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N/A N=6 Supportive Care

Palifermin in Preventing Chronic Graft-Versus-Host Disease in Patients Who Have Undergone Donor Stem Cell Transplant for Hematologic Cancer

Accelerated Phase Chronic Myelogenous Leukemia · Adult Acute Lymphoblastic Leukemia in Remission · Adult Acute Myeloid Leukemia in Remission · Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities · Adult Acute Myeloid Leukemia With Del(5q)

Enrolled (actual)
6
Serious AEs
0.0%
Results posted
Apr 2014
Primary outcome: Primary: Changes in the Number of Recent Thymic Emigrants (RTE) Cluster of Differentiation (CD)4 T Cells in the Blood — -2; -22 cells per microliter of blood

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
palifermin (Biological); flow cytometry (Other); laboratory biomarker analysis (Other); pharmacological study (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Martin, Paul
Primary completion
Jul 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Changes in the Number of Recent Thymic Emigrants (RTE) Cluster of Differentiation (CD)4 T Cells in the Blood
-2; -22
SECONDARY
Changes in the Number of Naive CD4 T Cells in the Blood
-3; -25

Summary

RATIONALE: Growth factors, such as palifermin, may prevent chronic graft-versus-host disease caused by donor stem cell transplant. PURPOSE: This randomized clinical trial studies palifermin in preventing chronic graft-versus-host disease in patients who have undergone donor stem cell transplant for hematologic cancer

Eligibility Criteria

Inclusion Criteria

  • Survival for more than 60 days after an allogeneic hematopoietic cell transplantation (HCT) with growth-factor mobilized blood cells
  • Current dose of prednisone at =< 0.5 mg/kg or equivalent or no systemic glucocorticoid treatment
  • Ability to remain under care at the Seattle Cancer Care Alliance (SCCA) for at least 28 days after enrollment in the study
  • Able and willing to give informed consent

Exclusion Criteria

  • Presence of generalized rash involving more than 50% of the body surface
  • Prior diagnosis of chronic GVHD requiring systemic immunosuppressive treatment
  • Any prior local irradiation to a field that included the thymus (total body irradiation is allowed)
  • History of thymectomy
  • Use of rabbit antithymocyte globulin in the pretransplant conditioning regimen
  • Use of a graft depleted of T cells
  • Any evidence of recurrent or persistent malignancy after HCT
  • Participation in another study with chronic GVHD as the primary endpoint
  • Any prior history of carcinoma
  • Any infection that is not improving during appropriate treatment
  • History of palifermin intolerance
  • A positive pregnancy test (women of child-bearing potential)
  • Breast feeding
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01233921). 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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