Bortezomib and Filgrastim to Promote Stem Cell Mobilization in Patients With Non-Hodgkin Lymphoma or Multiple Myeloma
A Pilot Study of Peripheral Blood Hematopoietic Stem Cell Mobilization With the Combination of Bortezomib and G-CSF in Multiple Myeloma and Non-Hodgkin's Lymphoma Patients
3 other identifiers
interventional
23
1 country
1
Brief Summary
This clinical trial studies peripheral blood hemapoietic stem cell mobilization with the combination of bortezomib and G-CSF (filgrastim) in multiple myeloma and non-Hodgkin lymphoma patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2011
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2011
CompletedFirst Submitted
Initial submission to the registry
January 14, 2014
CompletedFirst Posted
Study publicly available on registry
January 15, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 21, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 21, 2015
CompletedResults Posted
Study results publicly available
May 10, 2021
CompletedMay 10, 2021
April 1, 2021
3.6 years
January 14, 2014
August 21, 2020
April 14, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
>= 2 Fold Increase in Circulating PBSC's
Participants with \>= 2 fold increase in circulating PBSC's in blood and in apheresis collections in up to 4-days collection
Up to 6 months
Secondary Outcomes (1)
Time to Neutrophil Engraftment
Up to 6 months
Study Arms (2)
A Treatment (bortezomib and filgrastim)
EXPERIMENTALGROUP A: Bortezomib administered in the evening after comploetion of G-CSF collection or on day 6 of mobilization with G-CSF.
B Treatment (bortezomib and filgrastim)
EXPERIMENTALGROUP B: Bortexomib administered on days 4 \& day 7, before administration of filgrastim.
Interventions
Given IV
Given SC
Undergo autologous hematopoietic stem cell transplantation
Eligibility Criteria
You may qualify if:
- Voluntary written informed consent form before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care
- Diagnosis of B-type NHL or with multiple myeloma and eligible for autologous transplantation
- No more than 3 prior regimens of chemotherapy (Rituximab is not considered chemotherapy) and 4 weeks out of Bortezomib treatment for MM
- Karnofsky performance status of \> 50%
- The patient has recovered from all acute toxic effects of prior chemotherapy
- White blood cell (WBC) \> 3.0 x 10\^9/L
- Absolute neutrophil count \> 1.5 x 10\^9/L
- Platelet count \> 100 x 10\^9/L
- Serum creatinine =\< 2.2
- Serum glutamic oxaloacetic transaminase (SGOT) and serum glutamic pyruvate transaminase (SGPT) less than two times the upper limit of normal (ULN)
- Total bilirubin less than two times the ULN
- Left ventricle ejection fraction \> 50% (by normal echocardiogram \[ECHO\] or multi gated acquisition scan \[MUGA\] scan)
- Diffusing capacity of the lung for carbon monoxide (DLCO) \> 50%
- Forced vital capacity \> 50% of predicted
- Negative for human immunodeficiency virus (HIV)
- +1 more criteria
You may not qualify if:
- Patient has a platelet count of \< 100x 10\^9/L within 14 days before enrollment
- Patient has an absolute neutrophil count of ANC \<1.5 x 10\^9/L within 14 days before enrollment
- Patient has creatinine of \> 2.2 MG/DL within 14 days before enrollment
- Patient has \> 1.5 x ULN total bilirubin
- Patient has \>= grade 2 peripheral neuropathy within 14 days before enrollment
- Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities; prior to study entry, any electrocardiogram (ECG) abnormality at screening has to be documented by the investigator as not medically relevant
- Patient has hypersensitivity to Bortezomib, boron or mannitol
- Female subject is pregnant or breast-feeding; confirmation that the subject is not pregnant must be established by a negative serum beta-human chorionic gonadotropin (b-hCG) pregnancy test result obtained during screening; pregnancy testing is not required for post-menopausal or surgically sterilized women
- Participation in clinical trials with other investigational drugs not included in this trial, within 14 days before enrollment and throughout the duration of this trial
- Serious medical or psychiatric illness likely to interfere with participation in this clinical study
- A co-morbid condition which, in the view of the investigators, renders the patient at high risk for this study
- An acute medical condition resulting from prior chemotherapy
- Brain metastases or carcinomatous meningitis
- Acute infection
- Fever (temp \> 38 degrees Celsius \[C\]/100.4 degrees Fahrenheit \[F\])
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Divaya Bhutani
- Organization
- Barbara Ann Karmanos Cancer Institute
Study Officials
- PRINCIPAL INVESTIGATOR
Divaya Bhutani, M.D.
Barbara Ann Karmanos Cancer Institute
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
January 14, 2014
First Posted
January 15, 2014
Study Start
July 1, 2011
Primary Completion
January 21, 2015
Study Completion
January 21, 2015
Last Updated
May 10, 2021
Results First Posted
May 10, 2021
Record last verified: 2021-04