NCT00998049 · REGISTRY CONDITION SEARCH
Plerixafor in Treating Patients With Multiple Myeloma Previously Treated With Lenalidomide and Planning to Undergo Autologous Stem Cell Transplant
Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.
- Phase
- PHASE2
- Status at capture
- COMPLETED
- Registry last update
- 2015-05-14
Rationale: Giving colony-stimulating factors, such as G-CSF and plerixafor helps stem cells move from the patient's bone marrow to the blood so they can be collected and stored. Purpose: This phase II trial is studying how well plerixafor works in patients with multiple myeloma previously treated with lenalidomide and planning to undergo autologous stem cell transplant.
Open the original ClinicalTrials.gov record → · Download preserved record
What did the study report?
Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.
Participant flow
Baseline characteristics
Number of Patients Achieving 3 Million CD34 Cells/kg After 2 Days of Apheresis
CD34 Yield on Day 1
CD34 Yield Day 2
Median Number of Days of Apheresis
Time to Reach 6 Million CD34 Cells
Rate of Failure to Mobilize
Adverse events
Limitations, agreements, and source contact
Who could take part
- eligibility Criteria
- Inclusion - Absolute neutrophil count \>= 1000/uL - Platelet \>= 75000/uL - Hemoglobin \>= 8.0 g/dL - Serum aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT), serum alanine aminotransferase (ALT)/serum glutamic pyruvic transaminase (SGPT) and total bilirubin \< 2 x upper limit of normal (ULN) - Confirmed diagnosis of multiple myeloma, requiring therapy - Initial treatment for symptomatic myeloma using a lenalidomide based treatment regimen, started =\< 12 months prior to registration - Received at least 2 cycles of treatment with the lenalidomide regimen - Last dose of lenalidomide \> 2 weeks prior to registration - Eligible to undergo autologous transplantation - ECOG performance status (PS) 0 or 1 - Willingness to return for follow-up - Provide informed written consent - Adequate cardiopulmonary function: ejection fraction \>= 45%, corrected pulmonary diffusion capacity of \>= 50%, FEV1 \>= 50%, FVC \>= 50% - Negative serum or urine pregnancy test done =\< 7 days prior to registration, for women of childbearing potential only Exclusion - A co-morbid condition which, in the view of the Investigators, renders the patient at high risk from treatment complications - Active malignancy with the exception of non melanoma skin cancer or in situ cervical or breast cancer - Other co-morbidity which would interfere with patient's ability to participate in the trial, e.g. uncontrolled infection, uncompensated heart or lung disease - Other concurrent chemotherapy, radiotherapy, or any ancillary therapy considered investigational - Use of cyclophosphamide as part of stem cell mobilization - Use of more than one regimen for treatment of symptomatic myeloma - Dialysis dependent renal failure - Pregnant women or women of reproductive ability who are unwilling to use effective contraception - Nursing women - Men who are unwilling to use a condom (even if they have undergone a prior vasectomy) while having intercourse with any woman, while taking the drug and for 4 weeks after stopping treatment - Acute infection, active HIV infection
- healthy Volunteers
- false
- minimum Age
- 18 Years
- sex
- ALL
- std Ages
- ADULT
- OLDER_ADULT
Treatment arms and interventions
- arm Groups
- description
- Plerixafor 160mg/kg/dose by IV on days 5-8 Filgrastim (G-CSF) 10 mg/kg/dose subcutaneously on days 1-8.
- intervention Names
- Drug: plerixafor
- Drug: filgrastim
- label
- Plerixafor
- type
- EXPERIMENTAL
- interventions
- arm Group Labels
- Plerixafor
- description
- Plerixafor 160mg/kg/dose by IV on days 5-8
- name
- plerixafor
- other Names
- AMD 3100
- LM-3100
- Mozobil
- type
- DRUG
- arm Group Labels
- Plerixafor
- description
- Filgrastim (G-CSF) 10 mg/kg/dose subcutaneously on days 1-8.
- name
- filgrastim
- other Names
- G-CSF
- granulocyte colony-stimulating factor
- Neupogen
- r-metHuG-CSF
- Recombinant Methionyl Human Granulocyte Colony Stimulating Factor
- type
- DRUG
Study design
- allocation
- NA
- intervention Model
- SINGLE_GROUP
- masking Info
- masking
- NONE
- primary Purpose
- TREATMENT
Enrollment
- count
- 40
- type
- ACTUAL
Registered outcome plans (not posted results)
- primary Outcomes
- description
- Number of CD34 cells/kg collected on days 1-2. Apheresis is the process when blood is taken out through a catheter in a vein in one arm, blood is sent through a machine that takes out the stem cells and the rest of the blood is then returned through a vein in your other arm.
- measure
- Number of Patients Achieving 3 Million CD34 Cells/kg After 2 Days of Apheresis
- time Frame
- After 2 days of apheresis
- secondary Outcomes
- description
- Number of CD34 cells/kg collected on day 1.
- measure
- CD34 Yield on Day 1
- time Frame
- Day 1
- description
- Number of CD34 cells/kg collected on day 2
- measure
- CD34 Yield Day 2
- time Frame
- Day 2
- measure
- Median Number of Days of Apheresis
- time Frame
- Duration of apheresis (up to 7 days)
- description
- Number (median and 95% confidence interval) of days to reach 6 million CD34 cells/kg was estimated using the Kaplan Meier method. Participants were lower than 6 million CD34 cells/kg at time of last follow-up will be censored at that date.
- measure
- Time to Reach 6 Million CD34 Cells
- time Frame
- Duration of apheresis (up to 7 days)
- description
- The rate of failure to mobilize will be estimated by dividing the number of patients that fail to mobilize by the total number of evaluable patients. A patient is considered a failure if they never achieve 2.5 million CD34 cells/kg.
- measure
- Rate of Failure to Mobilize
- time Frame
- Duration of apheresis (up to 7 days)
Full study description
- brief Summary
- Rationale: Giving colony-stimulating factors, such as G-CSF and plerixafor helps stem cells move from the patient's bone marrow to the blood so they can be collected and stored. Purpose: This phase II trial is studying how well plerixafor works in patients with multiple myeloma previously treated with lenalidomide and planning to undergo autologous stem cell transplant.
- detailed Description
- Primary Objective: I. To determine the proportion of patients reaching a stem cell yield of 3 million CD34 cells/kg by second day of apheresis with intravenously administered AMD3100 among patients receiving primary therapy for myeloma with lenalidomide. Secondary Objectives: I. Safety and tolerability of intravenously administered AMD3100. II. Rate of failure to mobilize. Outline: Patients receive plerixafor IV on days 5-8 and filgrastim subcutaneously on days 1-8 in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed at 30 days.
Source references
Source notices and limitations
Discovery and provenance
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- source file
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Preserved source evidence · Not medical advice
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