- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02221479
Plerixafor Plus Granulocyte Colony-stimulating Factor (G-CSF) For Mobilization And Collection Of Peripheral Hematopoietic Stem Cells In Japanese Participants With Multiple Myeloma
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 Multiple Myeloma
Primary Objective:
To determine if Multi Myeloma (MM) patients 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 6 x 10^6 cluster of differentiation (CD) 34+ cells/kg in 2 or fewer days of apheresis than MM patients mobilized with G-CSF alone.
Secondary Objectives:
- To evaluate the safety of G-CSF plus plerixafor arm compared to G-CSF arm in MM patients.
- 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 6 x 10^6 CD34+ cells/kg.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
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Kamogawa-Shi, Japan
- Investigational Site Number 392105
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Kyoto-Shi, Japan
- Investigational Site Number 392103
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Nagoya-Shi, Japan
- Investigational Site Number 392102
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Okayama-Shi, Japan
- Investigational Site Number 392104
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Shibuya-Ku, Japan
- Investigational Site Number 392101
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Age 20 to 75.
- Japanese participants with histological or pathological diagnosis of MM.
- 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 10%.
- 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 GCSF.
- 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 participants 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, unresolved 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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Granulocyte colony-stimulating factor (G-CSF) alone
G-CSF administered up to 8 days
|
Pharmaceutical form:vial Route of administration: subcutaneous injection
|
Experimental: G-CSF plus plerixafor
G-CSF administered up to 8 days (Day 1 to Day 8) and plerixafor administered for 4 days (Day 4 to Day 7)
|
Pharmaceutical form:vial Route of administration: subcutaneous injection
Pharmaceutical form:vial Route of administration: subcutaneous injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Proportion of participants who achieve a collection of greater than or equal to 6 x10^6 cells/kg CD34+ cells in less than or equal to 2 days of apheresis
Time Frame: Day 5 to Day 8 of the apheresis/treatment period
|
Day 5 to Day 8 of the apheresis/treatment period
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
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
|
Day 5 to Day 8 of the apheresis/treatment period
|
Number of days of apheresis to collect 6 x10^6 cells/kg CD34+ cells
Time Frame: Day 5 to Day 8 of the apheresis/treatment period
|
Day 5 to Day 8 of the apheresis/treatment period
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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
|
Day 5 to Day 8 of the apheresis/treatment period
|
Total number of CD34+ cells/kg collected over up to 4 apheresis
Time Frame: Day 5 to Day 8 of the apheresis/treatment period
|
Day 5 to Day 8 of the apheresis/treatment period
|
The relative increase (ratio) of peripheral blood 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
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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
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Number of participants with adverse events
Time Frame: Up to 68 days
|
Up to 68 days
|
Change from baseline in clinical laboratory measurements
Time Frame: Up to 68 days
|
Up to 68 days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Anti-Infective Agents
- Antiviral Agents
- Anti-HIV Agents
- Anti-Retroviral Agents
- Plerixafor
Other Study ID Numbers
- ACT13710
- U1111-1152-4403 (Other Identifier: UTN)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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