Trial Outcomes & Findings for Survival and Recovery of Radio-labeled Platelets Derived From Mirasol-treated Whole Blood (NCT NCT02330081)

NCT ID: NCT02330081

Last Updated: 2019-06-12

Results Overview

Relative recovery of platelets derived from Mirasol-treated whole blood (WB) units that had been stored for 24 ± 1 hours at 22 ± 2ºC, measured as a percentage of platelets derived from freshly collected WB from the same participant. Platelets were isolated from both Mirasol-treated WB and from fresh WB from the same participant, radiolabeled with either 111Indium or 51Chromium, and these 2 radiolabeled platelet samples (ie, 1 untreated, fresh and 1 Mirasol-treated, stored) were combined and reinfused back to the same participant.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

22 participants

Primary outcome timeframe

24 hours

Results posted on

2019-06-12

Participant Flow

Participant milestones

Participant milestones
Measure
Mirasol
Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subjects stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subjects untreated fresh whole blood. Mirasol treatment of whole blood: Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subject's stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subject's untreated fresh whole blood.
Overall Study
STARTED
22
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Mirasol
Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subjects stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subjects untreated fresh whole blood. Mirasol treatment of whole blood: Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subject's stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subject's untreated fresh whole blood.
Overall Study
Adverse Event
1
Overall Study
Donation did not meet criteria
1
Overall Study
Protocol Violation
6

Baseline Characteristics

Survival and Recovery of Radio-labeled Platelets Derived From Mirasol-treated Whole Blood

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mirasol
n=14 Participants
Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subjects stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subjects untreated fresh whole blood. Mirasol treatment of whole blood: Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subject's stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subject's untreated fresh whole blood.
Age, Continuous
40.4 years
STANDARD_DEVIATION 11.94 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
4 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
0 Participants
n=5 Participants
Race (NIH/OMB)
White
14 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
Norway
14 participants
n=5 Participants
Height
172.6 cm
STANDARD_DEVIATION 9.08 • n=5 Participants
Weight
78.7 kg
STANDARD_DEVIATION 13.68 • n=5 Participants
Blood type
A
6 participants
n=5 Participants
Blood type
B
1 participants
n=5 Participants
Blood type
AB
0 participants
n=5 Participants
Blood type
O
7 participants
n=5 Participants
Rhesus status
Positive
14 participants
n=5 Participants
Rhesus status
Negative
0 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 hours

Population: Per Protocol Population = all subjects in the mITT Population who met all of the inclusion and none of the exclusion criteria at enrollment, had no concurrent illness or notable signs/symptoms during the 24 hours prior to reinfusion, had completed all postinfusion blood sampling for recovery and survival calculations and had no protocol violations.

Relative recovery of platelets derived from Mirasol-treated whole blood (WB) units that had been stored for 24 ± 1 hours at 22 ± 2ºC, measured as a percentage of platelets derived from freshly collected WB from the same participant. Platelets were isolated from both Mirasol-treated WB and from fresh WB from the same participant, radiolabeled with either 111Indium or 51Chromium, and these 2 radiolabeled platelet samples (ie, 1 untreated, fresh and 1 Mirasol-treated, stored) were combined and reinfused back to the same participant.

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
n=14 Participants
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
Platelet 24-hour Relative Recovery
43.31 Percentage of platelet count
Interval 37.93 to 48.69
52.01 Percentage of platelet count
Interval 45.22 to 58.8

PRIMARY outcome

Timeframe: Days 1 through 10 post-infusion

Population: Per Protocol Population = all subjects in the mITT Population who met all of the inclusion and none of the exclusion criteria at enrollment, had no concurrent illness or notable signs/symptoms during the 24 hours prior to reinfusion, had completed all postinfusion blood sampling for recovery and survival calculations and had no protocol violations.

Mean survival time of platelets derived from Mirasol-treated whole blood (WB) units that had been stored for 24 ± 1 hours at 22 ± 2ºC as compared to the mean survival time of fresh platelets from the same donor, measured in hours. Platelets were isolated from both Mirasol-treated WB and from fresh WB from the same participant, radiolabeled with either 111Indium or 51Chromium, and these 2 radiolabeled platelet samples (ie, 1 untreated, fresh and 1 Mirasol-treated, stored) were combined and reinfused back to the same participant.

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
n=14 Participants
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
Relative Platelet Survival
152.9 hours
Interval 136.4 to 169.4
188.8 hours
Interval 175.2 to 202.3

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hemoglobin
Day 0 post-collection
12.49 g/dL
Standard Deviation 0.762
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hemoglobin
Day 0 post-illumination
11.69 g/dL
Standard Deviation 0.741
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hemoglobin
Day 1 post-storage
11.73 g/dL
Standard Deviation 0.732

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hematocrit
Day 0 post-collection
35.88 Percentage of total blood volume
Standard Deviation 1.945
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hematocrit
Day 0 post-illumination
33.37 Percentage of total blood volume
Standard Deviation 1.754
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hematocrit
Day 1 post-storage
34.49 Percentage of total blood volume
Standard Deviation 1.691

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - White Blood Cells
Day 0 post-collection
4.49 cells * 10e9/L
Standard Deviation 1.002
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - White Blood Cells
Day 0 post-illumination
4.17 cells * 10e9/L
Standard Deviation 0.980
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - White Blood Cells
Day 1 post-storage
3.64 cells * 10e9/L
Standard Deviation 0.804

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Platelets
Day 0 post-collection
151.77 cells * 10e9/L
Standard Deviation 43.051
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Platelets
Day 0 post-illumination
110.52 cells * 10e9/L
Standard Deviation 26.686
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Platelets
Day 1 post-storage
154.43 cells * 10e9/L
Standard Deviation 34.807

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

pH is a measure of the acidity or alkalinity of a solution, numerically equal to 7 for neutral solutions, increasing with increasing alkalinity and decreasing with increasing acidity. The pH scale commonly in use ranges from 0 to 14

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - pH
Day 0 post-collection
7.017 units on a scale
Standard Deviation 0.0261
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - pH
Day 0 post-illumination
7.027 units on a scale
Standard Deviation 0.0220
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - pH
Day 1 post-storage
6.804 units on a scale
Standard Deviation 0.0256

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - CO2
Day 0 post-collection
9.96 kPa
Standard Deviation 1.335
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - CO2
Day 0 post-illumination
8.78 kPa
Standard Deviation 0.946
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - CO2
Day 1 post-storage
13.05 kPa
Standard Deviation 1.216

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - pO2
Day 0 post-collection
5.93 kPa
Standard Deviation 1.521
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - pO2
Day 0 post-illumination
6.20 kPa
Standard Deviation 2.069
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - pO2
Day 1 post-storage
4.68 kPa
Standard Deviation 1.146

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Potassium
Day 0 post-collection
3.11 mmol/L
Standard Deviation 0.192
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Potassium
Day 0 post-illumination
3.10 mmol/L
Standard Deviation 0.141
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Potassium
Day 1 post-storage
5.86 mmol/L
Standard Deviation 0.401

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Glucose
Day 0 post-collection
20.50 mmol/L
Standard Deviation 1.778
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Glucose
Day 0 post-illumination
18.79 mmol/L
Standard Deviation 1.498
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Glucose
Day 1 post-storage
15.12 mmol/L
Standard Deviation 1.625

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Lactate
Day 0 post-collection
2.01 mmol/L
Standard Deviation 0.635
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Lactate
Day 0 post-illumination
2.44 mmol/L
Standard Deviation 0.549
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Lactate
Day 1 post-storage
8.97 mmol/L
Standard Deviation 0.811

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Hemolysis is the rupture or destruction of red blood cells (RBCs), which releases hemoglobin from inside the RBCs into the plasma (where it is called "free hemoglobin"). Hemolysis is measured as the percentage of free hemoglobin compared to the total hemoglobin in a blood sample.

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hemolysis
Day 0 post-collection
0.1 percentage of free hemoglobin
Standard Deviation 0.11
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hemolysis
Day 0 post-illumination
0.1 percentage of free hemoglobin
Standard Deviation 0.10
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Hemolysis
Day 1 post-storage
0.2 percentage of free hemoglobin
Standard Deviation 0.10

SECONDARY outcome

Timeframe: Day 0 post-collection, day 0 post-illumination, day 1 post-storage

Population: Modified Intent to Treat population (mITT) = all enrolled subjects who signed informed consent and have valid data (excluding Subjects V01 through V08 who had irreparably confounded data due to a calibration error of the radioactivity detection device).

Outcome measures

Outcome measures
Measure
Test Platelets From Mirasol-treated Whole Blood
n=14 Participants
Mirasol-treated platelets: Platelets were collected from 1 Test unit of whole blood that had been treated with the Mirasol pathogen reduction process and stored for 24 hours.
Control Platelets
Control platelets: An aliquot of platelets derived from a freshly collected whole blood sample
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Plasma Free Hemoglobin
Day 0 post-collection
0.24 g/L
Standard Deviation 0.241
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Plasma Free Hemoglobin
Day 0 post-illumination
0.22 g/L
Standard Deviation 0.204
in Vitro Characteristics of Whole Blood and Platelets Derived From Mirasol-treated Whole Blood - Plasma Free Hemoglobin
Day 1 post-storage
0.30 g/L
Standard Deviation 0.211

Adverse Events

Mirasol

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Mirasol
n=22 participants at risk
Subject will be infused with two products at the same time: 1. radio-labeled platelets derived from subjects stored whole blood which has been treated with Mirasol. 2. radio-labeled platelets derived from subjects untreated fresh whole blood.
Injury, poisoning and procedural complications
Hematoma
22.7%
5/22 • Number of events 5 • 10 days
Psychiatric disorders
Anxiety
9.1%
2/22 • Number of events 2 • 10 days
Infections and infestations
Cold/influenza
4.5%
1/22 • Number of events 1 • 10 days
Vascular disorders
Collapsed vein during donation
4.5%
1/22 • Number of events 1 • 10 days
Nervous system disorders
Vasovagal syncope
4.5%
1/22 • Number of events 1 • 10 days
Blood and lymphatic system disorders
Hypertension
4.5%
1/22 • Number of events 1 • 10 days
Skin and subcutaneous tissue disorders
Blisters on both feet
4.5%
1/22 • Number of events 1 • 10 days
General disorders
Fever
4.5%
1/22 • Number of events 1 • 10 days

Additional Information

Beth Crump

Terumo BCT

Phone: +1 303 231-4606

Results disclosure agreements

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

Restriction type: LTE60