NCT00968396

Brief Summary

The goal of this clinical research study is to learn if cleaning the stem cells of a patient who has multiple myeloma (MM) with the bone marrow of a relative will make a cell product capable of replacing the bone marrow after standard treatment with chemotherapy.

Trial Health

10
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 27, 2009

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 31, 2009

Completed
3.4 years until next milestone

Study Start

First participant enrolled

February 1, 2013

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2015

Completed
Last Updated

April 5, 2013

Status Verified

April 1, 2013

Enrollment Period

2 years

First QC Date

August 27, 2009

Last Update Submit

April 4, 2013

Conditions

Keywords

MyelomaEx-Vivo Depletion of Myeloma CellsPeripheral Blood Progenitor Cell GraftsPBPCStem Cell TransplantBone marrow stem cellsMelphalanAlkeranApheresis

Outcome Measures

Primary Outcomes (1)

  • Neutrophil Engraftment Rate

    28 Days

Study Arms (1)

Stem Cell Collection + Transplantation

EXPERIMENTAL

Apheresis: On Day 5, 3 hour process to separate blood (stem cells from other cells) done 1 time a day for 1-6 days, or until enough stem cells are collected. Stem cells are cultured with donated stem cells from a relative for two weeks before being returned via transplantation. Co-culture Stem Cell Infusion on Day 0. Melphalan 100 mg/m\^2 IV over 30 minutes daily on Days -2 and -1.

Procedure: ApheresisProcedure: Stem Cell TransplantationDrug: Melphalan

Interventions

ApheresisPROCEDURE

On Day 5, 3 hour process to separate blood (stem cells from other cells) done 1 time a day for 1-6 days, or until enough stem cells are collected. Stem cells are cultured with donated stem cells from a relative for two weeks before being returned via transplantation.

Stem Cell Collection + Transplantation

Co-culture Stem Cell Infusion on Day 0.

Stem Cell Collection + Transplantation

100 mg/m\^2 IV over 30 minutes daily on Days -2 and -1

Also known as: Alkeran
Stem Cell Collection + Transplantation

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with multiple myeloma who have relapsed after an autologous transplant or with a chemosensitive relapse more than one year post initial therapy
  • Age 18 to 75 years
  • Left ventricular ejection fraction \>/= 40%. No uncontrolled arrhythmias
  • FEV1, FVC and DLCO \>/= 40%. No symptomatic pulmonary disease
  • Serum bilirubin \</= 2 x upper limit of normal, SGPT \</= 4 x upper limit of normal
  • HIV-negative
  • Negative Beta HCG test in a woman with child bearing potential, defined as not post-menopausal for 12 months or no previous surgical sterilization
  • Patient or guardian able to sign informed consent
  • Marrow-MSC Donor Requirements: patients must have a family member who is matched at 2, 3, or 4 HLA antigens and willing to donate 80-100 ml or bone marrow for MSC generation

You may not qualify if:

  • International Staging System (ISS) stage I at diagnosis (beta-2 microglobulin \< 3.5 mg/L and albumin \>/= 3.5 g/dL)
  • Patients with an apheresis collection \</= 7 x 10e6 CD34+/Kg
  • A fully matched related donor

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

Multiple MyelomaNeoplasms, Plasma Cell

Interventions

Blood Component RemovalStem Cell TransplantationMelphalan

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

TherapeuticsCell TransplantationCell- and Tissue-Based TherapyBiological TherapyTransplantationSurgical Procedures, OperativeNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhenylalanineAmino Acids, AromaticAmino Acids, CyclicAmino AcidsAmino Acids, Peptides, and Proteins

Study Officials

  • Yago Nieto, MD, PHD

    UT MD Anderson Cancer Center

    STUDY CHAIR
0

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 27, 2009

First Posted

August 31, 2009

Study Start

February 1, 2013

Primary Completion

February 1, 2015

Last Updated

April 5, 2013

Record last verified: 2013-04