Trial Outcomes & Findings for Enhancing Anti--Tetanus Vaccine Response After Autologous Stem Cell Transplantation (NCT NCT02700841)

NCT ID: NCT02700841

Last Updated: 2024-03-12

Results Overview

Determine safety of outcomes based on the number of safely treated participants by CTCAE version 5.0 tool

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

Through 180 days post-transplant

Results posted on

2024-03-12

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Vaccine, CD34 Transplant, DLI)
ARM I: Patients receive 3 doses of tetanus before transplant and on days 15, and 60 post transplant. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--CD34 HSCT: Undergo autologous CD34 HSCT Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT T Cell-Depleted Hematopoietic Stem Cell Transplantation: Undergo autologous CD34 HSCT Tetanus Toxoid Vaccine: Given IM
Arm II (Vaccine, Stem Cell Transplant)
Patients receive 3 doses of tetanus as in Arm I. Patients receive high-dose melphalan IV on day -2 and undergo AHSCT on day 0. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT Tetanus Toxoid Vaccine: Given IM
Overall Study
STARTED
4
4
Overall Study
COMPLETED
4
4
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Enhancing Anti--Tetanus Vaccine Response After Autologous Stem Cell Transplantation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Vaccine, CD34 Transplant, DLI)
n=4 Participants
ARM I: Patients receive 3 doses of tetanus before transplant and on days 15, and 60 post transplant. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--CD34 HSCT: Undergo autologous CD34 HSCT Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT T Cell-Depleted Hematopoietic Stem Cell Transplantation: Undergo autologous CD34 HSCT Tetanus Toxoid Vaccine: Given IM
Arm II (Vaccine, Stem Cell Transplant)
n=4 Participants
Patients receive 3 doses of tetanus as in Arm I. Patients receive high-dose melphalan IV on day -2 and undergo AHSCT on day 0. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT Tetanus Toxoid Vaccine: Given IM
Total
n=8 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
4 Participants
n=107 Participants
6 Participants
n=206 Participants
Age, Continuous
61.5 years
STANDARD_DEVIATION 4.8 • n=99 Participants
66.8 years
STANDARD_DEVIATION 1.7 • n=107 Participants
64.1 years
STANDARD_DEVIATION 4.4 • n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
White
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
4 participants
n=99 Participants
4 participants
n=107 Participants
8 participants
n=206 Participants

PRIMARY outcome

Timeframe: Through 180 days post-transplant

Determine safety of outcomes based on the number of safely treated participants by CTCAE version 5.0 tool

Outcome measures

Outcome measures
Measure
Arm I (Vaccine, CD34 Transplant, DLI)
n=4 Participants
ARM I: Patients receive 3 doses of tetanus before transplant and on days 15, and 60 post transplant. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--CD34 HSCT: Undergo autologous CD34 HSCT Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT T Cell-Depleted Hematopoietic Stem Cell Transplantation: Undergo autologous CD34 HSCT Tetanus Toxoid Vaccine: Given IM
Arm II (Vaccine, Stem Cell Transplant)
n=4 Participants
Patients receive 3 doses of tetanus as in Arm I. Patients receive high-dose melphalan IV on day -2 and undergo AHSCT on day 0. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT Tetanus Toxoid Vaccine: Given IM
Number of Safely Treated Participants (Feasibility and Safety)
4 Participants
4 Participants

Adverse Events

Arm I (Vaccine, CD34 Transplant, DLI)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Arm II (Vaccine, Stem Cell Transplant)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm I (Vaccine, CD34 Transplant, DLI)
n=4 participants at risk
ARM I: Patients receive 3 doses of tetanus before transplant and on days 15, and 60 post transplant. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--CD34 HSCT: Undergo autologous CD34 HSCT Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT T Cell-Depleted Hematopoietic Stem Cell Transplantation: Undergo autologous CD34 HSCT Tetanus Toxoid Vaccine: Given IM
Arm II (Vaccine, Stem Cell Transplant)
n=4 participants at risk
Patients receive 3 doses of tetanus as in Arm I. Patients receive high-dose melphalan IV on day -2 and undergo AHSCT on day 0. Melphalan: Given IV Peripheral Blood Stem Cell Transplantation--AHSCT: Undergo AHSCT Tetanus Toxoid Vaccine: Given IM
Investigations
white blood cell decreased
100.0%
4/4 • Number of events 12 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
100.0%
4/4 • Number of events 12 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
Investigations
Lymphocyte Count Decreased
50.0%
2/4 • Number of events 6 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
75.0%
3/4 • Number of events 8 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
Investigations
Neutrophil Count Decreased
25.0%
1/4 • Number of events 2 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
75.0%
3/4 • Number of events 5 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
Investigations
Platelet Count Decreased
100.0%
4/4 • Number of events 11 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
50.0%
2/4 • Number of events 5 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
Gastrointestinal disorders
Typhlitis
0.00%
0/4 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
25.0%
1/4 • Number of events 1 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
Gastrointestinal disorders
Diarrhea
0.00%
0/4 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
25.0%
1/4 • Number of events 1 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
Blood and lymphatic system disorders
Anemia
25.0%
1/4 • Number of events 1 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.
0.00%
0/4 • Adverse Event Data was collected from the start of any protocol intervention to day 180 post transplant.

Additional Information

IIT Office

University of Nebraska Medical Center

Phone: 402-559-4596

Results disclosure agreements

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