Evaluation of Approved Weight-Based Dose Compared to Fixed Dose of Plerixafor in Patients With Non-Hodgkin's Lymphoma (NHL) Weighing Less Than 70 kg

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Genzyme
ClinicalTrials.gov Identifier:
NCT01164475
First received: July 9, 2010
Last updated: March 6, 2013
Last verified: March 2013
  Purpose

The purpose of this study is to compare the responses to 2 different doses of a drug called plerixafor in subjects with Non-Hodgkins Lymphoma (NHL) who will receive an autologous stem cell transplant.


Condition Intervention Phase
Non-Hodgkin's Lymphoma
Drug: G-CSF (filgrastim) plus Plerixafor Injection
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Pharmacokinetics/Dynamics Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase 4, Multicenter, Randomized, Comparator Trial Evaluating the Standard Weight-Based Dose (240 µg/kg) Compared to a Fixed Dose (20 mg) of Plerixafor Injection in Combination With G-CSF to Mobilize and Collect =5 x 106 CD34+ Cells/kg in =4 Days a

Resource links provided by NLM:


Further study details as provided by Genzyme:

Primary Outcome Measures:
  • Proportion of patients in each treatment arm who meet the target of ≥5 × 10^6 CD34+ cells/kg [ Time Frame: Variable between Day 5 and Day 8 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]
  • The relative systemic exposure between the two treatment groups, as determined by area under the concentration-time curve from time 0 to 10 hours post plerixafor (AUC 0-10) [ Time Frame: Day 5 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of patients in each treatment arm who achieve ≥2 × 10^6 CD34+ cells/kg in ≤4 days of apheresis [ Time Frame: Variable Day 5 to Day 8 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]
  • Median number of days of apheresis to collect ≥2 × 10^6 CD34+ cells/kg [ Time Frame: Variable Day 5 to Day 8 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]
  • Median number of days of apheresis to collect ≥5 × 10^6 CD34+ cells/kg [ Time Frame: Variable Day 5 to Day 8 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]
  • Total number of CD34+ cells/kg collected over up to 4 aphereses [ Time Frame: Variable Day 5 to Day 8 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]
  • Peripheral Blood CD34+ cell count over time following plerixafor [ Time Frame: Day 5 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]
  • Pharmacokinetic Data - maximum observed concentration (Cmax), time to maximum concentration (Tmax), and terminal elimination half-life (T1/2) [ Time Frame: Day 5 of the Apheresis/Treatment Period ] [ Designated as safety issue: No ]

Enrollment: 61
Study Start Date: October 2010
Study Completion Date: February 2013
Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Fixed Dose plerixafor plus G-CSF Drug: G-CSF (filgrastim) plus Plerixafor Injection
Randomized patients undergo mobilization with G-CSF 10μg/kg/day for 4 days, administered by subcutaneous (SC) injection. On the evening of Day 4, patients will receive a fixed dose of plerixafor of 20mg administered by SC injection.On Day 5, patients receive a morning dose of G-CSF 10 μg/kg and then undergo apheresis approximately 10 to 11 hours after the dose of plerixafor (within 60 minutes ± 15 minutes after administration of G-CSF). Patients continue to receive an evening dose of plerixafor followed the next day by a morning dose of G-CSF and apheresis for up to a maximum of 4 aphereses or until ≥ 5 x 10^6 CD34+ cells/kg are collected.
Other Names:
  • Mozobil,
  • AMD3100,
  • plerixafor
Active Comparator: Weight-based dose of plerixafor plus G-CSF Drug: G-CSF (filgrastim) plus Plerixafor Injection
Randomized patients undergo mobilization with G-CSF 10μg/kg/day for 4 days, administered by SC injection. On the evening of Day 4, patients will receive a weight-base dose of plerixafor of 0.24 mg/kg administered by SC injection. On Day 5, patients receive a morning dose of G-CSF 10 μg/kg and then undergo apheresis approximately 10 to 11 hours after the dose of plerixafor (within 60 minutes ± 15 minutes after administration of G-CSF). Patients continue to receive an evening dose of plerixafor followed the next day by a morning dose of G-CSF and apheresis for up to a maximum of 4 aphereses or until ≥ 5 x 10^6 CD34+ cells/kg are collected.
Other Names:
  • AMD3100,
  • Mozobil,
  • plerixafor

  Eligibility

Ages Eligible for Study:   18 Years to 78 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients diagnosed with NHL who are eligible to receive treatment with autologous peripheral stem cell transplant for the first time
  • Biopsy-confirmed diagnosis of NHL
  • Weight ≤ 70kg
  • In first or second complete remission or partial remission, defined for the purpose of this study as complete or partial response following first or second-line therapy only
  • At least 4 weeks since last cycle of chemotherapy and/or other cancer therapy including rituximab
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Recovered from all acute toxic effects of prior chemotherapy
  • Negative for human immunodeficiency virus (HIV), active hepatitis B, and active hepatitis C from assessments performed within 3 months before signing informed consent
  • Signed informed consent (ICF)
  • White blood cell (WBC) count >2.5 × 10^9/L
  • Absolute neutrophil count (ANC) >1.5 × 10^9/L
  • Platelet (PLT) count >100 × 10^9/L
  • Creatinine clearance ≥80 mL/min (estimated by Cockcroft-Gault formula or 24 hour urine collection)
  • Serum glutamic oxaloacetic transaminase/aspartate aminotransferase (SGOT), serum glutamic pyruvic transaminase/alanine aminotransferase (SGPT), and total bilirubin <2.5 × upper limit of normal
  • Cardiac and pulmonary status sufficient to undergo apheresis and transplantation

Exclusion Criteria:

  • A co-morbid condition which, in the view of the Investigator(s), renders the patient at high risk from treatment complications
  • Failed previous hematopoietic stem cell(HSC) collections or collection attempts
  • Prior autologous or allogeneic transplant
  • Less than 6 weeks off 1,3-bis(2-chloroethyl)-1-nitroso-urea (BCNU) prior to first dose of G CSF
  • Active central nervous system involvement, active brain metastases, or any history of carcinomatous meningitis (active or inactive)
  • Bone marrow involvement >20%, as assessed by bone marrow biopsy within 4 months of the first Screening assessment, unless a bone marrow biopsy was performed immediately prior to the last chemotherapy and was negative and the patient responded to last chemotherapy achieving a complete or partial remission
  • Received radiation therapy to the pelvis
  • Received granulocyte/macrophage-colony stimulating factor (GM CSF) or pegfilgrastim within 3 weeks prior to the first dose of granulocyte colony stimulating factor (G CSF) for mobilization
  • Received G CSF within 14 days prior to the first dose of G CSF for mobilization.
  • Received prior radio-immunotherapy with ibritumomab tiuxetan or tositumomab iodine
  • Active infection, including unexplained fever (>38.1 °C / 100.4 °F), or antibiotic, antiviral, or antifungal therapy within 7 days prior to the first dose of G-CSF
  • Positive pregnancy test (female patients)
  • Lactating (female patients)
  • Abnormal electrocardiogram (ECG) with clinically significant rhythm disturbance (ventricular arrhythmias) or other conduction abnormality in the last year that, in the opinion of the Investigator(s), warrants exclusion of the patient from the trial
  • Previously received experimental therapy within 4 weeks of enrolling or who are currently enrolled in another experimental protocol during the G CSF and plerixafor treatment period
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01164475

Locations
United States, Arizona
Arizona Cancer Center
Tucson, Arizona, United States, 85719
United States, California
City of Hope National Medical Center
Duarte, California, United States, 91010
United States, Colorado
University of Colorado Cancer Center
Aurora, Colorado, United States, 80045
Colorado Blood Cancer Institute
Denver, Colorado, United States, 80218
United States, Illinois
Loyola University Medical Center
Maywood, Illinois, United States, 60153
United States, Indiana
Indiana Blood and Marrow Transplantation
Indianapolis, Indiana, United States, 46237
United States, Mississippi
University of Mississippi Medical Center
Jackson, Mississippi, United States, 39216
United States, New York
University of Rochester Medical Center
Rochester, New York, United States, 14642
United States, South Carolina
Medical University of South Carolina
Charleston, South Carolina, United States, 29425
Canada, Ontario
Ottawa Regional Cancer Center
Ottawa, Ontario, Canada, K1H8L6
Princess Margaret Hospital
Toronto, Ontario, Canada, M5G 2M9
Sponsors and Collaborators
Genzyme
Investigators
Study Director: Medical Monitor Genzyme
  More Information

No publications provided

Responsible Party: Genzyme
ClinicalTrials.gov Identifier: NCT01164475     History of Changes
Other Study ID Numbers: MOZ11809
Study First Received: July 9, 2010
Last Updated: March 6, 2013
Health Authority: United States: Food and Drug Administration
South Korea: Korea Food and Drug Administration (KFDA)
Canada: Health Canada
Taiwan: Department of Health

Additional relevant MeSH terms:
Lymphoma
Lymphoma, Non-Hodgkin
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Lenograstim
JM 3100
Adjuvants, Immunologic
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Anti-HIV Agents
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on June 17, 2013