Pilot Study Exploring the Use of Hyperbaric Oxygen in Autologous Peripheral Blood Stem Cell Transplantation
Auto-HBO
1 other identifier
interventional
20
1 country
1
Brief Summary
By doing this study, researchers hope to learn the following:
- The safety of hyperbaric oxygen administration in the setting of the autologous transplant
- The effects of hyperbaric oxygen administration on neutrophil count recovery and engraftment
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable multiple-myeloma
Started Mar 2014
Typical duration for not_applicable multiple-myeloma
1 active site
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
Study Start
First participant enrolled
March 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 12, 2014
CompletedFirst Posted
Study publicly available on registry
March 14, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedFebruary 14, 2017
February 1, 2017
2.4 years
March 12, 2014
February 13, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Presence or absence of a treatment limiting toxicity
Treatment limiting toxicities are defined as the occurrence of any of the following complications within 24hrs of treatment: seizure disorder, pneumothorax, death, irreversible grade III or any grade IV toxicity that is determined by the treating physician to be at least likely related to HBO therapy.
Toxicity assessment occurs within 24hrs of treatment
Secondary Outcomes (1)
Reduction in time to neutrophil recovery and engraftment post-cord blood transplant.
Daily measurement of neutrophil counts, up to 40 days post transplant.
Other Outcomes (2)
Explore the effects of hyperbaric oxygen (HBO) therapy on erythropoietin (EPO) levels.
Assessment at: Day -7 (lymphoma) or Day -3 (myeloma), Pre-HBO (Day 0), Pre-transplant (6-10hrs post-HBO), 24 and 48 hrs after starting hyperbaric oxygen treatment as well as 3 days post-neutrophil engraftment
Examine correlation between change to erythropoietin (EPO) levels and time to neutrophil recovery and engraftment.
EPO measurments: Pre-HBO (Day 0), 6-10hrs post-HBO, 24hrs and 48hrs post HBO, as well as 3 days post neutrophil engraftment.
Study Arms (1)
Hyperbaric Oxygen Treatment
EXPERIMENTALAdministration of hyperbaric oxygen on the morning of stem cell transplant (Day 0).
Interventions
Hyperbaric oxygen at 2.5 atmospheres absolute (ATA) for a total of 2 hours
Eligibility Criteria
You may qualify if:
- Voluntary written informed consent
- Subjects with Multiple Myeloma (MM), Hodgkin's Disease (HD), and non-Hodgkins lymphoma (NHL) who are eligible for high-dose chemotherapy and autologous PBSC transplant. Subjects should be enrolled within 30 days of transplant.
- Subjects must be \>/= 18 yrs old and \</= 70 yrs old
- Karnofsky performance status of \>/= 70%
- Adequate hepatic, renal, cardiac and pulmonary function to be eligible for transplant. Minimum criteria include:
- ALT (alanine aminotransferase), AST (aspartate aminotransferase): \< 4x IULN (institutional upper limit of normal)
- Total bilirubin: \</= 2.0 mg/dL
- Creatinine: \</= 2.0 mg/dL
- EF (ejection fraction) measured by 2D-ECHO or MUGA (multiple gated acquisition) scan of \>/= 45%
- FEV1 (forced expiratory volume), FVC (forced vital capacity) and DLCD(diffusing capacity of lung for carbon monoxide) \>/= 50% of predicted value (corrected to serum hemoglobin)
- Women of child-bearing potential and men with partners of child-bearing potential must use adequate contraception prior to study entry and up to 30 days following treatment.
You may not qualify if:
- Pregnant or breast feeding
- Severe chronic obstructive pulmonary disease requiring oxygen supplementation
- History of spontaneous pneumothorax
- Active ear/sinus infection
- Claustrophobia
- HIstory of sinus or ear surgery, excluding myringotomy or ear tubes
- History of seizures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Kansas Medical Centerlead
- SWOG Cancer Research Networkcollaborator
Study Sites (1)
University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Omar Aljitawi, MD
University of Kansas Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 12, 2014
First Posted
March 14, 2014
Study Start
March 1, 2014
Primary Completion
August 1, 2016
Study Completion
August 1, 2017
Last Updated
February 14, 2017
Record last verified: 2017-02