Comparison Study of EAP and CG Regimens for Mobilizing Hematopoietic Stem Cells in Multiple Myeloma Patients

NCT ID: NCT06520176

Last Updated: 2024-07-25

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-31

Study Completion Date

2026-12-31

Brief Summary

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This is a prospective, randomized, two-arm, multicenter, exploratory study aimed at evaluating the efficacy and safety of the combination of etoposide, cytarabine and Pegfilgrastim (EAP regimen) for mobilizing hematopoietic stem cells in patients with newly diagnosed multiple myeloma (NDMM). A total of 99 NDMM patients will be enrolled and randomly assigned to receive either the EAP regimen or the GC regimen (cyclophosphamide+ G-CSF) to mobilize hematopoietic stem cells. Subsequently, the mobilization effects and adverse reactions of all patients will be observed and compared.

Detailed Description

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According to strict inclusion and exclusion criteria, 99 newly diagnosed MM patients will be selected. They will be randomly assigned in a 2:1 ratio to the EAP group or the CG group. During the hematopoietic stem cell mobilization period, comparison study will be conducted regarding the proportion of patients who achieve the ideal collection value (CD34 cells \>5×10\^6/kg) after a single collection; the proportion of patients who cumulatively achieve the target collection value (CD34 cells \>2×10\^6/kg) and the ideal collection value; the cumulative collection of CD34 cells and the average number of collections; and the hematological and non-hematological adverse reactions of the EAP and CG regimens. Special attention will be given to the proportion of patients who add Plerixafor in both regimens.

Conditions

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Multiple Myeloma Hematopoietic Stem Cell Mobilization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized, two-arm, multicenter, exploratory study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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EAP regimen group

66 subjects will be enrolled into the EAP regimen group. EAP regimen is the combination of etoposide, cytarabine and PEG-rhG-CSF.

Group Type EXPERIMENTAL

Etoposide

Intervention Type DRUG

Day 1\~Day 2: 75mg/m\^2

Cytarabine

Intervention Type DRUG

Day 1\~Day 2: 200g/m\^2, q12h

Pegfilgrastim

Intervention Type DRUG

Day 6: 6mg

G-CSF

Intervention Type DRUG

Starting from the 9th day, if the white blood cell count is less than 20,000/μL, administer G-CSF at a dose of 5μg/kg by subcutaneous injection until the collection is completed.

CG regimen group

33 subjects will be enrolled into the CG regimen group. CG regimen is the combination of cyclophosphamide and G-CSF.

Group Type ACTIVE_COMPARATOR

Cyclophosphamide

Intervention Type DRUG

Day 1\~Day 2: 1~2g/m\^2

G-CSF

Intervention Type DRUG

Subcutaneous injection at dose 5ug/kg, from day 6 until the end of mobilization.

Interventions

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Etoposide

Day 1\~Day 2: 75mg/m\^2

Intervention Type DRUG

Cytarabine

Day 1\~Day 2: 200g/m\^2, q12h

Intervention Type DRUG

Pegfilgrastim

Day 6: 6mg

Intervention Type DRUG

Cyclophosphamide

Day 1\~Day 2: 1~2g/m\^2

Intervention Type DRUG

G-CSF

Subcutaneous injection at dose 5ug/kg, from day 6 until the end of mobilization.

Intervention Type DRUG

G-CSF

Starting from the 9th day, if the white blood cell count is less than 20,000/μL, administer G-CSF at a dose of 5μg/kg by subcutaneous injection until the collection is completed.

Intervention Type DRUG

Other Intervention Names

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VP-16 Ara-C PEG-rhG-CSF Cy Granulocyte Colony Stimulating Factor Granulocyte Colony Stimulating Factor

Eligibility Criteria

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Inclusion Criteria

* 1\. Patients newly diagnosed as multiple myeloma.
* 2\. Indication for ASCT.
* 3\. Eastern Cooperative Oncology Group (ECOG) performance status of 0\~1.
* 4\. Life expectancy ≥ 3 months.
* 5\. Subjects must be able to understand the protocol and sign the informed consent.

Exclusion Criteria

* 1\. Cardiac function class II or higher or cardiac ejection fraction \<40%.
* 2\. Serum direct bilirubin (DBIL)\>2× upper limit of normal (ULN).
* 3\. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>3× ULN.
* 4\. Serum creatinine clearance rate≤30%.
* 5\. Patients with active infection.
* 6\. Previously received hematopoietic stem cell mobilization.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Zhejiang University

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Wenzhou Medical University

OTHER

Sponsor Role collaborator

Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University

OTHER

Sponsor Role collaborator

The Central Hospital of Lishui City

OTHER

Sponsor Role collaborator

Jinhua People's Hospital

OTHER

Sponsor Role collaborator

Shaoxing People's Hospital

OTHER

Sponsor Role collaborator

Shaoxing Second Hospital

OTHER

Sponsor Role collaborator

Zhejiang Provincial Tongde Hospital

OTHER

Sponsor Role collaborator

Taizhou Hospital

OTHER

Sponsor Role collaborator

Dongyang People's Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Jiaxing University

OTHER

Sponsor Role collaborator

Huizhou Municipal Central Hospital

OTHER

Sponsor Role collaborator

Second Affiliated Hospital of Wenzhou Medical University

OTHER

Sponsor Role collaborator

Ningbo Medical Center Lihuili Hospital

OTHER_GOV

Sponsor Role collaborator

Jinhua Municipal Central Hospital

OTHER

Sponsor Role collaborator

The Affiliated People's Hospital of Ningbo University

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ying Lu

Role: PRINCIPAL_INVESTIGATOR

The Affiliated People's Hospital of Ningbo University

Locations

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Dongyang People's Hospital

Dongyang, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital, College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Tongde Hospital of Zhejiang Province

Hangzhou, Zhejiang, China

Site Status RECRUITING

Huzhou central hospital

Huzhou, Zhejiang, China

Site Status RECRUITING

The First Hospital of Jiaxing

Jiaxing, Zhejiang, China

Site Status RECRUITING

Jinhua Municipal Central Hospital

Jinhua, Zhejiang, China

Site Status RECRUITING

Jinhua People's Hospital

Jinhua, Zhejiang, China

Site Status RECRUITING

Lishui Central Hospital

Lishui, Zhejiang, China

Site Status RECRUITING

Ningbo Medical Center Lihuili Hospital

Ningbo, Zhejiang, China

Site Status RECRUITING

The Affiliated People's Hospital of Ningbo University

Ningbo, Zhejiang, China

Site Status RECRUITING

Shaoxing People's Hospital

Shaoxing, Zhejiang, China

Site Status RECRUITING

Shaoxing Second Hospital

Shaoxing, Zhejiang, China

Site Status RECRUITING

Taizhou Central Hospital

Taizhou, Zhejiang, China

Site Status RECRUITING

Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

The Second Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ying Lu

Role: CONTACT

+86-13486090834

Peipei Ye

Role: CONTACT

+86-13685832706

Facility Contacts

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Gongqiang Wu

Role: primary

13757950788

Jie Jin

Role: primary

13507016779

Huifang Jiang

Role: primary

13957182087

Lihong Shou

Role: primary

13587206019

Hui Zeng

Role: primary

13957330440

Jingcheng Zhang

Role: primary

13958480529

Li Huang

Role: primary

13566782316

Linjie Li

Role: primary

13567615761

Jing Le

Role: primary

13566511755

Ying Lu

Role: primary

+86-13486090834

Peipei Ye

Role: backup

+86-13685832706

Weiying Feng

Role: primary

13588570250

Weiguo Zhu

Role: primary

18767509030

Sai Chen

Role: primary

13575809591

Qunyi Guo

Role: primary

13515861286

Shujuan Zhou

Role: primary

13738368586

Ying Lin

Role: primary

13705883857

Other Identifiers

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2024-060

Identifier Type: -

Identifier Source: org_study_id

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