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

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

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.

Study Overview

• Status: Completed
• Conditions: Lymphoma
• Intervention / Treatment: Drug: Filgrastim; Drug: plerixafor GZ316455

Detailed Description

Total study duration for a participant can be approximately up to 68 days.

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Phase 2

Contacts and Locations

Study Locations

• Japan
  • Chiba-Shi, Japan
    • Investigational Site Number 392005
  • Fukuoka-Shi, Japan
    • Investigational Site Number 392011
  • Fukuyama-Shi, Japan
    • Investigational Site Number 392014
  • Hamamatsu-Shi, Japan
    • Investigational Site Number 392010
  • Kamogawa-Shi, Japan
    • Investigational Site Number 392006
  • Kobe-Shi, Japan
    • Investigational Site Number 392003
  • Kurashiki-Shi, Japan
    • Investigational Site Number 392008
  • Ota-Shi, Japan
    • Investigational Site Number 392015
  • Sapporo-Shi, Japan
    • Investigational Site Number 392004
  • Shibuya-Ku, Japan
    • Investigational Site Number 392001
  • Suwa-Shi, Japan
    • Investigational Site Number 392009
  • Toyohashi-Shi, Japan
    • Investigational Site Number 392007

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 75 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
ACTIVE_COMPARATOR: granulocyte colony-stimulating factor alone; G-CSF administered up to 8 days	Drug: Filgrastim; Pharmaceutical form:vial Route of administration: subcutaneous injection
EXPERIMENTAL: granulocyte colony-stimulating factor 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)	Drug: Filgrastim; Pharmaceutical form:vial Route of administration: subcutaneous injection; Drug: plerixafor GZ316455; Pharmaceutical form:vial Route of administration: subcutaneous injection; Other Names: Mozobil

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 5 x10^6 cells/kg CD34+ cells in less than or equal to 4 days of apheresis	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	Day 5 to Day 8 of the apheresis/treatment period
Number of days of apheresis to collect 2 x10^6 cells/kg CD34+ cells	Day 5 to Day 8 of the apheresis/treatment period
Total number of CD34+ cells/kg collected over up to 4 apheresis	Day 5 to Day 8 of the apheresis/treatment period
Number of participants with adverse events	Up to 68 days
Change from baseline in clinical laboratory measurements	Up to 68 days
Number of days of apheresis to collect 5 x10^6 cells/kg CD34+ cells	Day 5 to Day 8 of the apheresis/treatment period
The relative increase (ratio) of peripheral blood (PB) CD34+ cell count (cells/μL)	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

Collaborators and Investigators

• Sponsor: Genzyme, a Sanofi Company

Publications and helpful links

General Publications

• 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;:

Study record dates

Study Major Dates

• Study Start: November 1, 2014
• Primary Completion (ACTUAL): March 1, 2016
• Study Completion (ACTUAL): March 1, 2016

Study Registration Dates

• First Submitted: August 19, 2014
• First Submitted That Met QC Criteria: August 19, 2014
• First Posted (ESTIMATE): August 20, 2014

Study Record Updates

• Last Update Posted (ESTIMATE): March 30, 2016
• Last Update Submitted That Met QC Criteria: March 29, 2016
• Last Verified: March 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Immune System Diseases; Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Immunoproliferative Disorders; Lymphoma; Lymphoma, Non-Hodgkin; Anti-Infective Agents; Antiviral Agents; Anti-HIV Agents; Anti-Retroviral Agents; Plerixafor
• Other Study ID Numbers: ACT12781; U1111-1152-4309 (OTHER: UTN)