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Phase 2 N=47 Randomized Treatment

Plerixafor and Granulocyte Colony-stimulating Factor (G-CSF) With Busulfan, Fludarabine and Thymoglobulin

Stem Cell Transplantation · Leukemia

Enrolled (actual)
47
Serious AEs
29.8%
Results posted
Jul 2014
Primary outcome: Primary: Number of Participants With Grade 4 Dose Limiting Toxicity to Determine Maximum Tolerated Dose (MTD) Plerixafor — 1; 4; 7; 4 participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Plerixafor (Drug); Filgrastim (Drug); Fludarabine (Drug); Busulfan (Drug); Allogeneic blood stem cell transplant (Procedure); ATG (Thymoglobulin) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
M.D. Anderson Cancer Center
Primary completion
Oct 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Grade 4 Dose Limiting Toxicity to Determine Maximum Tolerated Dose (MTD) Plerixafor
1; 4; 7; 4
SECONDARY
Number of Participants Alive With no Disease Progression at Time of Allo Transplant
16; 16
SECONDARY
Engraftment Response Rate: Number of Transplanted Participants With Complete Chimerism at Day 30
32

Summary

The goal of this clinical research study is to learn about the safety of AMD3100 (plerixafor) and G-CSF (filgrastim) in combination with fludarabine, busulfan, and an allogeneic blood stem cell transplant. This treatment will be studied in patients with acute myeloblastic leukemia (AML), myelodysplastic syndromes (MDS), or Chronic myelogenous leukemia (CML).

Eligibility Criteria

Inclusion Criteria

  • Patients age >/=18 to 5% blasts in the blood or bone marrow. Patients receiving second transplants after relapse are considered in the relapse group.
  • White Blood Count (CBC) /= 45 %. No uncontrolled arrhythmias or uncontrolled symptomatic cardiac disease.
  • No symptomatic pulmonary disease. Forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC) and diffusion capacity of carbon monoxide (DLCO) >/= 50 % of expected, corrected for hemoglobin.
  • Serum creatinine /= 1 liter.
  • Uncontrolled infection, not responding to appropriate antimicrobial agents after seven days of therapy.
  • History of acute hepatitis, chronic active hepatitis or cirrhosis.
  • Patients with class 3 or 4 angina (New York Heart Association (NYHA) criteria).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00822770). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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