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Trial of an Augmented Mobilization Strategy With Plerixafor (Mozobil®) in a Population at Risk for Poor Stem Cell Mobilization

Primary Purpose

Multiple Myeloma, Lymphoma

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Plerixafor
Observation: Nonintervention
Sponsored by
CancerCare Manitoba
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Myeloma, Multiple Myeloma or Lymphoma Patients undergoing, mobilization for the purpose of autologous stem cell collection

Eligibility Criteria

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

Inclusion Criteria:

  1. Participants must be 18 years of age or older
  2. Patients must be able to provide written consent
  3. Participants must have a diagnosis of lymphoma or multiple myeloma and be undergoing autologous stem cell mobilization for the purposes of ASCT
  4. Females of child bearing age will be asked to use an approved form of contraception

Exclusion Criteria:

  1. Patients who are pregnant or breastfeeding
  2. Patients whose creatinine ≥ 250 μM
  3. Serum AST, ALT or total bilirubin >5X upper limit of normal
  4. Acute infection

Sites / Locations

  • CancerCare Manitoba

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Successful Mobilizers

Poor Mobilizers

Arm Description

Successful Mobilizers are defined as having a peripheral blood CD34 > 10X106/L.

Poor Mobilizer are defined as patients who on Day -1 have a peripheral blood [CD34] ≤ 10 X106/L

Outcomes

Primary Outcome Measures

To increase the proportion of Poor Mobilizers who after receiving plerixafor are successfully collected in one day. The anticipated proportion increase is from 30%-60%.

Secondary Outcome Measures

To increase the proportion of Poor Mobilizers who after receiving plerixafor are successfully collected on first mobilization attempt rather than requiring a second mobilization.
To describe the kinetics of platelet and neutrophil recovery post ASCT in those treated and not treated with plerixafor
To examine the immune recovery at day 100 post ASCT in those treated and not treated with plerixafor
To undertake a pharmacoeconomic evaluation to examine the impact of plerixafor on resource utilization in a population at risk for poor mobilization

Full Information

First Posted
December 18, 2009
Last Updated
October 30, 2013
Sponsor
CancerCare Manitoba
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1. Study Identification

Unique Protocol Identification Number
NCT01037517
Brief Title
Trial of an Augmented Mobilization Strategy With Plerixafor (Mozobil®) in a Population at Risk for Poor Stem Cell Mobilization
Official Title
Open Label Phase II Trial of an Augmented Mobilization Strategy With Plerixafor (Mozobil®) in a Population at Risk for Poor Stem Cell Mobilization
Study Type
Interventional

2. Study Status

Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
August 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
CancerCare Manitoba

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Poor mobilization of hematopoietic progenitors needed to support autologous transplantation is a serious clinical problem. We are investigating the role of plerixafor administered in an at risk population to augment successful stem cell collection. OBJECTIVES To determine if plerixafor when administered on the day prior to planned autologous collection on first mobilization attempt in those with a peripheral blood CD34 ≤ 10X106/L will: increase the number of patients successfully collected in one day increase the number of patients successfully mobilized on first collection attempt is cost neutral within a Canadian setting

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma, Lymphoma
Keywords
Myeloma, Multiple Myeloma or Lymphoma Patients undergoing, mobilization for the purpose of autologous stem cell collection

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Successful Mobilizers
Arm Type
Active Comparator
Arm Description
Successful Mobilizers are defined as having a peripheral blood CD34 > 10X106/L.
Arm Title
Poor Mobilizers
Arm Type
Experimental
Arm Description
Poor Mobilizer are defined as patients who on Day -1 have a peripheral blood [CD34] ≤ 10 X106/L
Intervention Type
Drug
Intervention Name(s)
Plerixafor
Other Intervention Name(s)
Mozobil®
Intervention Description
Plerixafor will be administered at 23:00 of Day -1 to experimental subjects at a dose of 240 mcg/kg subcutaneously, and possibly repeated the following day
Intervention Type
Other
Intervention Name(s)
Observation: Nonintervention
Intervention Description
Nonintervention group, no drug will be given, observation only
Primary Outcome Measure Information:
Title
To increase the proportion of Poor Mobilizers who after receiving plerixafor are successfully collected in one day. The anticipated proportion increase is from 30%-60%.
Time Frame
within 1-2 days after commencing therapy
Secondary Outcome Measure Information:
Title
To increase the proportion of Poor Mobilizers who after receiving plerixafor are successfully collected on first mobilization attempt rather than requiring a second mobilization.
Time Frame
After therapy
Title
To describe the kinetics of platelet and neutrophil recovery post ASCT in those treated and not treated with plerixafor
Time Frame
After therapy
Title
To examine the immune recovery at day 100 post ASCT in those treated and not treated with plerixafor
Time Frame
After therapy
Title
To undertake a pharmacoeconomic evaluation to examine the impact of plerixafor on resource utilization in a population at risk for poor mobilization
Time Frame
After therapy

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants must be 18 years of age or older Patients must be able to provide written consent Participants must have a diagnosis of lymphoma or multiple myeloma and be undergoing autologous stem cell mobilization for the purposes of ASCT Females of child bearing age will be asked to use an approved form of contraception Exclusion Criteria: Patients who are pregnant or breastfeeding Patients whose creatinine ≥ 250 μM Serum AST, ALT or total bilirubin >5X upper limit of normal Acute infection
Facility Information:
Facility Name
CancerCare Manitoba
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3E 0V9
Country
Canada

12. IPD Sharing Statement

Links:
URL
http://www.cancercare.mb.ca
Description
Official CancerCare Manitoba Website

Learn more about this trial

Trial of an Augmented Mobilization Strategy With Plerixafor (Mozobil®) in a Population at Risk for Poor Stem Cell Mobilization

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