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Plerixafor Plus Granulocyte Colony-Stimulating Factor For Mobilization And Collection Of Peripheral Hematopoietic Stem Cells In Japanese Participants With Non-Hodgkin Lymphoma

Primary Purpose

Lymphoma

Status
Completed
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
plerixafor GZ316455
Filgrastim
Sponsored by
Genzyme, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoma

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Age 20 to 75.
  • Japanese participants with histological or pathological diagnosis of NHL.
  • First or second complete response (CR) or partial response (PR).

Exclusion criteria:

  • Leukemia participants.
  • Myelodysplastic syndrome (MDS) participants.
  • Less than 2 weeks since completion of last cycle of chemotherapy.
  • Failed previous hematopoietic stem cell (HSC) collections or collection attempts.
  • Prior autologous or allogeneic transplant.
  • Diagnosis of another malignancy.
  • Known hypersensitivity to plerixafor, G-CSF or their components.
  • Bone marrow involvement greater than 5%.
  • Eastern Cooperative Oncology Group (ECOG) performance status greater than 1.
  • Not yet recovered from all acute toxic effects of prior Chemotherapy.
  • White blood cell (WBC) count less than or equal to 2.5 × 10^9 cells/L.
  • Absolute neutrophil count (ANC) less than or equal to 1.5 × 10^9 cells /L.
  • Platelet count less than or equal to 100 × 10^9 cells /L.
  • Creatinine clearance less than 50 mL/min.
  • Aspartate aminotransferase (AST), or alanine aminotransferase (ALT) greater than or equal to 2.5 x upper limit of normal,Total Bilirubin greater than or equal to 2.5 x upper limit of normal.
  • Cardiac and pulmonary status insufficient to undergo apheresis or transplantation.
  • Active central nervous system (CNS) involvement, active brain metastases, or any history of carcinomatous meningitis.
  • Active infection, including unexplained fever (greater than 38 degrees C), or antibiotic therapy within 7 days prior to the first dose of G-CSF.
  • Less than 6 weeks off nitrosoureas prior to first dose of G-CSF.
  • Conditions/situations such as received prior radio-immunotherapy with ibritumomab tiuxetan or tositumomab iodine and received radiation therapy to the pelvis.
  • Significant concomitant illness, including psychiatric condition that, in the opinion of the Investigator or Sponsor, would adversely affect the participant's participation in the study.
  • Abnormal electrocardiogram (ECG) with clinically significant rhythm disturbance (ventricular arrhythmias) or other conduction abnormality in the last year that, in the opinion of the Investigator(s), warrants exclusion of the participant from the trial.
  • Previously received experimental therapy within 4 weeks of randomization or who are currently enrolled in another experimental protocol during the G-CSF and plerixafor treatment period.
  • Any malignancy related to immunodeficiency virus (HIV) or solid organ transplant; history of known HIV, viral hepatitis as documented at the detection of hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb)[exclude patients who clearly received vaccination], hepatitis B core antibody (HBcAb), and/or hepatitis C virus (HCV) antibody at the time of the screening visit.
  • Unwillingness and inability to comply with scheduled visits, drug administration plan, laboratory tests, other study procedures, and study restrictions.
  • Related to the active comparator and/or mandatory background therapies.
  • Received G-CSF within 7 days prior to the first dose of G-CSF for mobilization.
  • Related to the current knowledge of Sanofi compound.
  • Pregnant or breast-feeding women.
  • All participants, who are sexually active (males and females), must agree to an effective method of contraception while on study treatment and for at least 3 months following plerixafor treatment (including both female participants of child-bearing potential and male participants with partners of childbearing potential).
  • Patient who has withdrawn consent before enrollment/randomization.
  • Despite screening of the patient, enrollment/randomization is stopped at the study level.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 392005
  • Investigational Site Number 392011
  • Investigational Site Number 392014
  • Investigational Site Number 392010
  • Investigational Site Number 392006
  • Investigational Site Number 392003
  • Investigational Site Number 392008
  • Investigational Site Number 392015
  • Investigational Site Number 392004
  • Investigational Site Number 392001
  • Investigational Site Number 392009
  • Investigational Site Number 392007

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

granulocyte colony-stimulating factor alone

granulocyte colony-stimulating factor plus plerixafor

Arm Description

G-CSF administered up to 8 days

G-CSF administered up to 8 days (Day 1 to Day 8) and plerixafor administered for 4 days (Day 4 to Day 7)

Outcomes

Primary Outcome Measures

Proportion of participants who achieve a collection of greater than or equal to 5 x10^6 cells/kg CD34+ cells in less than or equal to 4 days of apheresis

Secondary Outcome Measures

Proportion of participants who achieve a collection of a minimum target of 2 x10^6 cells/kg CD34+ cells in less than or equal to 4 days of apheresis
Number of days of apheresis to collect 5 x10^6 cells/kg CD34+ cells
Number of days of apheresis to collect 2 x10^6 cells/kg CD34+ cells
Total number of CD34+ cells/kg collected over up to 4 apheresis
The relative increase (ratio) of peripheral blood (PB) CD34+ cell count (cells/μL)
Number of participants with adverse events
Change from baseline in clinical laboratory measurements

Full Information

First Posted
August 19, 2014
Last Updated
March 29, 2016
Sponsor
Genzyme, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT02221492
Brief Title
Plerixafor Plus Granulocyte Colony-Stimulating Factor For Mobilization And Collection Of Peripheral Hematopoietic Stem Cells In Japanese Participants With Non-Hodgkin Lymphoma
Official Title
A Randomized, Open-label, Two-arm Parallel Group, Comparative Study for Assessing the Clinical Benefit of Subcutaneous Injection of Plerixafor Plus G-CSF for Mobilization and Collection of Peripheral Hematopoietic Stem Cells in Japanese Patients With Non-Hodgkin Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
November 2014 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genzyme, a Sanofi Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: To determine if non-Hodgkin Lymphoma (NHL) participants mobilized with granulocyte colony-stimulating factor (G-CSF) plus plerixafor 240 μg/kg are more likely to achieve a target number of greater than or equal to 5 x 10^6 cluster differential (CD) 34+ cells/kg in 4 or fewer days of apheresis than NHL participants mobilized with G-CSF alone. Secondary Objectives: To evaluate the safety of G-CSF plus plerixafor arm compared to G-CSF arm in NHL participants. To compare the 2 treatment arms with respect to the number of participants who achieved a minimum of 2 x 10^6 CD34+ cells/kg in 4 or fewer days of apheresis. To compare the 2 treatment arms with respect to the number of days of apheresis required to reach the target of greater than or equal to 5 x 10^6 CD34+ cells/kg.
Detailed Description
Total study duration for a participant can be approximately up to 68 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
granulocyte colony-stimulating factor alone
Arm Type
Active Comparator
Arm Description
G-CSF administered up to 8 days
Arm Title
granulocyte colony-stimulating factor plus plerixafor
Arm Type
Experimental
Arm Description
G-CSF administered up to 8 days (Day 1 to Day 8) and plerixafor administered for 4 days (Day 4 to Day 7)
Intervention Type
Drug
Intervention Name(s)
plerixafor GZ316455
Other Intervention Name(s)
Mozobil
Intervention Description
Pharmaceutical form:vial Route of administration: subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
Filgrastim
Intervention Description
Pharmaceutical form:vial Route of administration: subcutaneous injection
Primary Outcome Measure Information:
Title
Proportion of participants who achieve a collection of greater than or equal to 5 x10^6 cells/kg CD34+ cells in less than or equal to 4 days of apheresis
Time Frame
Day 5 to Day 8 of the apheresis/treatment period
Secondary Outcome Measure Information:
Title
Proportion of participants who achieve a collection of a minimum target of 2 x10^6 cells/kg CD34+ cells in less than or equal to 4 days of apheresis
Time Frame
Day 5 to Day 8 of the apheresis/treatment period
Title
Number of days of apheresis to collect 5 x10^6 cells/kg CD34+ cells
Time Frame
Day 5 to Day 8 of the apheresis/treatment period
Title
Number of days of apheresis to collect 2 x10^6 cells/kg CD34+ cells
Time Frame
Day 5 to Day 8 of the apheresis/treatment period
Title
Total number of CD34+ cells/kg collected over up to 4 apheresis
Time Frame
Day 5 to Day 8 of the apheresis/treatment period
Title
The relative increase (ratio) of peripheral blood (PB) CD34+ cell count (cells/μL)
Time Frame
From Day 4 morning to Day 5 morning for both arms, from Day 4 morning to Day 4 evening for GP arm only, and from Day 4 evening to Day 5 morning for GP arm only
Title
Number of participants with adverse events
Time Frame
Up to 68 days
Title
Change from baseline in clinical laboratory measurements
Time Frame
Up to 68 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Age 20 to 75. Japanese participants with histological or pathological diagnosis of NHL. First or second complete response (CR) or partial response (PR). Exclusion criteria: Leukemia participants. Myelodysplastic syndrome (MDS) participants. Less than 2 weeks since completion of last cycle of chemotherapy. Failed previous hematopoietic stem cell (HSC) collections or collection attempts. Prior autologous or allogeneic transplant. Diagnosis of another malignancy. Known hypersensitivity to plerixafor, G-CSF or their components. Bone marrow involvement greater than 5%. Eastern Cooperative Oncology Group (ECOG) performance status greater than 1. Not yet recovered from all acute toxic effects of prior Chemotherapy. White blood cell (WBC) count less than or equal to 2.5 × 10^9 cells/L. Absolute neutrophil count (ANC) less than or equal to 1.5 × 10^9 cells /L. Platelet count less than or equal to 100 × 10^9 cells /L. Creatinine clearance less than 50 mL/min. Aspartate aminotransferase (AST), or alanine aminotransferase (ALT) greater than or equal to 2.5 x upper limit of normal,Total Bilirubin greater than or equal to 2.5 x upper limit of normal. Cardiac and pulmonary status insufficient to undergo apheresis or transplantation. Active central nervous system (CNS) involvement, active brain metastases, or any history of carcinomatous meningitis. Active infection, including unexplained fever (greater than 38 degrees C), or antibiotic therapy within 7 days prior to the first dose of G-CSF. Less than 6 weeks off nitrosoureas prior to first dose of G-CSF. Conditions/situations such as received prior radio-immunotherapy with ibritumomab tiuxetan or tositumomab iodine and received radiation therapy to the pelvis. Significant concomitant illness, including psychiatric condition that, in the opinion of the Investigator or Sponsor, would adversely affect the participant's participation in the study. Abnormal electrocardiogram (ECG) with clinically significant rhythm disturbance (ventricular arrhythmias) or other conduction abnormality in the last year that, in the opinion of the Investigator(s), warrants exclusion of the participant from the trial. Previously received experimental therapy within 4 weeks of randomization or who are currently enrolled in another experimental protocol during the G-CSF and plerixafor treatment period. Any malignancy related to immunodeficiency virus (HIV) or solid organ transplant; history of known HIV, viral hepatitis as documented at the detection of hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb)[exclude patients who clearly received vaccination], hepatitis B core antibody (HBcAb), and/or hepatitis C virus (HCV) antibody at the time of the screening visit. Unwillingness and inability to comply with scheduled visits, drug administration plan, laboratory tests, other study procedures, and study restrictions. Related to the active comparator and/or mandatory background therapies. Received G-CSF within 7 days prior to the first dose of G-CSF for mobilization. Related to the current knowledge of Sanofi compound. Pregnant or breast-feeding women. All participants, who are sexually active (males and females), must agree to an effective method of contraception while on study treatment and for at least 3 months following plerixafor treatment (including both female participants of child-bearing potential and male participants with partners of childbearing potential). Patient who has withdrawn consent before enrollment/randomization. Despite screening of the patient, enrollment/randomization is stopped at the study level. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 392005
City
Chiba-Shi
Country
Japan
Facility Name
Investigational Site Number 392011
City
Fukuoka-Shi
Country
Japan
Facility Name
Investigational Site Number 392014
City
Fukuyama-Shi
Country
Japan
Facility Name
Investigational Site Number 392010
City
Hamamatsu-Shi
Country
Japan
Facility Name
Investigational Site Number 392006
City
Kamogawa-Shi
Country
Japan
Facility Name
Investigational Site Number 392003
City
Kobe-Shi
Country
Japan
Facility Name
Investigational Site Number 392008
City
Kurashiki-Shi
Country
Japan
Facility Name
Investigational Site Number 392015
City
Ota-Shi
Country
Japan
Facility Name
Investigational Site Number 392004
City
Sapporo-Shi
Country
Japan
Facility Name
Investigational Site Number 392001
City
Shibuya-Ku
Country
Japan
Facility Name
Investigational Site Number 392009
City
Suwa-Shi
Country
Japan
Facility Name
Investigational Site Number 392007
City
Toyohashi-Shi
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
30043330
Citation
Matsue K, Kumagai K, Sugiura I, Ishikawa T, Igarashi T, Sato T, Uchiyama M, Miyamoto T, Ono T, Ueda Y, Kiguchi T, Sunaga Y, Sasaki T, Suzuki K. Plerixafor for mobilization and collection of haematopoietic stem cells for autologous transplantation in Japanese patients with non-Hodgkin lymphoma: a randomized phase 2 study. Int J Hematol. 2018 Nov;108(5):524-534. doi: 10.1007/s12185-018-2505-4. Epub 2018 Jul 24. Erratum In: Int J Hematol. 2018 Aug 30;:
Results Reference
derived

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Plerixafor Plus Granulocyte Colony-Stimulating Factor For Mobilization And Collection Of Peripheral Hematopoietic Stem Cells In Japanese Participants With Non-Hodgkin Lymphoma

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