Trial Outcomes & Findings for Intravenous (IV) AMD3100 for Mobilization and Matched Related Transplant for Advanced Hematological Malignancies (NCT NCT00914849)

NCT ID: NCT00914849

Last Updated: 2017-05-17

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

68 participants

Primary outcome timeframe

Completion of enrollment of all donors (17 months)

Results posted on

2017-05-17

Participant Flow

The study opened to participant enrollment on 08/12/2009 and closed to participants enrollment on 01/31/2011.

Participant milestones

Participant milestones
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg intravenous (IV) * Leukopheresis * Day 2 (if peripheral blood stem cell (PBSC) collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Overall Study
STARTED
34
34
Overall Study
COMPLETED
33
33
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg intravenous (IV) * Leukopheresis * Day 2 (if peripheral blood stem cell (PBSC) collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Overall Study
Withdrawal by Subject
1
0
Overall Study
Not eligible
0
1

Baseline Characteristics

Intravenous (IV) AMD3100 for Mobilization and Matched Related Transplant for Advanced Hematological Malignancies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 - Donor
n=34 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Total
n=67 Participants
Total of all reporting groups
Age, Continuous
50 years
n=99 Participants
54 years
n=107 Participants
52 years
n=206 Participants
Sex: Female, Male
Female
16 Participants
n=99 Participants
12 Participants
n=107 Participants
28 Participants
n=206 Participants
Sex: Female, Male
Male
18 Participants
n=99 Participants
21 Participants
n=107 Participants
39 Participants
n=206 Participants
Region of Enrollment
United States
34 participants
n=99 Participants
33 participants
n=107 Participants
67 participants
n=206 Participants

PRIMARY outcome

Timeframe: Completion of enrollment of all donors (17 months)

Population: 3 donors failed to reach target after two collections and 1 donor withdrew consent after failing to reach the goal on the first collection.

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
n=29 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Number of Donors Treated With IV AMD3100 Who Required a Second Collection to Obtain the Minimum CD34/kg (2 X 106) Necessary for Allogeneic Stem Cell Transplant
10 participants

SECONDARY outcome

Timeframe: Up to Day 2

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
n=34 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Number of Donors Who Experience Grade 3-4 Infusional Toxicity
0 participants

SECONDARY outcome

Timeframe: Day 21

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Number of Recipients Who Have Neutrophil Engraftment
33 participants

SECONDARY outcome

Timeframe: Day 1 and Day 2

-Blood samples for pharmacokinetics were drawn on the following schedule: * prior to IV infusion * 15 minutes after start of infusion * 30 minutes after start of infusion * 1 hour after start of infusion * 4 hours after start of infusion * 6 hours after start of infusion * 9 hours after start of infusion * 24 hours after start of infusion

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
n=34 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Pharmacokinetics of IV AMD3100 as Measured by the Mean Maximum Plasma Concentration (Cmax)
1391 ng/mL
Standard Deviation 488

SECONDARY outcome

Timeframe: Day 1 and Day 2

-Blood samples for pharmacokinetics were drawn on the following schedule: * prior to IV infusion * 15 minutes after start of infusion * 30 minutes after start of infusion * 1 hour after start of infusion * 4 hours after start of infusion * 6 hours after start of infusion * 9 hours after start of infusion * 24 hours after start of infusion

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
n=34 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Pharmacokinetics of IV AMD3100 as Measured by Half Life
5.42 hours
Standard Deviation 1.24

SECONDARY outcome

Timeframe: Day 1 and Day 2

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
n=34 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Pharmacokinetics of IV AMD3100 as Measured by Mean Area Under Curve (AUC)
5049 hr.ng/mL
Standard Deviation 1233

SECONDARY outcome

Timeframe: Day 0-Day 100 (acute)

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Rate of Acute GVHD (Grade II-IV) in Recipients
4 participants

SECONDARY outcome

Timeframe: Day 0-Day 100 (acute)

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Rate of Acute GVHD (Grade III-IV) in Recipients
4 participants

SECONDARY outcome

Timeframe: Up through Day 100

Measured by determine the first 3 consecutive measurement of neutrophil count = 500/ul following conditioning regimen induced nadir.

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Time to Neutrophil Engraftment for Recipients
14 days
Interval 11.0 to 24.0

SECONDARY outcome

Timeframe: Up to Day 100

Measured by determining the first of 3 consecutive measurements of platelet count = 20,000/ul without platelet transfusion support for 7 days.

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Time to Platelet Engraftment for Recipients
25 days
Interval 15.0 to 219.0

SECONDARY outcome

Timeframe: Day 100

Death that results from a transplant procedure related complication rather than from relapse of the underlying disease or unrelated cause.

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Transplant Related Mortality Rate for Recipients
1 participants

SECONDARY outcome

Timeframe: 1 year

Assessed and graded according to NCI Common Terminology for Adverse Events Version 3.0.

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=34 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Grade 3-4 Toxicity for Recipients
Grade 3 fatigue
3 participants
Grade 3-4 Toxicity for Recipients
Grade 3 thrombocytopenia
1 participants
Grade 3-4 Toxicity for Recipients
Grade 3 mucositis
5 participants
Grade 3-4 Toxicity for Recipients
Grade 3 GI fistula
1 participants
Grade 3-4 Toxicity for Recipients
Grade 3 increased transaminase
2 participants
Grade 3-4 Toxicity for Recipients
Grade 3 febrile neutropenia
32 participants
Grade 3-4 Toxicity for Recipients
Grade 3 bacteremia+
4 participants
Grade 3-4 Toxicity for Recipients
Grade 3 respiratory distress
1 participants
Grade 3-4 Toxicity for Recipients
Grade 3 renal failure
6 participants

SECONDARY outcome

Timeframe: Day 101-1 year

Population: 8 patients are not evaluable because they were not alive for the outcome measure time frame.

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=25 Participants
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Rate of Chronic GVHD in Recipients
7 participants

SECONDARY outcome

Timeframe: Up to Day 2

Outcome measures

Outcome measures
Measure
Arm 1 - Donor
n=34 Participants
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Number of Donors Who Experience Grade 3-4 Mobilization Toxicity Due to Pheresis Procedure
2 participants

Adverse Events

Arm 1 - Donor

Serious events: 0 serious events
Other events: 33 other events
Deaths: 0 deaths

Arm 2 - Recipient

Serious events: 0 serious events
Other events: 33 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm 1 - Donor
n=33 participants at risk
* Day 1 * AMD3100 320 ug/kg IV * Leukopheresis * Day 2 (if PBSC collected is not sufficient) * AMD3100 320 ug/kg IV * Leukopheresis
Arm 2 - Recipient
n=33 participants at risk
Standard of care and physician choice myeloablative or non-myeloablative chemotherapy with or without total body irradiation (permitted = cyclophosphamide and single dose total body irradiation (TBI) / fludarabine and busulfan / fractionated TBI and cyclophosphamide / fractionated TBI, etoposide, and cyclophosphamide / busulfan and cyclophosphamide / fludarabine, busulfan, and ATGAM Day 0 = Stem Cell Transplant
Gastrointestinal disorders
Abdominal cramping
51.5%
17/33
0.00%
0/33
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress
0.00%
0/33
3.0%
1/33
Blood and lymphatic system disorders
Anemia
3.0%
1/33
0.00%
0/33
Metabolism and nutrition disorders
Anorexia
0.00%
0/33
9.1%
3/33
Psychiatric disorders
Anxiety
0.00%
0/33
39.4%
13/33
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/33
9.1%
3/33
Infections and infestations
Bacteremia
0.00%
0/33
12.1%
4/33
Infections and infestations
Catheter site infection
0.00%
0/33
9.1%
3/33
General disorders
Catheter site pain
0.00%
0/33
15.2%
5/33
Cardiac disorders
Chest pain
6.1%
2/33
0.00%
0/33
General disorders
Cold sensation
9.1%
3/33
0.00%
0/33
Cardiac disorders
Congestive heart failure
0.00%
0/33
3.0%
1/33
Gastrointestinal disorders
Constipation
0.00%
0/33
24.2%
8/33
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/33
6.1%
2/33
Gastrointestinal disorders
Diarrhea
36.4%
12/33
48.5%
16/33
Gastrointestinal disorders
Distension/abdominal bloating
30.3%
10/33
18.2%
6/33
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.1%
3/33
27.3%
9/33
General disorders
Fatigue
0.00%
0/33
39.4%
13/33
Infections and infestations
Febrile neutropenia
0.00%
0/33
97.0%
32/33
General disorders
Fever
0.00%
0/33
6.1%
2/33
Gastrointestinal disorders
GI fistula
0.00%
0/33
3.0%
1/33
General disorders
Generalized weakness
0.00%
0/33
90.9%
30/33
Psychiatric disorders
Hand tremor
0.00%
0/33
3.0%
1/33
Nervous system disorders
Headache
6.1%
2/33
21.2%
7/33
Renal and urinary disorders
Hematuria
0.00%
0/33
3.0%
1/33
Vascular disorders
Hot flashes
0.00%
0/33
6.1%
2/33
Investigations
Hyperbiluribinemia
0.00%
0/33
21.2%
7/33
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/33
12.1%
4/33
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/33
42.4%
14/33
Vascular disorders
Hypertension
0.00%
0/33
6.1%
2/33
Metabolism and nutrition disorders
Hypocalcemia
72.7%
24/33
0.00%
0/33
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/33
3.0%
1/33
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/33
24.2%
8/33
Vascular disorders
Hypotension
21.2%
7/33
9.1%
3/33
Renal and urinary disorders
Incontinence
0.00%
0/33
3.0%
1/33
Investigations
Increase transaminase
0.00%
0/33
24.2%
8/33
Psychiatric disorders
Insomnia
12.1%
4/33
3.0%
1/33
Musculoskeletal and connective tissue disorders
Leg pain
0.00%
0/33
9.1%
3/33
Nervous system disorders
Lightheadedness
15.2%
5/33
0.00%
0/33
General disorders
Lower extremities edema
0.00%
0/33
39.4%
13/33
Psychiatric disorders
Mental status change
0.00%
0/33
6.1%
2/33
Gastrointestinal disorders
Mucositis
0.00%
0/33
54.5%
18/33
Musculoskeletal and connective tissue disorders
Muscle weakness
0.00%
0/33
3.0%
1/33
Gastrointestinal disorders
Nausea
21.2%
7/33
39.4%
13/33
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/33
3.0%
1/33
Infections and infestations
Parotiditis
0.00%
0/33
3.0%
1/33
Skin and subcutaneous tissue disorders
Purpura
0.00%
0/33
3.0%
1/33
Skin and subcutaneous tissue disorders
Rash
0.00%
0/33
3.0%
1/33
Renal and urinary disorders
Renal failure
0.00%
0/33
18.2%
6/33
Nervous system disorders
Sensory neuropathy
69.7%
23/33
0.00%
0/33
Cardiac disorders
Sinus bradycardia
24.2%
8/33
0.00%
0/33
Skin and subcutaneous tissue disorders
Skin nodules
0.00%
0/33
3.0%
1/33
General disorders
Sweating (diaphoresis)
15.2%
5/33
0.00%
0/33
Cardiac disorders
Tachycardia
0.00%
0/33
3.0%
1/33
Respiratory, thoracic and mediastinal disorders
Throat pain
0.00%
0/33
15.2%
5/33
Investigations
Thrombocytopenia
12.1%
4/33
6.1%
2/33
Vascular disorders
Thrombosis/embolism (DVT)
0.00%
0/33
3.0%
1/33
Infections and infestations
Upper respiratory infection
0.00%
0/33
9.1%
3/33
Renal and urinary disorders
Urinary frequency/urgency
0.00%
0/33
3.0%
1/33
Infections and infestations
Urinary tract infection
0.00%
0/33
3.0%
1/33
Nervous system disorders
Vasovagal episode
18.2%
6/33
0.00%
0/33
Gastrointestinal disorders
Vomiting
0.00%
0/33
36.4%
12/33
General disorders
Warm sensation
3.0%
1/33
0.00%
0/33
Investigations
Weight loss
0.00%
0/33
9.1%
3/33

Additional Information

John DiPersio, M.D., Ph.D.

Washington University School of Medicine

Phone: 314-454-8304

Results disclosure agreements

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