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Safety and Efficacy of ProHema Modulated Umbilical Cord Blood Units in Subjects With Hematologic Malignancies.

Primary Purpose

Hematologic Malignancies, Allogeneic Stem Cell Transplantation

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Fludarabine
Melphalan
Antithymocyte Globulin
Sirolimus
Tacrolimus
Sponsored by
Fate Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hematologic Malignancies

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with hematologic malignancies for whom allogeneic stem cell transplantation is deemed clinically appropriate
  • Patient must be ineligible for traditional myeloablative transplantation according to treating physician
  • Lack of 6/6 or 5/6 HLA-matched related, 8/8 HLA-matched unrelated donor, or unrelated donor not available within a time frame necessary to perform a potentially curative stem cell transplant
  • 18-65 years of age
  • ECOG Performance Status 0-2

Exclusion Criteria:

  • The following hematologic malignancies are excluded:

    • Myelofibrosis unless there has been exposure to cytotoxic chemotherapy for the treatment of progression to acute myeloid leukemia
    • Chronic Myelogenous Leukemia, unless there has been exposure to cytotoxic chemotherapy for the treatment of blast phase, 3) Aplastic anemia, in the absence of transformation to Myelodysplastic disorder
  • Cardiac disease: symptomatic congestive heart failure or evidence of left ventricular dysfunction as measured by gated radionucleotide ventriculogram or echocardiogram; active angina pectoris, or uncontrolled hypertension
  • Pulmonary disease: symptomatic chronic obstructive lung disease, symptomatic restrictive lung disease, or corrected DLCO of < 50% of predicted, corrected hemoglobin
  • Renal disease: serum creatinine > 2.0mg/dl
  • Hepatic disease: serum bilirubin > 2.0mg/dl (expect in the case of Gilbert's syndrome or ongoing hemolytic anemia), SGOT or SGPT > 3 x upper limit of normal
  • Neurologic disease: symptomatic leukoencephalopathy, active CNS malignancy or other neuropsychiatric abnormalities believed to preclude transplantation
  • HIV antibody
  • Uncontrolled infection
  • Pregnancy or breast feeding mother
  • Inability to comply with the requirements for care after allogeneic stem cell transplantation

Sites / Locations

  • Massachusetts General Hospital
  • Dana-Farber Cancer Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Group 1

Group 2

Arm Description

2 umbilical cord units: Second cord blood unit modulated with ProHema

2 umbilical cord units: First cord blood unit modulated with ProHema

Outcomes

Primary Outcome Measures

Determine the safety of ProHema modulated umbilical cord blood units when used for transplantation in a reduced intensity, sequential umbilical cord blood transplantation model.

Secondary Outcome Measures

Time to engraftment of umbilical cord blood units
Fractional chimerism of transplanted cord blood units
Rates of acute and chronic GVHD
30- and 100-day treatment related mortality
Measures of immune reconstitution and relapse-free and overall survival at 1 and 2 years after transplantation

Full Information

First Posted
April 28, 2009
Last Updated
October 7, 2013
Sponsor
Fate Therapeutics
Collaborators
Dana-Farber Cancer Institute
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1. Study Identification

Unique Protocol Identification Number
NCT00890500
Brief Title
Safety and Efficacy of ProHema Modulated Umbilical Cord Blood Units in Subjects With Hematologic Malignancies.
Official Title
A Phase I Study of Reduced Intensity, Sequential Double Umbilical Cord Blood Transplantation Using ProHema Modulated Umbilical Cord Blood Units in Subjects With Hematological Malignancies.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fate Therapeutics
Collaborators
Dana-Farber Cancer Institute

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this research study is to determine the safety and efficacy of a reduced intensity conditioning regimen during a double umbilical cord blood unit transplant with one of the cord blood units modulated with ProHema.
Detailed Description
The purpose of this research study is to determine the safety and efficacy of a reduced intensity conditioning regimen during a double umbilical cord blood unit transplant with one of the cord blood units modulated with ProHema. -As part of this research study cord units will be modulated in the laboratory with ProHema before it is given to the participant. Two different treatment groups will be tested. Group 1: will have the second cord blood unit modulated with ProHema; Group 2: will have the first cord blood unit modulated with ProHema.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hematologic Malignancies, Allogeneic Stem Cell Transplantation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Active Comparator
Arm Description
2 umbilical cord units: Second cord blood unit modulated with ProHema
Arm Title
Group 2
Arm Type
Active Comparator
Arm Description
2 umbilical cord units: First cord blood unit modulated with ProHema
Intervention Type
Drug
Intervention Name(s)
Fludarabine
Intervention Description
30mg/m2/day IV x 6 days
Intervention Type
Drug
Intervention Name(s)
Melphalan
Intervention Description
100 mg/m2/day IV x 1 day
Intervention Type
Drug
Intervention Name(s)
Antithymocyte Globulin
Intervention Description
1mg/kg/day x 4 days
Intervention Type
Drug
Intervention Name(s)
Sirolimus
Intervention Description
GVHD Prophylaxis: Target range 3-12 ng/ml
Intervention Type
Drug
Intervention Name(s)
Tacrolimus
Intervention Description
GVHD Prophylaxis: Target range 5-10 ng/ml
Primary Outcome Measure Information:
Title
Determine the safety of ProHema modulated umbilical cord blood units when used for transplantation in a reduced intensity, sequential umbilical cord blood transplantation model.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Time to engraftment of umbilical cord blood units
Time Frame
2 years
Title
Fractional chimerism of transplanted cord blood units
Time Frame
2 years
Title
Rates of acute and chronic GVHD
Time Frame
2 years
Title
30- and 100-day treatment related mortality
Time Frame
2 years
Title
Measures of immune reconstitution and relapse-free and overall survival at 1 and 2 years after transplantation
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with hematologic malignancies for whom allogeneic stem cell transplantation is deemed clinically appropriate Patient must be ineligible for traditional myeloablative transplantation according to treating physician Lack of 6/6 or 5/6 HLA-matched related, 8/8 HLA-matched unrelated donor, or unrelated donor not available within a time frame necessary to perform a potentially curative stem cell transplant 18-65 years of age ECOG Performance Status 0-2 Exclusion Criteria: The following hematologic malignancies are excluded: Myelofibrosis unless there has been exposure to cytotoxic chemotherapy for the treatment of progression to acute myeloid leukemia Chronic Myelogenous Leukemia, unless there has been exposure to cytotoxic chemotherapy for the treatment of blast phase, 3) Aplastic anemia, in the absence of transformation to Myelodysplastic disorder Cardiac disease: symptomatic congestive heart failure or evidence of left ventricular dysfunction as measured by gated radionucleotide ventriculogram or echocardiogram; active angina pectoris, or uncontrolled hypertension Pulmonary disease: symptomatic chronic obstructive lung disease, symptomatic restrictive lung disease, or corrected DLCO of < 50% of predicted, corrected hemoglobin Renal disease: serum creatinine > 2.0mg/dl Hepatic disease: serum bilirubin > 2.0mg/dl (expect in the case of Gilbert's syndrome or ongoing hemolytic anemia), SGOT or SGPT > 3 x upper limit of normal Neurologic disease: symptomatic leukoencephalopathy, active CNS malignancy or other neuropsychiatric abnormalities believed to preclude transplantation HIV antibody Uncontrolled infection Pregnancy or breast feeding mother Inability to comply with the requirements for care after allogeneic stem cell transplantation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Corey Cutler, MD, MPH, FRCP(C)
Organizational Affiliation
Dana-Farber Cancer Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23996087
Citation
Cutler C, Multani P, Robbins D, Kim HT, Le T, Hoggatt J, Pelus LM, Desponts C, Chen YB, Rezner B, Armand P, Koreth J, Glotzbecker B, Ho VT, Alyea E, Isom M, Kao G, Armant M, Silberstein L, Hu P, Soiffer RJ, Scadden DT, Ritz J, Goessling W, North TE, Mendlein J, Ballen K, Zon LI, Antin JH, Shoemaker DD. Prostaglandin-modulated umbilical cord blood hematopoietic stem cell transplantation. Blood. 2013 Oct 24;122(17):3074-81. doi: 10.1182/blood-2013-05-503177. Epub 2013 Aug 30.
Results Reference
derived

Learn more about this trial

Safety and Efficacy of ProHema Modulated Umbilical Cord Blood Units in Subjects With Hematologic Malignancies.

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