Stem Cell Transplantation With NiCord® (Omidubicel) vs Standard UCB in Patients With Leukemia, Lymphoma, and MDS

NCT ID: NCT02730299

Last Updated: 2025-04-06

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

125 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-16

Study Completion Date

2025-02-07

Brief Summary

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This study is an open-label, controlled, multicenter, international, Phase III, randomized study of transplantation of NiCord® versus transplantation of one or two unmanipulated, unrelated cord blood units in patients with acute lymphoblastic leukemia or acute myeloid leukemia, myelodysplastic syndrome, chronic myeloid leukemia or lymphoma, all with required disease features rendering them eligible for allogeneic transplantation.

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Detailed Description

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Successful blood and marrow transplantation (BMT) requires the infusion of a sufficient number of hematopoietic stem/progenitor cells (HSPCs), capable of both homing to the bone marrow and regenerating a full array of hematopoietic cell lineages with early and late repopulating ability in a timely fashion.

A major drawback of Umbilical Cord Blood (UCB) is the low stem cell dose available for transplantation, compared to mobilized peripheral blood (PB) or bone marrow. This low stem cell dose can compromise the chances of engraftment and contributes to delayed kinetics of neutrophil and platelet recovery, as well as other transplant outcomes.

The aim of ex vivo expansion of cord blood is to provide a graft with sufficient numbers of cells that have rapid and robust in vivo neutrophil and platelet producing potential to enable successful transplantation.

NiCord® is a stem/progenitor cell-based product composed of ex vivo expanded allogeneic cells from one entire unit of UCB. NiCord® utilizes the small molecule nicotinamide (NAM), as an epigenetic approach to inhibit differentiation and to increase the migration, bone marrow (BM) homing and engraftment efficiency of Hematopoietic Progenitor Cells (HPC) expanded in ex vivo cultures. The chief aim of the study is to compare the safety and efficacy of NiCord® single ex-vivo expanded cord blood unit transplantation to unmanipulated cord blood unit transplantation in patients with hematological malignancies following conditioning therapy.

Conditions

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Hematological Malignancies Acute Lymphoblastic Leukemia (ALL) Acute Myelogenous Leukemia (AML) Chronic Myelogenous Leukemia (CML) Myelodysplastic Syndrome (MDS) Lymphoma Acute Leukemia

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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NiCord® (omidubicel)

NiCord® is a cryopreserved stem/progenitor cell based product comprised of:

1. ex vivo expanded, umbilical cord blood-derived hematopoietic CD34+ progenitor cells (NiCord® cultured fraction (CF))
2. the non-cultured cell fraction of the same Cord Blood Unit (CBU) (NiCord® Non-cultured Fraction (NF)) consisting of mature myeloid and lymphoid cells.

Both fractions, i.e. NiCord® CF and NiCord® NF, will be kept frozen until they are thawed and infused on the day of transplantation.

Group Type EXPERIMENTAL

NiCord® (omidubicel)

Intervention Type DRUG

Unmanipulated CBU(s)

Group Type ACTIVE_COMPARATOR

Cord Blood Unit

Intervention Type OTHER

Cord blood unit

Interventions

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NiCord® (omidubicel)

Intervention Type DRUG

Cord Blood Unit

Cord blood unit

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Applicable disease criteria
* Patients must have one or two partially HLA-matched CBUs
* Back-up stem cell source
* Adequate Karnofsky/Lansky Performance score
* Sufficient physiological reserves
* Signed written informed consent

Exclusion Criteria

* HLA-matched donor able to donate
* Prior allogeneic HSCT
* Other active malignancy
* Active or uncontrolled infection
* Active/symptoms of central nervous system (CNS) disease
* Pregnancy or lactation
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gamida Cell ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mitchell Horwitz, MD

Role: STUDY_CHAIR

Duke University

Locations

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UCLA

Los Angeles, California, United States

Site Status

City of Hope

Los Angeles, California, United States

Site Status

Stanford University Cancer Institute

Palo Alto, California, United States

Site Status

UC San Diego Moores Cancer Center

San Diego, California, United States

Site Status

Children's Hospital Colorado

Denver, Colorado, United States

Site Status

Northwestern University

Evanston, Illinois, United States

Site Status

Loyola University, Cardinal Bernardin Cancer Center

Maywood, Illinois, United States

Site Status

University of Kansas Cancer Center

Westwood, Kansas, United States

Site Status

The University of Maryland Medicine Center

Baltimore, Maryland, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Henry Ford Medical Center

Detroit, Michigan, United States

Site Status

University of Minnesota Masonic Cancer Center

Minneapolis, Minnesota, United States

Site Status

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Cleveland Clinic Children's

Cleveland, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

UPMC Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

West Cancer Clinic

Germantown, Tennessee, United States

Site Status

Children's Medical Center of Dallas

Dallas, Texas, United States

Site Status

University of Virginia Cancer Center

Charlottesville, Virginia, United States

Site Status

Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA

Rio de Janeiro, , Brazil

Site Status

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo Pediatrics

São Paulo, , Brazil

Site Status

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

São Paulo, , Brazil

Site Status

Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo

São Paulo, , Brazil

Site Status

Hospital Israelita Albert Einstein

São Paulo, , Brazil

Site Status

Robert Debré

Paris, , France

Site Status

Rambam

Haifa, , Israel

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Rabin Medical Center, Beilinson Hospital

Petah Tikva, , Israel

Site Status

Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Tel-Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Chaim Sheba Medical Center, The Edmond and Lily Safra Children's hospital

Tel Litwinsky, , Israel

Site Status

Careggi University Hospital

Florence, , Italy

Site Status

Ospedale Pediatrico Bambino Gesù

Rome, , Italy

Site Status

University Medical Center Utrecht

Utrecht, , Netherlands

Site Status

Prinses Maxima Centrum voor Kinderoncologie B.V.

Utrecht, , Netherlands

Site Status

Instituto Português de Oncologia de Lisboa Francisco Gentil

Lisbon, , Portugal

Site Status

National University Cancer Institute

Singapore, , Singapore

Site Status

Singapore General Hospital

Singapore, , Singapore

Site Status

Hospital Universitari Vall d'Hebron pediatrics

Barcelona, , Spain

Site Status

University Hospital Vall d'Hebron

Barcelona, , Spain

Site Status

ICO Bellvitge

Barcelona, , Spain

Site Status

Sant Joan de Deu

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status

Hospital Universitario La Fe

Valencia, , Spain

Site Status

Hospital Universitario y Politécnico La Fe (pediatric)

Valencia, , Spain

Site Status

The Royal Marsden NHS Foundation Trust

Sutton, Surrey, United Kingdom

Site Status

Queen Elizabeth Hospital

Birmingham, , United Kingdom

Site Status

St James Hospital

Leeds, , United Kingdom

Site Status

Manchester University NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

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United States Brazil France Israel Italy Netherlands Portugal Singapore Spain United Kingdom

References

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Majhail NS, Miller B, Dean R, Manghani R, Shin H, Sivaraman S, Maziarz RT. Hospitalization and Healthcare Resource Utilization of Omidubicel-Onlv versus Umbilical Cord Blood Transplantation for Hematologic Malignancies: Secondary Analysis from a Pivotal Phase 3 Clinical Trial. Transplant Cell Ther. 2023 Dec;29(12):749.e1-749.e5. doi: 10.1016/j.jtct.2023.09.004. Epub 2023 Sep 12.

Reference Type DERIVED
PMID: 37703995 (View on PubMed)

Szabolcs P, Mazor RD, Yackoubov D, Levy S, Stiff P, Rezvani A, Hanna R, Wagner J, Keating A, Lindemans CA, Karras N, McGuirk J, Hamerschlak N, Lopez-Torija I, Sanz G, Valcarcel D, Horwitz ME. Immune Reconstitution Profiling Suggests Antiviral Protection after Transplantation with Omidubicel: A Phase 3 Substudy. Transplant Cell Ther. 2023 Aug;29(8):517.e1-517.e12. doi: 10.1016/j.jtct.2023.04.018. Epub 2023 Apr 28.

Reference Type DERIVED
PMID: 37120136 (View on PubMed)

Horwitz ME, Stiff PJ, Cutler C, Brunstein C, Hanna R, Maziarz RT, Rezvani AR, Karris NA, McGuirk J, Valcarcel D, Schiller GJ, Lindemans CA, Hwang WYK, Koh LP, Keating A, Khaled Y, Hamerschlak N, Frankfurt O, Peled T, Segalovich I, Blackwell B, Wease S, Freedman LS, Galamidi-Cohen E, Sanz G. Omidubicel vs standard myeloablative umbilical cord blood transplantation: results of a phase 3 randomized study. Blood. 2021 Oct 21;138(16):1429-1440. doi: 10.1182/blood.2021011719.

Reference Type DERIVED
PMID: 34157093 (View on PubMed)

Del Pozo Martin Y. 47th Annual Meeting of the EBMT. Lancet Haematol. 2021 May;8(5):e317-e318. doi: 10.1016/S2352-3026(21)00104-6. Epub 2021 Mar 31. No abstract available.

Reference Type DERIVED
PMID: 33811823 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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GC P#05.01.020

Identifier Type: -

Identifier Source: org_study_id

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