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Acceleration of Platelet Recovery Following Autologous Peripheral Blood Stem Cell Transplant (PBSC) in Hodgkin, Non-Hodgkin Lymphoma or Multiple Myeloma Patients (TXA127-PBSC)

Primary Purpose

Lymphoma, Non-Hodgkin, Hodgkin Disease, Multiple Myeloma

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
TXA127
Placebo
Sponsored by
Tarix Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Lymphoma, Non-Hodgkin focused on measuring Lymphoma, Non-Hodgkin, Hodgkin Disease, Multiple myeloma, Peripheral Blood Stem Cell Transplant, Autologous Peripheral Blood Stem Cell Transplant, Limited re-infusion of CD34+ cells

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects must be at least 18 years of age
  • Subjects must have HL, NHL, or MM requiring PBSCT
  • Subjects must have a life expectancy of at least 4 months
  • Subjects are to receive autologous PBSC transplant following mobilization, CD34+ cells collected by apheresis, and conditioning chemotherapy
  • Subjects must give written informed consent to participate in study. Consent must be obtained prior to the performance of any study-specific, non-institutional standard procedures. A copy of the signed informed consent will be retained in the subject's chart.
  • Subjects must have CD34+ collection which allows reinfusion of ≥1.5 x 106 and ≤5.0 x 106 CD34+ cells/kg
  • Subjects must have a psychological and emotional state that, in the view of the investigators, allows adherence to the protocol
  • Female subjects capable of reproduction, and male subjects who have partners capable of reproduction, must agree to the following:

    • Use of an effective contraceptive method during the course of the study and for 2 months following the last administration of Investigational Product
    • Female subjects capable of reproduction must have a negative beta human chorionic gonadotropin (BHCG) serum or urine pregnancy test result within 7 days prior to first Investigational Product dose
    • Female subjects who are surgically sterilized or who have not experienced menses for at least two years are not required to have a pregnancy test

Exclusion Criteria:

  • Subjects who have received radiotherapy to the pelvis and/or sternum within one year of first Investigational Product administration
  • Subjects who have previously received or have planned Total Body Irradiation (TBI)
  • Subjects with a history of prior malignancy other than HL, NHL, or MM that have not been in remission for >5 years, with the exception of basal cell or squamous cell carcinoma, cervical carcinoma in situ on biopsy, or localized prostate cancer (Gleason score <5)
  • Subjects with a history of myelodysplastic syndrome
  • Subjects who have had a venous or arterial embolic event AND who have received anti-coagulant treatment, where both the event and the treatment were within six months of the first Investigational Product administration
  • Prior allogeneic hematopoietic cell transplant
  • Presence of an uncontrolled infection or infection that required intravenous treatment within 7 days of entry
  • Female subjects who are pregnant or breastfeeding
  • Subjects who have received treatment with an investigational agent within 30 days of the projected first administration of Investigational Product (Day 0)
  • Subjects with current alcohol use, illicit drug use, or any other condition (e.g., psychiatric disorder) that, in the opinion of the Investigator, may interfere with the subject's ability to comply with the study requirements or visit schedule
  • Subjects with a known sensitivity to any of the Investigational Product components
  • Subjects known to be seropositive for HIV or for HTLV-I
  • Subjects for whom prophylactic platelet transfusions, at platelet counts >10× 109/L, are anticipated following PBSC transplant

Sites / Locations

  • City of Hope Hospital
  • Emory University
  • Rush University Medical Center
  • IU Simon Cancer Center
  • Washington University
  • University of Nebraska Medical Center
  • Montefiori Medical Center
  • Stony Brook
  • Huntsman Cancer Institute
  • University of Virginia Health System

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

TXA127

Placebo

Arm Description

300mcg/kg/day administered subcutaneously up to 28 days

300mcg/kg/day administered subcutaneously up to 28 days

Outcomes

Primary Outcome Measures

Platelet recovery
Evaluate the effectiveness of TXA127 in accelerating the time to initial platelet recovery following PBSC transplant with a limited number of CD34+ cells, defined as CD34+ cell concentrations ≥1.5 x 106 and ≤5.0 x 106 CD34+ cells/kg. Platelet recovery is defined as that day the subject achieves a post-nadir platelet count of ≥20 x 109/L with no platelet transfusion in the prior 7 days.
Safety of TXA127
Evaluate the safety of TXA127 administration following PBSC transplant

Secondary Outcome Measures

Initial neutrophil recovery
Determine the effectiveness of TXA127 in accelerating the days to initial neutrophil recovery (ANCs > 0.5 x 10⁹/L)
Mucositis
Evaluate the incidence of mucositis Grade 3/4
Febrile neutropenia
Evaluate the effect of TXA127 in reducing the number of days of febrile neutropenia (fever and ANC <0.5 x 109/L)
Platelet transfusions
Evaluate the effect of TXA127 in reducing the number of platelet transfusions needed

Full Information

First Posted
May 9, 2010
Last Updated
December 7, 2020
Sponsor
Tarix Pharmaceuticals
Collaborators
Constant Therapeutics LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01121120
Brief Title
Acceleration of Platelet Recovery Following Autologous Peripheral Blood Stem Cell Transplant (PBSC) in Hodgkin, Non-Hodgkin Lymphoma or Multiple Myeloma Patients
Acronym
TXA127-PBSC
Official Title
Phase II Study Evaluating the Safety and Efficacy of TXA127 in the Acceleration of Platelet Recovery Following Autologous Peripheral Blood Stem Cell Transplant in Patients With Hodgkin Lymphoma, Non-Hodgkin Lymphoma or Multiple Myeloma Undergoing Limited Reinfusion of CD34+ Cells
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Terminated
Study Start Date
June 2010 (undefined)
Primary Completion Date
December 2020 (Actual)
Study Completion Date
December 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tarix Pharmaceuticals
Collaborators
Constant Therapeutics LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and effectiveness of TXA127 in accelerating the time it takes for patients to recover their platelet counts following a Autologous Peripheral Blood Stem Cell transplant.
Detailed Description
This is a randomized, double-blind (Investigator and Study Subject), placebo-controlled study. The conditioning regimen and mobilization agents used will be up to the discretion of the Study Center Investigator

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma, Non-Hodgkin, Hodgkin Disease, Multiple Myeloma
Keywords
Lymphoma, Non-Hodgkin, Hodgkin Disease, Multiple myeloma, Peripheral Blood Stem Cell Transplant, Autologous Peripheral Blood Stem Cell Transplant, Limited re-infusion of CD34+ cells

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
75 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TXA127
Arm Type
Experimental
Arm Description
300mcg/kg/day administered subcutaneously up to 28 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
300mcg/kg/day administered subcutaneously up to 28 days
Intervention Type
Drug
Intervention Name(s)
TXA127
Other Intervention Name(s)
Angiotensin 1-7
Intervention Description
300mcg/kg/day, administered subcutaneously for up to 28 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
300mcg/kg/day administered subcutaneously for up to 28 days
Primary Outcome Measure Information:
Title
Platelet recovery
Description
Evaluate the effectiveness of TXA127 in accelerating the time to initial platelet recovery following PBSC transplant with a limited number of CD34+ cells, defined as CD34+ cell concentrations ≥1.5 x 106 and ≤5.0 x 106 CD34+ cells/kg. Platelet recovery is defined as that day the subject achieves a post-nadir platelet count of ≥20 x 109/L with no platelet transfusion in the prior 7 days.
Time Frame
≤ 28 days from re-infusion of CD34+ cells
Title
Safety of TXA127
Description
Evaluate the safety of TXA127 administration following PBSC transplant
Time Frame
≤ 28 days from re-infusion of CD34+ cells
Secondary Outcome Measure Information:
Title
Initial neutrophil recovery
Description
Determine the effectiveness of TXA127 in accelerating the days to initial neutrophil recovery (ANCs > 0.5 x 10⁹/L)
Time Frame
≤ 28 days from re-infusion of CD34+ cells
Title
Mucositis
Description
Evaluate the incidence of mucositis Grade 3/4
Time Frame
≤ 28 days from re-infusion of CD34+ cells
Title
Febrile neutropenia
Description
Evaluate the effect of TXA127 in reducing the number of days of febrile neutropenia (fever and ANC <0.5 x 109/L)
Time Frame
≤ 28 days from re-infusion of CD34+ cells
Title
Platelet transfusions
Description
Evaluate the effect of TXA127 in reducing the number of platelet transfusions needed
Time Frame
≤ 28 days from re-infusion of CD34+ cells

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must be at least 18 years of age Subjects must have HL, NHL, or MM requiring PBSCT Subjects must have a life expectancy of at least 4 months Subjects are to receive autologous PBSC transplant following mobilization, CD34+ cells collected by apheresis, and conditioning chemotherapy Subjects must give written informed consent to participate in study. Consent must be obtained prior to the performance of any study-specific, non-institutional standard procedures. A copy of the signed informed consent will be retained in the subject's chart. Subjects must have CD34+ collection which allows reinfusion of ≥1.5 x 106 and ≤5.0 x 106 CD34+ cells/kg Subjects must have a psychological and emotional state that, in the view of the investigators, allows adherence to the protocol Female subjects capable of reproduction, and male subjects who have partners capable of reproduction, must agree to the following: Use of an effective contraceptive method during the course of the study and for 2 months following the last administration of Investigational Product Female subjects capable of reproduction must have a negative beta human chorionic gonadotropin (BHCG) serum or urine pregnancy test result within 7 days prior to first Investigational Product dose Female subjects who are surgically sterilized or who have not experienced menses for at least two years are not required to have a pregnancy test Exclusion Criteria: Subjects who have received radiotherapy to the pelvis and/or sternum within one year of first Investigational Product administration Subjects who have previously received or have planned Total Body Irradiation (TBI) Subjects with a history of prior malignancy other than HL, NHL, or MM that have not been in remission for >5 years, with the exception of basal cell or squamous cell carcinoma, cervical carcinoma in situ on biopsy, or localized prostate cancer (Gleason score <5) Subjects with a history of myelodysplastic syndrome Subjects who have had a venous or arterial embolic event AND who have received anti-coagulant treatment, where both the event and the treatment were within six months of the first Investigational Product administration Prior allogeneic hematopoietic cell transplant Presence of an uncontrolled infection or infection that required intravenous treatment within 7 days of entry Female subjects who are pregnant or breastfeeding Subjects who have received treatment with an investigational agent within 30 days of the projected first administration of Investigational Product (Day 0) Subjects with current alcohol use, illicit drug use, or any other condition (e.g., psychiatric disorder) that, in the opinion of the Investigator, may interfere with the subject's ability to comply with the study requirements or visit schedule Subjects with a known sensitivity to any of the Investigational Product components Subjects known to be seropositive for HIV or for HTLV-I Subjects for whom prophylactic platelet transfusions, at platelet counts >10× 109/L, are anticipated following PBSC transplant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Schuster, MD
Organizational Affiliation
Stony Brook university Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
City of Hope Hospital
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
IU Simon Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Washington University
City
Saint Louis
State/Province
Missouri
Country
United States
Facility Name
University of Nebraska Medical Center
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
Montefiori Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Stony Brook
City
Long Island City
State/Province
New York
Country
United States
Facility Name
Huntsman Cancer Institute
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Facility Name
University of Virginia Health System
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Acceleration of Platelet Recovery Following Autologous Peripheral Blood Stem Cell Transplant (PBSC) in Hodgkin, Non-Hodgkin Lymphoma or Multiple Myeloma Patients

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