- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05343572
Bone Marrow Derived Stem Cells Mobilization for Treatment of Abnormal Endometrium
Bone Marrow Derived Stem Cells Mobilization for Treatment of Asherman's Syndrome, Atrophic Endometrium, and Recurrent Implantation Failure
Study Overview
Status
Intervention / Treatment
Detailed Description
This study will assess the use of autologous bone marrow stem cells mobilization using 1,1'-[1,4-phenylenebis-(methylene)]-bis-1,4,8,11-tetraazacyclotetradecane (PLERIXAFOR) as an effective medical therapy for the treatment of Asherman's Syndrome (AS), Atrophic Endometrium (AE) and Recurrent Implantation Failure (RIF).
Primary Objective:
- To compare endometrial thickness and implantation rates in women with AS, AE, and RIF receiving PLERIXAFOR compared to historic controls that received existing standard of care therapy
- To compare ongoing pregnancy and live birth rates in women with AS, AE, and RIF receiving PLERIXAFOR compared to historic controls that received existing standard of care therapy
Secondary Objectives: (assessed in participants who have not achieved pregnancy as of the timepoint):
- Endometrial thickness prior to treatment with PLERIXAFOR compared to endometrial thickness 3 and 6 months after treatment.
During this study, participants are asked to:
- Refrain from use of non-steroidal anti-inflammatory drugs (NSAIDs) from 2 weeks prior to the start of the surgery/PLERIXAFOR administration, and for the 30 days following surgery/ PLERIXAFOR administration.
Abstain from intercourse for three months following surgery/PLERIXAFOR administration
- Assessment of menstrual bleeding pattern before and 3 and 6 months following treatment with PLERIXAFOR
- Assessment of endometrial blood flow before and 3 and 6 months following treatment with PLERIXAFOR
- Assessment of endometrial histology three months following treatment with PLERIXAFOR The study intervention consists of administration of PLERIXAFOR the evening prior to scheduled standard of care surgery for women with AS, AE or RIF, for peripheral mobilization of stem cells. PLERIXAFOR is administered via the subcutaneous route, as a single dose of 20mg.
The goal of this study is to determine if the administration of PLERIXAFOR for autologous, peripheral stem cell mobilization and administration will restore endometrial function in women with AS, AE, and RIF, and allow for pregnancy implantation.
Study Type
Enrollment (Estimated)
Phase
- Early Phase 1
Contacts and Locations
Study Contact
- Name: Michele Frank, BSN
- Phone Number: (203)-785-2164
- Email: Michele.Frank@yale.edu
Study Contact Backup
- Name: Hugh S Taylor, MD
- Phone Number: (203)-785-6949
- Email: hugh.taylor@yale.edu
Study Locations
-
-
Connecticut
-
Orange, Connecticut, United States, 06477
- Recruiting
- Yale Fertility Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Healthy, non pregnant females
- ages ≥18 and ≤40 years old at time of enrollment
with either AS, AE, or RIF
- For AS: surgical history of intrauterine trauma/infection, hypo/amenorrhea, intra-uterine adhesions
- for AE: US documentation of persistent, <6mm endometrial thickness
- for RIF: failure to achieve a clinical pregnancy after transfer of at least four good-quality embryos in a minimum of three fresh or frozen cycles in a woman under 40 years and currently being treated at Yale Fertility Clinic
Exclusion Criteria:
- Presence of hydrosalpinx (diagnosed by radiographic or ultrasound imaging)
- Endometriosis (diagnosed by previous surgery,)
- Diminished ovarian reserve (AMH<1ng/ml or follicle stimulating hormone (FSH)>10)
- History of genital tuberculosis or any ultrasound evidence of congenital uterine anomaly
- Submucous or intracavitary fibroid, polyps
- Currently pregnant
- Personal history of thrombophilia or sickle cell disease
- Inability to provide informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Endometrial Disorders
Three groups of patients, with 10 subjects per group:
|
A 20mg single dose of PLERIXAFOR is administered subcutaneously the evening prior to scheduled standard of care surgery for women with AS, AE or RIF for peripheral mobilization of stem cells.
For subjects weighing >83 kilogram, the dosing is a single dose of 0.24 milligram per kilogram.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in endometrial thickness and implantation rates following treatment with Plerixafor at 6 month intervals up to 24 months, compared to controls
Time Frame: Every 6 months from baseline up to 24 months
|
Change in endometrial thickness post treatment compared to historic controls that received existing standard of care therapy, measured using ultrasound.
Thicker endometrium (>6mm) indicates restoration of endometrial function.
|
Every 6 months from baseline up to 24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in endometrial thickness and implantation rates with Plerixafor in women with AS, AE and RIF at 3 month intervals, compared to baseline/pre-treatment
Time Frame: Every 3 months from baseline up to 24 months
|
Change in endometrial thickness and implantation rates with Plerixafor in women with AS, AE and RIF at 3 month intervals, compared to baseline/pre-treatment will be assessed.
Less atrophy, less fibrosis, greater blood vessel formation and greater endometrial blood flow on ultrasound, compared to historic controls is indicative of restoration of endometrial function.
|
Every 3 months from baseline up to 24 months
|
Difference in ongoing pregnancy and live birth rates in women with AS, AE and RIF following treatment with Plerixafor at 3 month intervals, compared to baseline/pre-treatment
Time Frame: Every 3 months from baseline up to 24 months
|
The difference in ongoing pregnancy and live birth rates in women with AS, AE and RIF following treatment with Plerixafor at 3 month intervals, compared to baseline/pre-treatment will be assessed.
Less atrophy, less fibrosis, greater blood vessel formation and greater endometrial blood flow on ultrasound, compared to historic controls is indicative of restoration of endometrial function.
|
Every 3 months from baseline up to 24 months
|
Change in endometrial thickness from baseline after treatment with Plerixafor at month 3 and month 6 for participants that have not achieved pregnancy as of the timepoint
Time Frame: baseline, month 3 and month 6
|
Change in endometrial thickness from baseline after treatment with Plerixafor compared to month 3 and month 6 measured using ultrasound.
Thicker endometrium (>6mm) indicates restoration of endometrial function.
|
baseline, month 3 and month 6
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Hugh Taylor, MD, Yale University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Disease
- Pathological Conditions, Anatomical
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Syndrome
- Atrophy
- Gynatresia
- Anti-Infective Agents
- Antiviral Agents
- Anti-HIV Agents
- Anti-Retroviral Agents
- Plerixafor
Other Study ID Numbers
- 2000026217
- No NIH funding (Other Identifier: 10.11.23)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Asherman Syndrome
-
University of California, San FranciscoTerminatedInfertility | Asherman's SyndromeUnited States
-
The Second Affiliated Hospital of Chongqing Medical...Shanghai iCELL Biotechnology Co., Ltd, Shanghai, ChinaUnknownAsherman's Syndrome
-
Yuqing ChenCompleted
-
IgenomixUnknown
-
Women's Hospital School Of Medicine Zhejiang UniversityNot yet recruiting
-
Acibadem UniversityBaskent UniversityCompleted
-
Fu Xing Hospital, Capital Medical UniversityEnrolling by invitation
-
Wenzhou Medical UniversityCompleted
-
The Affiliated Nanjing Drum Tower Hospital of Nanjing...Changzhou Maternal and Child Care HospitalCompletedInfertility | Asherman SyndromeChina
-
Beijing Obstetrics and Gynecology HospitalUnknownIntrauterine AdhesionChina
Clinical Trials on Plerixafor
-
National Heart, Lung, and Blood Institute (NHLBI)Completed
-
Stephen CoubanGenzyme, a Sanofi CompanyCompletedMalignant Lymphoma, Stem Cell TypeCanada
-
Kyowa Kirin Co., Ltd.CompletedMultiple Myeloma and Malignant LymphomaJapan
-
University of WashingtonCompleted
-
Genzyme, a Sanofi CompanySanofiCompletedNeuroblastoma | Brain Tumors | Ewing's Sarcoma/Soft Tissue SarcomaBelgium, Czechia, Denmark, France, Germany, Hungary, Israel, Italy, Netherlands, Poland, Spain, United Kingdom
-
University Hospital, Clermont-FerrandCompletedChildren Cancer, Solid TumorFrance
-
National Institute of Allergy and Infectious Diseases...Lombardi Comprehensive Cancer CenterTerminated
-
Genzyme, a Sanofi CompanyCompletedRenal ImpairmentUnited States
-
SanofiCompletedAutologous Haematopoietic Stem Cell TransplantChina