Status:

COMPLETED

Study of Plerixafor for Rescue of Poor Mobilizers in Autologous Stem Cell Transplant

Lead Sponsor:

Duke University

Collaborating Sponsors:

Genzyme, a Sanofi Company

Conditions:

Multiple Myeloma

Non-Hodgkins Lymphoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

Plerixafor, administered at a dose of 240 ug/kg, potentiates the effect of granulocyte colony-stimulating factor (G-CSF) to increase peripheral blood progenitor cells in both healthy volunteers and ca...

Detailed Description

This is a single-center, Phase 2, open-label study. All patients diagnosed with non-hodgkins lymphoma, hodgkins disease or multiple myeloma and candidates for autologous transplantation are eligible t...

Eligibility Criteria

Inclusion

  • Age 18 to 75 years.
  • Diagnosis of NHL, HD or MM
  • Eligible for autologous transplantation
  • CD34+ cell count \< 7 cells/ul after 5 days of mobilization with G-CSF or CD34+ cell count between 7 and 19 (inclusive) on day 5 of mobilization with G-CSF and \< 1.3 x 106 CD34+ cells collected by apheresis on day 5 of G-CSF therapy.
  • \< or equal to 5 prior regimens of chemotherapy (Rituxan is not considered chemotherapy for the purpose of this study)
  • ≥ 3 weeks since last cycle of chemotherapy and the beginning of G-CSF mobilization (Rituxan and Lenalidomide are not considered chemotherapy for the purpose of this study)
  • Total dose of melphalan \< or equal to 200 mg
  • ECOG performance status of 0 or 1
  • Recovered from all acute toxic effects of prior chemotherapy
  • Absolute PMN count \> 1.0 X 10(9)/l prior to first dose of G-CSF
  • PLT count \> 75 X 10(9)/l prior to first dose of G-CSF
  • Serum creatinine \< or equal to 2.5 mg/dl
  • SGOT, SGPT and total bilirubin \< 2 X upper limit of normal (ULN) prior to the first dose of G-CSF
  • Cardiac and pulmonary status sufficient to undergo apheresis and transplantation as determined by standard institutional practice
  • Signed informed consent
  • Patients of childbearing potential agree to use an approved form of contraception

Exclusion

  • A co-morbid condition which, in the view of the investigator, renders the patient at high risk from treatment complications
  • Failed previous stem cell collection or collection attempts
  • A residual acute medical condition resulting from prior chemotherapy
  • Active brain metastases or carcinomatous meningitis
  • Active infection requiring antibiotic treatment (excluding controlled catheter-related bacteremia)
  • Received prior radio-immunotherapy with Zevalin or Bexxar
  • Received thalidomide, dexamethasone, and/or Velcade within 7 days prior to the first dose of G-CSF
  • Positive pregnancy test in female patients
  • Lactating females
  • Patients who previously received experimental therapy within 4 weeks of enrolling in this protocol

Key Trial Info

Start Date :

May 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2013

Estimated Enrollment :

21 Patients enrolled

Trial Details

Trial ID

NCT00901225

Start Date

May 1 2009

End Date

May 1 2013

Last Update

May 7 2014

Active Locations (1)

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1

Duke University Medical Center

Durham, North Carolina, United States, 27705