Trial Outcomes & Findings for G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers (NCT NCT00082329)

NCT ID: NCT00082329

Last Updated: 2021-07-22

Results Overview

Healthy volunteers will be administered AMD 3100 (Mozobil plerixafor) and granulocyte colony stimulating factor (G-CSF) to determine cytokine polarization status of cluster of differentiation (CD 4) T-cells collected by apheresis. We propose that the combination of single dose AMD 3100 and G-CSF as combined mobilizing agents will improve the peripheral blood progenitor cells mobilization. Successful treatment responders is defined by completing study treatment with cell mobilization and cell collection. Non-responders is defined by having completed the study treatment and having cell mobilization without cell collection.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

Day 1 (cells are counted 24 hours after AMD3100)

Results posted on

2021-07-22

Participant Flow

Participant milestones

Participant milestones
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Overall Study
STARTED
9
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
n=9 Participants
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Age, Categorical
<=18 years
0 Participants
n=39 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=39 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
Sex: Female, Male
Female
3 Participants
n=39 Participants
Sex: Female, Male
Male
6 Participants
n=39 Participants
Region of Enrollment
United States
9 participants
n=39 Participants

PRIMARY outcome

Timeframe: Day 1 (cells are counted 24 hours after AMD3100)

Healthy volunteers will be administered AMD 3100 (Mozobil plerixafor) and granulocyte colony stimulating factor (G-CSF) to determine cytokine polarization status of cluster of differentiation (CD 4) T-cells collected by apheresis. We propose that the combination of single dose AMD 3100 and G-CSF as combined mobilizing agents will improve the peripheral blood progenitor cells mobilization. Successful treatment responders is defined by completing study treatment with cell mobilization and cell collection. Non-responders is defined by having completed the study treatment and having cell mobilization without cell collection.

Outcome measures

Outcome measures
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
n=9 Participants
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Number of Participants With Successful Apheresis Collection Following Combination of AMD3100 and G-CSF.
AMD & G-CSF Responder
8 participants
Number of Participants With Successful Apheresis Collection Following Combination of AMD3100 and G-CSF.
AMD& G-CSF Non-Responder
1 participants

SECONDARY outcome

Timeframe: Day 7

Average fold change from baseline of mobilized cells that contained immune properties and other cellular content following G-CSF and AMD3100 to mobilize stem cells in healthy volunteers. The mobilized cells are defined as: white blood cells, lymphocytes, polys and monocytes. Polys (also known as segs, segmented neutrophils, neutrophils, granulocytes) are the most numerous of our white blood cells.

Outcome measures

Outcome measures
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
n=9 Participants
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Average Fold Change From Baseline of Mobilized Cells Following G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
White Blood Cells
9.3 Mean Fold Change from Baseline
Interval 6.6 to 14.0
Average Fold Change From Baseline of Mobilized Cells Following G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
Lymphocytes
3.8 Mean Fold Change from Baseline
Interval 2.4 to 5.3
Average Fold Change From Baseline of Mobilized Cells Following G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
Polys
11.9 Mean Fold Change from Baseline
Interval 7.2 to 17.8
Average Fold Change From Baseline of Mobilized Cells Following G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
Monocytes
6.6 Mean Fold Change from Baseline
Interval 2.2 to 12.2

SECONDARY outcome

Timeframe: Day 7

Population: 1 participant did not complete apheresis, therefore 1 participant was not included in analysis

Number of participants with increase in yields of hematopoietic progenitor cells, immune cells, and other cellular subsets collected by apheresis following G-CSF and AMD3100 to mobilize stem cells.

Outcome measures

Outcome measures
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
n=9 Participants
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Number of Participants With Increased the Levels of Circulating Hematopoietic Progenitor Cells, Immune Cells, and Other Cellular Subsets Collected by Apheresis.
8 participants

Adverse Events

G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
n=9 participants at risk
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Vascular disorders
deep vein thrombosis
11.1%
1/9 • 30 days

Other adverse events

Other adverse events
Measure
G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers
n=9 participants at risk
Participants received subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) at 10 mcg/kg/day for 5 days followed by a single subcutaneous injection of AMD3100 (240 mcg/kg) given 12 hours prior to apheresis peripheral blood stem cell collection. Peripheral blood stem cell collection was performed on the fifth day following G-CSF administration.
Blood and lymphatic system disorders
Elevated Alk Phos
88.9%
8/9 • 30 days
Blood and lymphatic system disorders
Elevated LDH
88.9%
8/9 • 30 days
Blood and lymphatic system disorders
Elevated WBCs
11.1%
1/9 • 30 days
Cardiac disorders
tachycardia
11.1%
1/9 • 30 days
Gastrointestinal disorders
Diarrhea
44.4%
4/9 • 30 days
General disorders
achy
11.1%
1/9 • 30 days
General disorders
Appetite decr'd
11.1%
1/9 • 30 days
General disorders
Body ache
11.1%
1/9 • 30 days
General disorders
diaphoresis
11.1%
1/9 • 30 days
General disorders
fatigue
33.3%
3/9 • 30 days
General disorders
Headache
33.3%
3/9 • 30 days
General disorders
low back pain
11.1%
1/9 • 30 days
General disorders
Tiredness
11.1%
1/9 • 30 days
General disorders
Tiredness (fatigue)
44.4%
4/9 • 30 days
Musculoskeletal and connective tissue disorders
Back pain
11.1%
1/9 • 30 days
Musculoskeletal and connective tissue disorders
bone pain
33.3%
3/9 • 30 days
Musculoskeletal and connective tissue disorders
low back pain
11.1%
1/9 • 30 days
Musculoskeletal and connective tissue disorders
Muscle pain
11.1%
1/9 • 30 days
Nervous system disorders
paresthia (facial tingling)
11.1%
1/9 • 30 days
Psychiatric disorders
Mood alteration
11.1%
1/9 • 30 days
Skin and subcutaneous tissue disorders
Bruising, local at IV site
11.1%
1/9 • 30 days

Additional Information

Dr. Richard Childs

NHLBI NIH

Phone: 301-594-8008

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place