Impact of DMSO Concentrations on Hematopoietic Recovery After Autologous HSC Transplantation.

NCT ID: NCT02452099

Last Updated: 2017-01-18

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

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2016-12-31

Brief Summary

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The main aim of the study was to evaluate the clinical impact of different DMSO concentrations in cryopreservation mixture (5%, 7.5%, 10%) on reconstitution of hematopoiesis after autologous hematopoietic stem cell transplantation.

Detailed Description

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The procedure of autologous hematopoietic stem cell (HSC) transplantation requires cryopreservation of HSCs. Addition of DMSO (dimethyl sulfoxide) is necessary to secure the viability of such cells, but this cryoprotectant is potentially toxic to stem cell recipient. The concentrations of DMSO in cryopreservation mixture vary strongly between protocols in different transplant centers. Usually, the HSCs are stored in mixtures containing 10% DMSO, but there is no sufficient evidence that this concentration of DMSO is indeed optimal.

The main aim of the study is to evaluate the clinical impact of reduction of DMSO concentration in cryopreservation mixture on engraftment after autologous hematopoietic stem cell transplantation. 150 consecutive patients will be randomly assigned to one of three study arms (50 patients each). HSCs obtained by leukapheresis will be cryopreserved in three concentrations of DMSO: 5%, 7.5%, 10%, respectively. Evaluation of the mixtures will be carried out by monitoring reconstitution of hematopoiesis and the frequency the side effects in patients. The most important aspect of our evaluation will be the speed of neutrophil recovery after transplantation (defined by the first day, when absolute neutrophil count in peripheral blood will be higher than 0.5 G/L). The investigators will also evaluate the toxicity of cell suspension by monitoring the frequency of infusion-related adverse events (like nausea or vomiting) during infusion and 24 hours after transplantation.

Conditions

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Multiple Myeloma Lymphomas Leukemias

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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5% DMSO

Group Type OTHER

Cryopreservation of HSCs using 5% DMSO concentration

Intervention Type PROCEDURE

Cryopreservation of HSCs obtained by leukapheresis will be performed using 5% DMSO concentration.

7.5% DMSO

Group Type OTHER

Cryopreservation of HSCs using 7,5% DMSO concentration

Intervention Type PROCEDURE

Cryopreservation of HSCs obtained by leukapheresis will be performed using 7,5% DMSO concentration.

10% DMSO

Group Type OTHER

Cryopreservation of HSCs using 10% DMSO concentration

Intervention Type PROCEDURE

Cryopreservation of HSCs obtained by leukapheresis will be performed using 10% DMSO concentration.

Interventions

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Cryopreservation of HSCs using 5% DMSO concentration

Cryopreservation of HSCs obtained by leukapheresis will be performed using 5% DMSO concentration.

Intervention Type PROCEDURE

Cryopreservation of HSCs using 7,5% DMSO concentration

Cryopreservation of HSCs obtained by leukapheresis will be performed using 7,5% DMSO concentration.

Intervention Type PROCEDURE

Cryopreservation of HSCs using 10% DMSO concentration

Cryopreservation of HSCs obtained by leukapheresis will be performed using 10% DMSO concentration.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with hematological malignancies or solid tumors, refered for autologous HSC transplantation
* Written informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Maria Sklodowska-Curie National Research Institute of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Sebastian Giebel

Prof., MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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MSC Memorial CAncer Center and Institute of Oncology

Gliwice, , Poland

Site Status

Countries

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Poland

References

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Smagur A, Mitrus I, Ciomber A, Panczyniak K, Fidyk W, Sadus-Wojciechowska M, Holowiecki J, Giebel S. Comparison of the cryoprotective solutions based on human albumin vs. autologous plasma: its effect on cell recovery, clonogenic potential of peripheral blood hematopoietic progenitor cells and engraftment after autologous transplantation. Vox Sang. 2015 May;108(4):417-24. doi: 10.1111/vox.12238. Epub 2015 Mar 6.

Reference Type RESULT
PMID: 25753814 (View on PubMed)

Mitrus I, Smagur A, Giebel S, Gliwinska J, Prokop M, Glowala-Kosinska M, Chwieduk A, Sadus-Wojciechowska M, Tukiendorf A, Holowiecki J. A faster reconstitution of hematopoiesis after autologous transplantation of hematopoietic cells cryopreserved in 7.5% dimethyl sulfoxide if compared to 10% dimethyl sulfoxide containing medium. Cryobiology. 2013 Dec;67(3):327-31. doi: 10.1016/j.cryobiol.2013.09.167. Epub 2013 Oct 11.

Reference Type RESULT
PMID: 24125911 (View on PubMed)

Smagur A, Mitrus I, Giebel S, Sadus-Wojciechowska M, Najda J, Kruzel T, Czerw T, Gliwinska J, Prokop M, Glowala-Kosinska M, Chwieduk A, Holowiecki J. Impact of different dimethyl sulphoxide concentrations on cell recovery, viability and clonogenic potential of cryopreserved peripheral blood hematopoietic stem and progenitor cells. Vox Sang. 2013 Apr;104(3):240-7. doi: 10.1111/j.1423-0410.2012.01657.x. Epub 2012 Oct 9.

Reference Type RESULT
PMID: 23046417 (View on PubMed)

Other Identifiers

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COI-DMSO-01

Identifier Type: -

Identifier Source: org_study_id

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