A Safety Study Looking at the Combination of Velcade and G-CSF in Patients With Myeloma or Lymphoma
Primary Purpose
Malignant Lymphoma, Stem Cell Type, Autologous Transplant
Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
bortezomib and G-CSF
Sponsored by

About this trial
This is an interventional treatment trial for Malignant Lymphoma, Stem Cell Type focused on measuring stem cell, transplant, myeloma, lymphoma, BMT, autologous
Eligibility Criteria
Inclusion Criteria:
- Voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.
- Female subject is either post-menopausal for at least 1 year before the screening visit, or surgically sterilized or if they are of childbearing potential, agree to practice 2 effective methods of contraception from the time of signing the informed consent form through 30 days after the last dose of VELCADE, or agree to completely abstain from heterosexual intercourse.
- Male subject, even if surgically sterilized (ie, status post vasectomy) must agree to 1 of the following: practice effective barrier contraception during the entire study treatment period and through a minimum of 30 days after the last dose of study drug, or completely abstain from heterosexual intercourse.
- > 18 yrs of age needing to undergo an autologous blood stem cell transplant for the treatment of multiple myeloma or lymphoma
Exclusion Criteria Patients meeting any of the following exclusion criteria are not to be enrolled in the study.
- Patient has a platelet count of < 100x 109/L within 14 days before enrollment.
- Patient has an absolute neutrophil count of < 1.0x109/ within 14 days before enrollment.
- Patient has > 1.5 x ULN Total Bilirubin
- Patient has a calculated or measured creatinine clearance of < 50 mL/minute within 14 days before enrollment.
- Patient has ≥ Grade 2 peripheral neuropathy.
- Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) Class III or IV heart failure uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities. Prior to study entry, any ECG abnormality at Screening has to be documented by the investigator as not medically relevant.
- Patient has hypersensitivity to VELCADE, boron or mannitol or G-CSF
- Female subject is pregnant or lactating. Confirmation that the subject is not pregnant must be established by a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test result obtained during screening. Pregnancy testing is not required for post-menopausal or surgically sterilized women.
- Female patients who are lactating or have a positive serum pregnancy test during the screening period, or a positive urine pregnancy test on Day 1 before first dose of study drug, if applicable.
- Participation in clinical trials with other investigational agents not included in this trial, within 14 days of the start of this trial until 2 weeks after patient has received the last dose of Velcade for mobilization.
- Serious medical or psychiatric illness likely to interfere with participation in this clinical study.
- Diagnosed or treated for another malignancy within 3 years of enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.
- Treated with VELCADE in the past 30 days
- Radiation therapy within 3 weeks before randomization. Enrollment of subjects who require concurrent radiotherapy (which must be localized in its field size) should be deferred until the radiotherapy is completed and 3 weeks have elapsed since the last date of therapy.
Sites / Locations
- University of Kansas Medical Center
- University of Kansas Medical Center, Westwood Campus
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
bortezomib and G-CSF
Arm Description
Outcomes
Primary Outcome Measures
Determine the effectiveness of the combination of bortezomib and G-CSF
The primary aim of this single-arm pilot study is to determine the effectiveness of a combination of Bortezomib and G-SCSF in blood stem cell mobilization through the estimation of the proportion of patients receiving treatment that obtain adequate stem cell yield.
Secondary Outcome Measures
Assess the safety of the combination of bortezomib and G-CSF
Assess the safety of the study mobilization regimen
Full Information
NCT ID
NCT01171092
First Posted
July 26, 2010
Last Updated
January 9, 2017
Sponsor
University of Kansas Medical Center
Collaborators
Millennium Pharmaceuticals, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01171092
Brief Title
A Safety Study Looking at the Combination of Velcade and G-CSF in Patients With Myeloma or Lymphoma
Official Title
A Pilot Trial to Assess Mobilization of Hematopoietic Progenitor Cells With a Combination of Bortezomib and G-CSF in Patients Undergoing Autologous Transplant for Myeloma and Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Kansas Medical Center
Collaborators
Millennium Pharmaceuticals, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine if the combination of G-CSF and bortezomib is safe and effective in blood cell mobilization.
Detailed Description
The study plans to use VELCADE for two doses followed by G-CSF given for 4 doses as is standard for mobilization with G-CSF alone. The rationale for VELCADE prior to the G-CSF is because VELCADE causes thrombocytopenia, similar to how cyclophosphamide is given followed by G-CSF for stem cell mobilization. Usually a cycle of VELCADE for myeloma therapy consists of 4 doses, but this may result in more significant drop in the platelet count. Low platelet counts may preclude adequate stem cell collection. The mobilization with VELCADE and GCSF will be approximately 3 -4 weeks after completion of the initial therapy for the primary disease.
Patients meeting eligibility criteria and who give informed consent will be mobilized using bortezomib at 1.3mg/m2 on day -11 and day -8. Subsequently G-CSF will be administered subcutaneously from day -4 to day -1 as a once daily injection at the standard /established dose of 10mcg/kg. Stem cell collection will be done on day 0 per standard of care regimen and protocol with processing of 4 -5 blood volumes. Stem cell enumeration by flow cytometry will be done prior to the collection by flow cytometry. The number of CD 34 positive cells (stem cell phenotype) / kg obtained each day of collection will be noted. G-CSF will be continued daily until adequate numbers of stem cells are obtained for the performance of a single autologous transplant (> 2.5 million CD 34 cells/kg of weight. Subsequently the data for engraftment of neutrophils and platelets will be monitored as is routine for all patients undergoing autologous transplant.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malignant Lymphoma, Stem Cell Type, Autologous Transplant
Keywords
stem cell, transplant, myeloma, lymphoma, BMT, autologous
7. Study Design
Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
21 (Actual)
8. Arms, Groups, and Interventions
Arm Title
bortezomib and G-CSF
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
bortezomib and G-CSF
Other Intervention Name(s)
Velcade, Filgrastim
Intervention Description
Bortezomib injection:
1.3mg/m2 11 days before and 8 days before the stem cell collection
G-CSF injection:
10mcg/kg on days -4 to day -1 once daily
Primary Outcome Measure Information:
Title
Determine the effectiveness of the combination of bortezomib and G-CSF
Description
The primary aim of this single-arm pilot study is to determine the effectiveness of a combination of Bortezomib and G-SCSF in blood stem cell mobilization through the estimation of the proportion of patients receiving treatment that obtain adequate stem cell yield.
Time Frame
100 days after transplant
Secondary Outcome Measure Information:
Title
Assess the safety of the combination of bortezomib and G-CSF
Description
Assess the safety of the study mobilization regimen
Time Frame
365 days after transplant
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.
Female subject is either post-menopausal for at least 1 year before the screening visit, or surgically sterilized or if they are of childbearing potential, agree to practice 2 effective methods of contraception from the time of signing the informed consent form through 30 days after the last dose of VELCADE, or agree to completely abstain from heterosexual intercourse.
Male subject, even if surgically sterilized (ie, status post vasectomy) must agree to 1 of the following: practice effective barrier contraception during the entire study treatment period and through a minimum of 30 days after the last dose of study drug, or completely abstain from heterosexual intercourse.
> 18 yrs of age needing to undergo an autologous blood stem cell transplant for the treatment of multiple myeloma or lymphoma
Exclusion Criteria Patients meeting any of the following exclusion criteria are not to be enrolled in the study.
Patient has a platelet count of < 100x 109/L within 14 days before enrollment.
Patient has an absolute neutrophil count of < 1.0x109/ within 14 days before enrollment.
Patient has > 1.5 x ULN Total Bilirubin
Patient has a calculated or measured creatinine clearance of < 50 mL/minute within 14 days before enrollment.
Patient has ≥ Grade 2 peripheral neuropathy.
Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) Class III or IV heart failure uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities. Prior to study entry, any ECG abnormality at Screening has to be documented by the investigator as not medically relevant.
Patient has hypersensitivity to VELCADE, boron or mannitol or G-CSF
Female subject is pregnant or lactating. Confirmation that the subject is not pregnant must be established by a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test result obtained during screening. Pregnancy testing is not required for post-menopausal or surgically sterilized women.
Female patients who are lactating or have a positive serum pregnancy test during the screening period, or a positive urine pregnancy test on Day 1 before first dose of study drug, if applicable.
Participation in clinical trials with other investigational agents not included in this trial, within 14 days of the start of this trial until 2 weeks after patient has received the last dose of Velcade for mobilization.
Serious medical or psychiatric illness likely to interfere with participation in this clinical study.
Diagnosed or treated for another malignancy within 3 years of enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.
Treated with VELCADE in the past 30 days
Radiation therapy within 3 weeks before randomization. Enrollment of subjects who require concurrent radiotherapy (which must be localized in its field size) should be deferred until the radiotherapy is completed and 3 weeks have elapsed since the last date of therapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sunil Abhyankar, MD
Organizational Affiliation
University of Kansas Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
University of Kansas Medical Center, Westwood Campus
City
Westwood
State/Province
Kansas
ZIP/Postal Code
66205
Country
United States
12. IPD Sharing Statement
Learn more about this trial
A Safety Study Looking at the Combination of Velcade and G-CSF in Patients With Myeloma or Lymphoma
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