Trial Outcomes & Findings for Bilateral Orthotopic Lung Transplant - Bone Marrow Transplant (NCT NCT03330795)

NCT ID: NCT03330795

Last Updated: 2025-07-22

Results Overview

How many, if any, participants die during study participation.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

5 participants

Primary outcome timeframe

Average of approximately 31 months for those who received an initial transplant

Results posted on

2025-07-22

Participant Flow

Participant milestones

Participant milestones
Measure
BOLT-BMT Protocol
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Overall Study
STARTED
5
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
BOLT-BMT Protocol
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Overall Study
Death
3
Overall Study
No longer eligible to receive transplants or study interventions due to medical contraindication
1

Baseline Characteristics

Bilateral Orthotopic Lung Transplant - Bone Marrow Transplant

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BOLT-BMT Protocol
n=5 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 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
4 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
United States
5 participants
n=5 Participants
Primary Immunodeficiency
B-cell disorder (e.g. CVID)
2 Participants
n=5 Participants
Primary Immunodeficiency
T-cell lymphopenia/T-cell disorder (SCID, CID)
2 Participants
n=5 Participants
Primary Immunodeficiency
Myeloid disorder (e.g. CGD)
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Average of approximately 31 months for those who received an initial transplant

Population: This Number of Participants analyzed includes one participant who became ineligible: no longer eligible to receive transplants or study interventions due to medical contraindication. One participant was terminated from the study prior to receiving a study transplant, prior to developing fatal illness, because this patient developed an infection which made her ineligible to proceed to transplant. This participant died during follow-up of safety events on study after termination from the study.

How many, if any, participants die during study participation.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=5 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Safety: Death
4 Participants

PRIMARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

How many, if any, participants develop engraftment syndrome.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Safety: Engraftment Syndrome
0 Participants

PRIMARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Engraftment Failure
1 Participants

PRIMARY outcome

Timeframe: Average of ~25 months.

Population: All participants

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=5 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Grade 4 or 5 Events Potentially Attributable to Rituximab
4 Participants

PRIMARY outcome

Timeframe: throughout the first year post BOLT

Population: Recipients of CD3/CD19-depleted marrow (includes 1 participant receiving BMT \>1 year post BOLT)

Diagnosis of BOS (Bronchiolitis Obliterans Syndrome) at any time up to 1 year post BOLT. BOS is one of the undesirable complications of lung transplantation.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
BOS at 1 Year Post BOLT
0 Participants

PRIMARY outcome

Timeframe: at 1 Year Post Lung Transplant (BOLT)

Population: Recipients of CD3/CD19-depleted marrow (includes 1 participant receiving BMT \>1 year post BOLT)

The number of participant(s) who need either supplemental oxygen and/or ventilator support (noninvasive/invasive) will be assessed using the Bronchiolitis Obliterans Syndrome (BOS) Classification Score for pulmonary function (e.g., the Forced Expiratory Volume in 1 Second (FEV1). FEV1 is air volume exhaled in 1 second during spirometry, a lung function test. (Continuing dependence on supplemental oxygen or ventilatory support is an undesirable outcome of lung transplantation).

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Efficacy: Count of Participants With Requirement for Supplemental Oxygen and/or Ventilatory Support
0 Participants

PRIMARY outcome

Timeframe: 1 Year Post Bone Marrow Transplant (BMT)

Population: Recipients of CD3/CD19-depleted marrow

The number of participants who have ≥ 25% donor T-cell chimerism.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Efficacy: Count of Participants With T-cell Chimerism
1 Participants

PRIMARY outcome

Timeframe: 1 Year Post Bone Marrow Transplant (BMT)

Population: Recipients of CD3/CD19-depleted marrow

The number of participants with myeloid disorders (e.g. Chronic Granulomatous Disease \[CGD\]) who attain ≥ 10% myeloid chimerism.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=1 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Efficacy: Count of Participants With Myeloid Chimerism
1 Participants

PRIMARY outcome

Timeframe: 1 Year Post Bone Marrow Transplant (BMT)

Population: Recipients of CD3/CD19-depleted marrow

The number of participants with B-cell disorders who attain ≥ 10% B-cell chimerism.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=2 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Efficacy: Count of Participants B-cell Chimerism
0 Participants

SECONDARY outcome

Timeframe: 6 Months Post Lung Transplant (BOLT)

Population: Recipients of a bilateral lung transplant

The number of participants for which it is feasible to proceed to BMT within 6 months following lung transplant.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=4 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants Able to Proceed to BMT
1 Participants

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

The number of participants who develop tolerance to both the host and pulmonary graft. Definition of tolerance: A participant's successful withdrawal from systemic immunosuppression for 6 weeks with no increase cGVHD score and stable or improving PFTs.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants Who Achieve Tolerance
0 Participants

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

Summary of long-term complications of combined solid organ and bone marrow transplant (BMT).

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Long Term Complications of Combined Solid Organ and Bone Marrow Transplant
0 Participants

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

The number of participants who develop acute cellular rejection and graft failure post BMT.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants Who Develop Acute Cellular Rejection and Graft Failure
0 Participants

SECONDARY outcome

Timeframe: 1 year following BMT

Population: Recipients of CD3/CD19-depleted marrow

The number of participants who are able to start immunosuppression withdrawal.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants Able to Initiate Withdrawal of Immunosuppression
0 Participants

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: None of the participants withdrew from IS during study participation.

Time from BMT to withdrawal of immunosuppression.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: None of the participants achieved independence from treatment dose antimicrobial drugs during study participation.

A measure of pathogen-specific immunity.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year post BMT

Population: Recipients of CD3/CD19-depleted marrow

For participants with immune deficiencies with T cell lymphopenias, number of participants achieving age adjusted, low limit normal range lymphocyte count by 1-year post-BMT.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=2 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Post-BMT Achievement of Normal Lymphocyte Count for T-cell Lymphopenias
0 Participants

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

The number of participants who develop acute graft-versus-host disease (GVHD) following tandem BOLT and BMT.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants Who Develop Acute Graft-Versus-Host Disease (GVHD)
1 Participants

SECONDARY outcome

Timeframe: Average of ~7.5 months of time post BMT for those receiving both lung and BMT transplants.

Population: Recipients of CD3/CD19-depleted marrow

The number of participants who develop chronic graft-versus-host disease (GVHD) following tandem BOLT and BMT.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=3 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants With Chronic Graft-Versus-Host Disease (GVHD)
0 Participants

SECONDARY outcome

Timeframe: up to 2 years post BOLT

Population: Recipients of a bilateral lung transplant

A significant development in chronic lung allograft dysfunction (as evidenced by a change in BOS stage) or allograft failure at 1 year and up to 2 year post lung transplant (for lung transplant alone and BOLT-BMT subjects.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=4 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Participants Who Develop Chronic Lung Allograft Dysfunction or Allograft Failure
0 Participants

SECONDARY outcome

Timeframe: Average of approximately 9 months.

Population: All participants, prior to the start of BMT Conditioning

The number of Grade 4 or 5 adverse events possibly related to the use of rituximab prior to the start of BMT conditioning.

Outcome measures

Outcome measures
Measure
BOLT-BMT Protocol
n=5 Participants
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Count of Pre-BMT Conditioning Rituximab Related Adverse Events
3 Participants

Adverse Events

BOLT-BMT Protocol

Serious events: 5 serious events
Other events: 5 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
BOLT-BMT Protocol
n=5 participants at risk
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Immune system disorders
Acute graft versus host disease in intestine
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Renal and urinary disorders
Acute kidney injury
60.0%
3/5 • Number of events 7 • Average of approximately 25 months
Blood and lymphatic system disorders
Bone marrow disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Bronchial haemorrhage
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Bronchitis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Colitis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Dehydration
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Gastrointestinal disorders
Diarrhoea
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
General disorders
Feeling abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Fluid balance positive
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Fungal sepsis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Gastrointestinal haemorrhage
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Metabolism and nutrition disorders
Hyperkalaemia
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Infections and infestations
Infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Vascular disorders
Jugular vein thrombosis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Renal and urinary disorders
Lower urinary tract symptoms
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Nervous system disorders
Meningitis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Myocardial infarction
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Neutrophil count decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Ear and labyrinth disorders
Otitis externa
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Platelet count decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pneumonia
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pulmonary mass
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Respiratory distress
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Respiratory failure
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Sepsis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Vascular disorders
Septic shock
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Small intestinal haemorrhage
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Staphylococcal bacteraemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Thrombocytopenic purpura
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Thrombotic microangiopathy
20.0%
1/5 • Number of events 1 • Average of approximately 25 months

Other adverse events

Other adverse events
Measure
BOLT-BMT Protocol
n=5 participants at risk
Participants may receive a double lung transplant followed by a bone marrow (hematopoietic stem cells) transplant, if a partially HLA-matched organ offer is accepted. The lungs and allogeneic hematopoietic stem cells will be from the same partially HLA-matched cadaveric donor. Prior to marrow transplantation, the marrow will be negatively selected for CD3/CD19 using a CliniMACS® depletion device. CD3/CD19 neg allogeneic BMT: Negative selection for CD3/CD19 will be performed on a CliniMACS® depletion device within 36 hours of collection, and cryopreserved for later marrow transplantation. BMT conditioning and transplantation will start at least 8 weeks or more post lung transplant - once the participant is clinically judged suitable to undergo BMT conditioning and transplantion.
Gastrointestinal disorders
Abdominal discomfort
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Abdominal distension
40.0%
2/5 • Number of events 6 • Average of approximately 25 months
Gastrointestinal disorders
Abdominal pain
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Gastrointestinal disorders
Abdominal pain lower
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Abnormal faeces
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Abnormal loss of weight
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Investigations
Acid base balance abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Acidosis
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Investigations
Activated partial thromboplastin time prolonged
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Immune system disorders
Acute graft versus host disease in skin
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Renal and urinary disorders
Acute kidney injury
40.0%
2/5 • Number of events 7 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Acute lung injury
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Administration related reaction
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Investigations
Alanine aminotransferase increased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Metabolism and nutrition disorders
Alkalosis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Anaemia
80.0%
4/5 • Number of events 6 • Average of approximately 25 months
Gastrointestinal disorders
Anorectal discomfort
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Psychiatric disorders
Anxiety
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Gastrointestinal disorders
Aphthous ulcer
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Appetite disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Hepatobiliary disorders
Ascites
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Aspartate aminotransferase increased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Infections and infestations
Aspergillus infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Aspergillus test positive
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Atelectasis
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Cardiac disorders
Atrial fibrillation
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Back pain
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Infections and infestations
Bacteraemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
BK virus infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood albumin decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood alkaline phosphatase increased
20.0%
1/5 • Number of events 3 • Average of approximately 25 months
Investigations
Blood bilirubin increased
40.0%
2/5 • Number of events 4 • Average of approximately 25 months
Investigations
Blood calcium decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood count abnormal
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Investigations
Blood creatinine increased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Blood and lymphatic system disorders
Blood disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood electrolytes decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood electrolytes increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood fibrinogen decreased
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Investigations
Blood immunoglobulin A decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood immunoglobulin G decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood lactate dehydrogenase increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood magnesium decreased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Investigations
Blood magnesium increased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Investigations
Blood parathyroid hormone increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood phosphorus decreased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Investigations
Blood potassium decreased
20.0%
1/5 • Number of events 3 • Average of approximately 25 months
Investigations
Blood potassium increased
60.0%
3/5 • Number of events 5 • Average of approximately 25 months
Investigations
Blood pressure decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood test abnormal
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Investigations
Blood triglycerides increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Blood urea increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Bloody discharge
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Body tinea
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Bone disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Bone pain
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Brain natriuretic peptide increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Breath sounds abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
C-reactive protein increased
20.0%
1/5 • Number of events 3 • Average of approximately 25 months
Infections and infestations
Candida infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Vascular disorders
Cardiogenic shock
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Cardiomyopathy
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Cardiovascular symptom
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
CD4 lymphocytes decreased
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Vascular disorders
Cerebrovascular disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Chest discomfort
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Chest pain
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Chest X-ray abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Renal and urinary disorders
Chronic kidney disease
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Gastrointestinal disorders
Clostridium difficile colitis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Clostridium difficile infection
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Psychiatric disorders
Cognitive disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Complication associated with device
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Compression fracture
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Conduction disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Psychiatric disorders
Confusional state
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Gastrointestinal disorders
Constipation
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Injury, poisoning and procedural complications
Contusion
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Cough
60.0%
3/5 • Number of events 5 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Cutaneous symptom
40.0%
2/5 • Number of events 5 • Average of approximately 25 months
Gastrointestinal disorders
Dental caries
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Psychiatric disorders
Depression
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Diaphragm muscle weakness
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Diarrhoea
100.0%
5/5 • Number of events 13 • Average of approximately 25 months
Nervous system disorders
Dizziness
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Eye disorders
Dry eye
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Dry mouth
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Dry skin
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Gastrointestinal disorders
Duodenal ulcer
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Dysphagia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Endocarditis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Enterococcal bacteraemia
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Infections and infestations
Enterovirus infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Enzyme level increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Eosinophilia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
40.0%
2/5 • Number of events 4 • Average of approximately 25 months
Vascular disorders
Epistaxis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Epstein-Barr viraemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Erythema
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Ear and labyrinth disorders
Eustachian tube disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Excessive granulation tissue
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Fibrin D dimer increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Flank pain
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Fluid balance negative
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Fluid balance positive
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Fluid retention
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Flushing
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Fungal infection
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Investigations
Gamma-glutamyltransferase decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Gamma-glutamyltransferase increased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Gastrointestinal disorders
Gastric haemorrhage
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Gastric ulcer
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Gastroenteritis norovirus
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Gastrointestinal disorder
40.0%
2/5 • Number of events 5 • Average of approximately 25 months
General disorders
Gastrointestinal inflammation
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Gastrointestinal viral infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Gastrooesophageal reflux disease
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
General symptom
40.0%
2/5 • Number of events 4 • Average of approximately 25 months
Investigations
Glucose urine present
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Haematochezia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Vascular disorders
Haematoma
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Renal and urinary disorders
Haematuria
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Investigations
Haemoglobin decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Haemoptysis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Haemorrhoidal haemorrhage
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Haemorrhoids
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Psychiatric disorders
Hallucination
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Nervous system disorders
Headache
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Investigations
Hepatic enzyme increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Hepatobiliary disorders
Hyperammonaemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypercalcaemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Hyperchloraemia
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Endocrine disorders
Hyperglycaemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Hyperglycaemia
100.0%
5/5 • Number of events 5 • Average of approximately 25 months
Metabolism and nutrition disorders
Hyperkalaemia
80.0%
4/5 • Number of events 5 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypermagnesaemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypernatraemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Hyperprothrombinaemia
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Vascular disorders
Hypertension
80.0%
4/5 • Number of events 7 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypoalbuminaemia
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypocalcaemia
80.0%
4/5 • Number of events 6 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypochloraemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypoglycaemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypokalaemia
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypomagnesaemia
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Metabolism and nutrition disorders
Hyponatraemia
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Metabolism and nutrition disorders
Hypophosphataemia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Vascular disorders
Hypotension
80.0%
4/5 • Number of events 5 • Average of approximately 25 months
Endocrine disorders
Hypothyroidism
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Gastrointestinal disorders
Ileus paralytic
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Incontinence
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Ingrowing nail
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Psychiatric disorders
Insomnia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
International normalised ratio increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Intestinal haemorrhage
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Investigation abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Hepatobiliary disorders
Jaundice
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Laboratory test abnormal
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Metabolism and nutrition disorders
Lactic acidosis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Laryngeal inflammation
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Leukocytosis
80.0%
4/5 • Number of events 5 • Average of approximately 25 months
Investigations
Liver function test abnormal
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Investigations
Liver function test decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Liver function test increased
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
General disorders
Localised oedema
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Lower respiratory tract infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Lymphocyte count decreased
80.0%
4/5 • Number of events 7 • Average of approximately 25 months
Vascular disorders
Lymphoedema
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Malabsorption
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Injury, poisoning and procedural complications
Medical device site pain
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Metabolic alkalosis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Monocyte count decreased
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Investigations
Monocyte count increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Mucosal infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Muscle injury
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Muscular weakness
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Musculoskeletal chest pain
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
40.0%
2/5 • Number of events 4 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Myalgia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Mycobacterial infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Nasal disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Nausea
80.0%
4/5 • Number of events 10 • Average of approximately 25 months
Investigations
Neutrophil count decreased
60.0%
3/5 • Number of events 5 • Average of approximately 25 months
Investigations
Neutrophil count increased
80.0%
4/5 • Number of events 4 • Average of approximately 25 months
Hepatobiliary disorders
Nodular regenerative hyperplasia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Non-cardiac chest pain
80.0%
4/5 • Number of events 4 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Non-cardiac chest pain
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Nonspecific reaction
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Occult blood positive
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Oedema
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Reproductive system and breast disorders
Oedema genital
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Oedema peripheral
80.0%
4/5 • Number of events 4 • Average of approximately 25 months
Metabolism and nutrition disorders
Oedema peripheral
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Renal and urinary disorders
Oliguria
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Oral candidiasis
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Gastrointestinal disorders
Oral disorder
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Ear and labyrinth disorders
Otitis externa
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Pain
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Paranasal sinus hypersecretion
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Pericarditis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Blood and lymphatic system disorders
Petechiae
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pharyngitis streptococcal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Pigmentation disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Platelet count decreased
60.0%
3/5 • Number of events 7 • Average of approximately 25 months
Investigations
Platelet count increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pleural disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Pneumonia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pneumonia
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pneumothorax
100.0%
5/5 • Number of events 6 • Average of approximately 25 months
Psychiatric disorders
Postoperative delirium
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Injury, poisoning and procedural complications
Postoperative thoracic procedure complication
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Injury, poisoning and procedural complications
Procedural haemorrhage
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Proctalgia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Productive cough
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Gastrointestinal disorders
Protein-losing gastroenteropathy
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Protein total decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Protein urine
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Protein urine present
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Renal and urinary disorders
Proteinuria
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Pruritus
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Pulmonary function test decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pulmonary mass
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
60.0%
3/5 • Number of events 4 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Purpura
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Rash
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Rash erythematous
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Renal and urinary disorders
Renal cyst
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Metabolism and nutrition disorders
Respiratory acidosis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
60.0%
3/5 • Number of events 5 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Infections and infestations
Respiratory tract infection viral
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Reticulocyte count decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Right ventricular systolic pressure increased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Nervous system disorders
Seizure
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Sepsis
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Sinus bradycardia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Sinus disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Sinus tachycardia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Skin abrasion
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Skin bacterial infection
20.0%
1/5 • Number of events 2 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Skin discolouration
20.0%
1/5 • Number of events 3 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Skin discomfort
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Skin disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Skin mass
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Nervous system disorders
Somnolence
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Musculoskeletal and connective tissue disorders
Spinal compression fracture
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Sputum culture positive
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Infections and infestations
Staphylococcal infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Subcutaneous emphysema
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Ear and labyrinth disorders
Sudden hearing loss
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Psychiatric disorders
Suicidal ideation
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Cardiac disorders
Tachycardia
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Tachypnoea
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
General disorders
Temperature regulation disorder
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Throat irritation
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Blood and lymphatic system disorders
Thrombocytopenia
40.0%
2/5 • Number of events 3 • Average of approximately 25 months
Nervous system disorders
Tremor
60.0%
3/5 • Number of events 3 • Average of approximately 25 months
Investigations
Ultrasound liver abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Ultrasound scan abnormal
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
Urinary casts present
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Skin and subcutaneous tissue disorders
Urticaria
40.0%
2/5 • Number of events 2 • Average of approximately 25 months
Infections and infestations
Viral infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Respiratory, thoracic and mediastinal disorders
Viral upper respiratory tract infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Gastrointestinal disorders
Vomiting
80.0%
4/5 • Number of events 6 • Average of approximately 25 months
Investigations
Weight decreased
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Surgical and medical procedures
Weight loss diet
20.0%
1/5 • Number of events 1 • Average of approximately 25 months
Investigations
White blood cell count decreased
80.0%
4/5 • Number of events 8 • Average of approximately 25 months
Infections and infestations
Wound infection
20.0%
1/5 • Number of events 1 • Average of approximately 25 months

Additional Information

Director, Clinical Research Operations Program

DAIT/NIAID

Phone: 240-669-5064

Results disclosure agreements

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