Comparing Intermediate-dose CTX+ G-CSF Plus or Not rhTPO for PB CD34+ Cells Mobilization in MM Patients

February 8, 2017 updated by: Wang Guorong

A Prospective Control Study of Comparing Intermediate-dose Cyclophosphamide(ID-CTX) and G-CSF Plus or Not Recombinant Human Thrombopoietin (rhTPO) for PBSC Mobilization in Patients With Multiple Myeloma

Comparing intermediate-dose CTX (ID-CTX)and G-CSF with rhTPO or without for peripheral blood stem cell mobilization in patients with multiple myeloma, try to find out whether rhTPO combined to ID-CTX + G-CSF could improve the results of peripheral blood stem cell mobilization.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

The purpose of this study is to try to find out whether rhTPO combined to ID-CTX + G-CSF could improve the results of peripheral blood stem cell mobilization. Comparing ID-CTX and G-CSF plus rhTPO or not for peripheral blood stem cell mobilization in patients with multiple myeloma. rhTPO15000U/d were given from day 5~7 after chemotherapy until the stem cell collection .

Study Type

Interventional

Enrollment (Anticipated)

200

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Guorong Wang, doctor
  • Phone Number: +86 10 85231572
  • Email: blunlake@163.com

Study Locations

    • Beijing
      • Beijing, Beijing, China, 100020
        • Recruiting
        • Beijing Chaoyang Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

10 years to 70 years (ADULT, OLDER_ADULT, CHILD)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Diagnosed MM fulfill the International Myeloma Working Group (IMWG) criteria for MM diagnosis
  • Eastern Cooperative Oncology Group (ECOG) performance status smaller than 2 and a life expectancy of more than 6 months
  • Age at least 18 ys , no more than 70 ys old
  • No active infectious disease; no severe organ failure (except renal failure secondary to MM)
  • All screening procedures and evaluations should be completed
  • All patients should provide written informed consent.

Exclusion Criteria:

  1. severe impaired liver function; HIV positive or had active hepatitis A, B or C infection; hepatitis B virus-DNA more than 10^4/L;aspartate aminotransferase ( AST) and alanine aminotransferase (ALT) more than 2.5 upper limit of normal (ULN)
  2. any disease that could put patients at high risk, including but not limited to unstable cardiac disease, defined as myocardial infarction in the previous 6 months, New York Heart Association (NYHA) class III-IV heart failure, uncontrolled atrial fibrillation or hypertension
  3. severe prior thrombosis-event
  4. history of other malignancy, unless cured for more than 3 years
  5. pregnancy, lactation or disagreement to take contraceptive measures
  6. severe infectious disease (uncured tuberculosis, pulmonary aspergillosis)
  7. epilepsia, dementia or any mental disease requiring treatment.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: rhTPO treatment group
Subject will receive chemotherapy with intermediate-dose CTX 2.5/m2 for 2 days. 10 ug/kg/d of G-CSFwas administered from the WBC was lower than 1×10^9/L following bejing of chemotherapy or no later than day 7after chemotherapy. G-CSF was subcutaneously administered once daily until the stem cell collection was completed. rhTPO was administered 15 000 U/d once daily by subcutaneous injection from day 5-7 after chemotherapy and until the stem cell collection was completed.
rhTPO was administered 15 000 U/d once daily by subcutaneous injection from day 5-7 after chemotherapy and until the stem cell collection was completed.
Other Names:
  • Recombinant Human TPO
  • recombinant human thrombopoietin
CTX 2.5/m2 for 2 days.
Other Names:
  • Cyclophosphamide
10 ug/kg/d of G-CSFwas administered from the WBC was lower than 1×10^9/L following bejing of chemotherapy or no later than day 7after chemotherapy. G-CSF was subcutaneously administered once daily until the stem cell collection was completed.
Other Names:
  • granulocyte colony-stimulatingG
ACTIVE_COMPARATOR: non- rhTPO treatment group
Subject will receive chemotherapy with intermediate-dose CTX 2.5/m2 for 2 days. 10 ug/kg/d of G-CSF was administered from the WBC was lower than 1×10^9/L following bejing of chemotherapy or no later than day 7after chemotherapy. G-CSF was subcutaneously administered once daily until the stem cell collection was completed.
CTX 2.5/m2 for 2 days.
Other Names:
  • Cyclophosphamide
10 ug/kg/d of G-CSFwas administered from the WBC was lower than 1×10^9/L following bejing of chemotherapy or no later than day 7after chemotherapy. G-CSF was subcutaneously administered once daily until the stem cell collection was completed.
Other Names:
  • granulocyte colony-stimulatingG

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Number of CD34+ stem/progenitor cells that are mobilized
Time Frame: two weeks
two weeks

Secondary Outcome Measures

Outcome Measure
Time Frame
rate of mobilization success
Time Frame: two weeks
two weeks
rate of mobilization optimal
Time Frame: two weeks
two weeks

Other Outcome Measures

Outcome Measure
Time Frame
occurrence rate of febrile neutropenia
Time Frame: three weeks
three weeks
platelet transfusion amount
Time Frame: three weeks
three weeks
time of neutrophil engraftment
Time Frame: four weeks
four weeks
time of platelet engraftment
Time Frame: eight weeks
eight weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Wenming Chen, doctor, Beijing Chao Yang Hospital,CCMU

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2013

Primary Completion (ANTICIPATED)

December 31, 2017

Study Completion (ANTICIPATED)

December 31, 2018

Study Registration Dates

First Submitted

September 17, 2015

First Submitted That Met QC Criteria

October 8, 2015

First Posted (ESTIMATE)

October 9, 2015

Study Record Updates

Last Update Posted (ESTIMATE)

February 9, 2017

Last Update Submitted That Met QC Criteria

February 8, 2017

Last Verified

February 1, 2017

More Information

Terms related to this study

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