dose cytarabine 100-200 mg per meter squared continuous infusion for 7 days with idarubicin 12 mg per meter squared or daunorubicin 45-90 mg per meter squared for 3 days
2. High-dose cytarabine-based (HIDAC) chemotherapy administering a total cytarabine dose of ≥ 4 g per meter squared alone or in combination with other anti-leukemic agents (for example, anthracyclines, purine nucleoside inhibitors, etoposide, etc.)
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 at Screening or by the day chemotherapy is initiated
4. Adequate respiratory function with a room air oxygen saturation of at least 92%
5. Adequate cardiac function defined as an ejection fraction of at least 45%
6. Serum bilirubin ≤ 1.5 times the upper limits of normal. Subjects with a history of Gilbert's syndrome may be enrolled if the total bilirubin is \< 3 mg/dL with an indirect bilirubin of \> 1.5 mg/dL
7. Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 times upper limits of normal prior to chemotherapy
8. Serum creatinine ≤ 2 times upper limits of normal or estimated glomerular filtration rate ≥ 60 mL/min/1.73 meter squared per Modification of Diet in Renal Disease equation (MDRD)
9. All subjects, except post-menopausal women, must be willing to utilize a highly effective method of contraception throughout the study
10. Adequately informed of the nature and risks of the study with written informed consent

11. Receiving any agent concurrently with CLT-008 infusion which inhibits cell division (e.g., methotrexate or hydroxyurea)
12. Acute or chronic medical disorder that, in the opinion of the investigator or medical monitor, may prevent the subject from completing participation in the study

Exclusion Criteria

1. Pregnant or breast feeding
2. Overt central nervous system manifestations of leukemia at diagnosis
3. Specifically diagnosed and uncontrolled fungal, bacterial, viral, or other infection (e.g. confirmed sepsis, pneumonia, abscess, cellulitis, etc.) at the day chemotherapy is initiated. "Uncontrolled" is defined as exhibiting ongoing signs and symptoms of infection without improvement despite antimicrobial or other treatment.
4. AML subtype M3 (promyelocytic leukemia)
5. Previous chemotherapy for AML
6. History of or current human immunodeficiency virus (HIV) or hepatitis C virus infection
7. History of or current clinically significant immunodeficiency
8. Known contraindication to receiving G-CSF
9. History of or current clinically significant alloimmunization to leukocyte antigens
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Health and Human Services

FED

Sponsor Role collaborator

Cellerant Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William Reed, MD

Role: STUDY_DIRECTOR

Cellerant Therapeutics

Locations

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University of California San Diego Moores Cancer Center

La Jolla, California, United States

Site Status

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States

Site Status

University of California, San Francisco Medical Center

San Francisco, California, United States

Site Status

UF Health Shands Cancer Hospital

Gainesville, Florida, United States

Site Status

Mayo Clinic Florida

Jacksonville, Florida, United States

Site Status

Northside Hospital

Atlanta, Georgia, United States

Site Status

Northwestern Medical Faculty Foundation

Chicago, Illinois, United States

Site Status

University of Illinois Cancer Center

Chicago, Illinois, United States

Site Status

The University of Chicago

Chicago, Illinois, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Indiana Blood and Marrow Transplantation Clinic

Indianapolis, Indiana, United States

Site Status

University of Massachusetts Worcester

Worcester, Massachusetts, United States

Site Status

University of Minnesota Physicians BMT Clinic

Minneapolis, Minnesota, United States

Site Status

Kansas City Veterans Affairs Medical Center

Kansas City, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Weill Cornell Medical College - New York Presbyterian Hospital

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Westchester Medical Center

Valhalla, New York, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

West Penn Hospital

Pittsburgh, Pennsylvania, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Swedish Cancer Institute

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Desai PM, Brown J, Gill S, Solh MM, Akard LP, Hsu JW, Ustun C, Andreadis C, Frankfurt O, Foran JM, Lister J, Schiller GJ, Wieduwilt MJ, Pagel JM, Stiff PJ, Liu D, Khan I, Stock W, Kambhampati S, Tallman MS, Morris L, Edwards J, Pusic I, Kantarjian HM, Mamelok R, Wong A, Van Syoc R, Kellerman L, Panuganti S, Mandalam R, Abboud CN, Ravandi F. Open-Label Phase II Prospective, Randomized, Controlled Study of Romyelocel-L Myeloid Progenitor Cells to Reduce Infection During Induction Chemotherapy for Acute Myeloid Leukemia. J Clin Oncol. 2021 Oct 10;39(29):3261-3272. doi: 10.1200/JCO.20.01739. Epub 2021 Jun 22.

Reference Type DERIVED
PMID: 34156898 (View on PubMed)

Related Links

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http://www.cellerant.com/pipeline/clt-008-myeloid-progenitor-cells.html

Cellerant Therapeutics CLT-008: Myeloid Progenitor Cells

Other Identifiers

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CLT008-03

Identifier Type: -

Identifier Source: org_study_id

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