Safety Study of Human Myeloid Progenitor Cells (CLT-008) After Chemotherapy for Leukemia
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Purpose
Ex vivo expanded human myeloid progenitor cells (hMPCs; CLT-008) have the potential to accelerate neutrophil recovery and decrease the risk of febrile neutropenia and infection in patients receiving chemotherapy for acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic myeloid leukemia (CML), or high-risk myelodysplasia (MDS). In this study, the safety, tolerability and activity of CLT-008 administered after "standard of care" cytarabine-based consolidation or induction/re-induction chemotherapy will be determined by monitoring for adverse reactions, infusion reactions, graft-versus host disease (GVHD), neutrophil and platelet recovery, hMPC persistence, infections and complications.
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Myeloid Leukemia Acute Lymphoblastic Leukemia Chronic Myeloid Leukemia Myelodysplasia |
Biological: human myeloid progenitor cells Drug: G-CSF |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | A Phase I/II Trial of CLT-008 Myeloid Progenitor Cells in Patients Receiving Chemotherapy for Leukemia or Myelodysplasia |
- Incidence of serious adverse reactions [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: Yes ]
- Duration of neutropenia [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Duration of thrombocytopenia [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Duration of presence of CLT-008 derived cells in blood [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Duration of presence of CLT-008 derived cells in bone marrow [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Incidence of mucositis [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Incidence of infections [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Duration of fever [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Duration of antibiotic use [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Incidence of hospitalization [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
- Duration of hospitalization [ Time Frame: Consolidation patients-43 days post dose and Induction/re-induction patients-40 days post dose ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 82 |
| Study Start Date: | March 2011 |
| Estimated Primary Completion Date: | March 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Consolidation Group A
Low dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
|
Experimental: Consolidation Group B
Intermediate dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
|
Experimental: Consolidation Group C
Intermediate dose CLT-008 (human myeloid progenitor cells), no G-CSF
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
|
|
Experimental: Consolidation Group D
High dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
|
Active Comparator: Induction Group A1 (cytarabine 7+3)
G-CSF
|
Drug: G-CSF
Background therapy
Other Names:
|
|
Experimental: Induction Group A2 (cytarabine 7+3)
Intermediate dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
|
Experimental: Induction Group A3 (cytarabine 7+3)
High dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
|
Active Comparator: Induction Group B1 (cytarabine HIDAC)
G-CSF
|
Drug: G-CSF
Background therapy
Other Names:
|
|
Experimental: Induction Group B2 (cytarabine HIDAC)
Intermediate dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
|
Experimental: Induction Group B3 (cytarabine HIDAC)
High dose CLT-008 (human myeloid progenitor cells)
|
Biological: human myeloid progenitor cells
Single intravenous injection/infusion
Other Names:
Drug: G-CSF
Background therapy
Other Names:
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
Hematological malignancy, including:
- AML, ALL or MDS
- Planned treatment with cytarabine-based chemotherapy regimen
- Adequate hepatic, renal, hematologic, cardiac and respiratory function
Key Exclusion Criteria:
- Prior allograft or history of active GVHD within 3 years
- Pregnant or nursing
Contacts and Locations| Contact: Nancy Vinh | 650-232-5433 | nvinh@cellerant.com |
| United States, California | |
| Moores UCSD Cancer Center | Recruiting |
| La Jolla, California, United States, 92037 | |
| Principal Investigator: Matthew Wieduwilt, MD, PhD | |
| University of California Medical Center | Recruiting |
| San Francisco, California, United States, 94143 | |
| Principal Investigator: Charalambos Andreadis, MD | |
| United States, Illinois | |
| Loyola University Medical Center, Cardinal Bernardin Cancer Center | Recruiting |
| Maywood, Illinois, United States, 60153 | |
| Principal Investigator: Danielle Shafer, DO | |
| United States, Indiana | |
| Indiana Blood and Marrow Transplantation, LLC | Recruiting |
| Beech Grove, Indiana, United States, 46107 | |
| Principal Investigator: Luke P Akard, MD | |
| United States, Massachusetts | |
| University of Massachusetts Memorial Medical Center | Recruiting |
| Worcester, Massachusetts, United States, 01655 | |
| Principal Investigator: Jan Cerny, MD | |
| United States, Minnesota | |
| University of Minnesota | Recruiting |
| Minneapolis, Minnesota, United States, 55455 | |
| Principal Investigator: Celalettin Ustun, MD | |
| United States, Ohio | |
| Cleveland Clinic | Recruiting |
| Cleveland, Ohio, United States, 44195 | |
| Principal Investigator: Brian T Hill, MD, PhD | |
| United States, Pennsylvania | |
| The Western Pennsylvania Hospital | Recruiting |
| Pittsburgh, Pennsylvania, United States, 15224 | |
| Principal Investigator: James Rossetti, DO | |
| United States, Texas | |
| The University of Texas MD Anderson Cancer Center | Recruiting |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: Farhad Ravandi-Kashani, MD | |
More Information
Additional Information:
No publications provided
| Responsible Party: | Cellerant Therapeutics |
| ClinicalTrials.gov Identifier: | NCT01297543 History of Changes |
| Other Study ID Numbers: | CLT008-02 |
| Study First Received: | February 11, 2011 |
| Last Updated: | May 9, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Cellerant Therapeutics:
|
Induction chemotherapy Re-induction chemotherapy Consolidation chemotherapy Leukemia Myelodysplasia |
Additional relevant MeSH terms:
|
Leukemia Leukemia, Lymphoid Precursor Cell Lymphoblastic Leukemia-Lymphoma Leukemia, Myeloid, Acute Leukemia, Myeloid Leukemia, Myelogenous, Chronic, BCR-ABL Positive Myelodysplastic Syndromes Preleukemia Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases |
Immunoproliferative Disorders Immune System Diseases Myeloproliferative Disorders Bone Marrow Diseases Hematologic Diseases Precancerous Conditions Lenograstim Adjuvants, Immunologic Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013