Trial Outcomes & Findings for AMD 3100 for Treatment of Myelokathexis (NCT NCT01058993)

NCT ID: NCT01058993

Last Updated: 2012-06-15

Results Overview

Effectiveness of drug based on increases of blood neutrophil counts to greater than 2.0 x 10\^9 per liter

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

6 participants

Primary outcome timeframe

up to 14 days, depending on when subject reached peak response, i.e., the highest count after the stimulus (plerixafor)

Results posted on

2012-06-15

Participant Flow

Subjects were contacted from the Severe Chronic Neutropenia International Registry office by Audrey Anna Bolyard, Manager of the Registry.

Prior to assignment, we performed physician, EKG (electrocardiogram) and screening labs, including CBC (complete blood count), Differential and smear, comprehensive metabolic panel, urinalysis, and pregnancy testing on females subjects

Participant milestones

Participant milestones
Measure
Single Arm Study, 5 Escalating Doses of AMD3100 (Plerixafor)
Single arm study to examine the hematological effects, pharmacokinetics and safety of plerixafor in patients with myelokathexis attributable to mutations of CXCR4, utilizing serial, escalating doses of plerixafor administered on days 1, 3, 5, 8, and 10. Five intrapatient escalating dose levels, 20 micrograms per kilogram (mcg/kg), 40 micrograms/kilogram(mcg/kg), 80 micrograms/kilogram(mcg/kg), and 240 micrograms/kilogram (mcg/kg)will be examined. The subjects will be patients at the University of Washington General Clinical Research Center for up to 10 days; the study requires subject be available for up to 14 days. Patients will be monitored for hematological effects of plerixafor and observed for adverse effects. If a normal blood neutrophil count is achieved and maintained for at least 24 hours prior to the highest dose, we will stop at that level.
Overall Study
STARTED
6
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

AMD 3100 for Treatment of Myelokathexis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm Study, 5 Escalating Doses of AMD3100 (Plerixafor)
n=6 Participants
Single arm study to examine the hematological effects, pharmacokinetics and safety of plerixafor in patients with myelokathexis attributable to mutations of CXCR4, utilizing serial, escalating doses of plerixafor administered on days 1, 3, 5, 8, and 10. Five intrapatient escalating dose levels, 20 micrograms per kilogram (mcg/kg), 40 micrograms/kilogram(mcg/kg), 80 micrograms/kilogram(mcg/kg), and 240 micrograms/kilogram (mcg/kg)will be examined. The subjects will be patients at the University of Washington General Clinical Research Center for up to 10 days; the study requires subject be available for up to 14 days. Patients will be monitored for hematological effects of plerixafor and observed for adverse effects. If a normal blood neutrophil count is achieved and maintained for at least 24 hours prior to the highest dose, we will stop at that level.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age Continuous
42.7 years
STANDARD_DEVIATION 17.0 • n=99 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
Region of Enrollment
United States
6 participants
n=99 Participants
Blood neutrophil count (in myelokathexis)
0.7 10^9 per Liter
n=99 Participants
blood neutrophil levels
0.7 10^9 per Liter
STANDARD_DEVIATION 0.6 • n=99 Participants

PRIMARY outcome

Timeframe: up to 14 days, depending on when subject reached peak response, i.e., the highest count after the stimulus (plerixafor)

Population: The number of participants (6) was determined by the fact that we were studying a rare form of neutropenia, WHIMS syndrome, and we therefore recruited subjects who have WHIMS who live on the West coast. Analysis was per protocol.

Effectiveness of drug based on increases of blood neutrophil counts to greater than 2.0 x 10\^9 per liter

Outcome measures

Outcome measures
Measure
SINGLE Arm Study, 5 Escalating Doses of AMD3100 (Plerixafor)
n=6 Participants
Single arm study to examine the hematological effects, pharmacokinetics and safety of plerixafor in patients with myelokathexis attributable to mutations of CXCR4, utilizing serial, escalating doses of plerixafor administered on days 1, 3, 5, 8, and 10. Five intrapatient escalating dose levels, 20 micrograms per kilogram (mcg/kg), 40 micrograms/kilogram(mcg/kg), 80 micrograms/kilogram(mcg/kg), and 240 micrograms/kilogram (mcg/kg)will be examined. The subjects will be patients at the University of Washington General Clinical Research Center for up to 10 days; the study requires subject be available for up to 14 days. Patients will be monitored for hematological effects of plerixafor and observed for adverse effects. If a normal blood neutrophil count is achieved and maintained for at least 24 hours prior to the highest dose, we will stop at that level.
Blood Neutrophil Counts.
4.48 10^9 per Liter
Standard Deviation 1.91

Adverse Events

Single Arm Study, 5 Escalating Doses of AMD3100 (Plerixafor)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

David D. Dale, MD

University of Washington

Phone: 206-543-7215

Results disclosure agreements

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