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Trial registered on ANZCTR
Registration number
ACTRN12609000116224
Ethics application status
Not yet submitted
Date submitted
8/01/2009
Date registered
18/02/2009
Date last updated
29/04/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
A study to investigate whether the combination of Mozobil and Neulasta is safe and effective for mobilization of blood stem cells for the treatment of lymphoma and multiple myeloma
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Scientific title
A pilot study investigating the combination of Mozobil® plus Neulasta® for Hematopoietic progenitor Cell (HPC-A) Mobilization in Patients with Lymphoma or Multiple Myeloma
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lymphoma
4179
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Multiple myeloma
4180
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Condition category
Condition code
Cancer
4388
4388
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0
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
4389
4389
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0
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Cancer
4390
4390
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0
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Myeloma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Pegfilgrastim (Neulasta®) 6mg subcutaneous injection once only on day 1,
Plerixafor (Mozobil®) 240ug/kg subcutaneous injection on day 3. Additional plerixafor doses (240 ug/kg) days 4, 5 and 6 if target apheresis yields not reached.
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Intervention code [1]
3898
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Treatment: Drugs
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Toxicity/adverse events. The National Cancer Institute (USA) Common Toxicitiy Criteria for Adverse Eevents (CTCAE) version 3 is the instrument used to designate and grade adverse events.
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Assessment method [1]
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Timepoint [1]
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Baseline, day 3, day 4 , day 11 and day 28 (end) of study
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Primary outcome [2]
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Peripheral blood CD34+ cell counts. Measured by flow cytometry cytometric assessment of cells expressing the CD34+ antigen.
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Assessment method [2]
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Timepoint [2]
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Baseline, then daily from day 3 to day 7 or until target CD34+ cell yield is reached (whichever occurs first)
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Secondary outcome [1]
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Mobilization efficacy defined as:
"successful" (collection of a minimum > 2x10^6/kg CD34+ cells),
"optimal" (collection of > 5x10^6/kg CD34+ cells), "unsuccessful" (collection of <2x10^6/kg CD34+ cells) or "mobilization failure" (patient never achieved a peripheral blood CD34+ count of > 5x10^6/L)
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Assessment method [1]
8880
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Timepoint [1]
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Mobilization status will be assessed at day 7
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Eligibility
Key inclusion criteria
1. Histologically proven multiple myeloma or lymphoproliferative disease
2. Absolute neutrophil count between 1.5 and 10.0 x 10^9/L
3. Adequate renal function: calculated creatinine clearance >/= 30 ml/min
4. Eastern Cooperative Oncology Group (ECOG) performance status >/=2
5. Life expectancy of at least 2 months
6. Able to give written informed consent
7.Patient able to make arrangements for injection of study drugs (self, family member, visiting nurse, etc)
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Active infection (fever due to B symptoms in lymphoma patients will not exclude a patient)
2. Pregnancy or breast feeding.
3. Significant non-malignant disease including Human Immunodeficieny Virus (HIV) infection, uncontrolled hypertension (diastolic blood pressures > 115 mmHg), unstable angina.
4. Known allergy to E.coli-derived products
5. Patients predicted to be ‘adequate mobilizers must have the absence of specific risk factors for poor mobilization
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
6 patients must be prior failed mobilizers, the remaining 6 must be anticipated adequate mobilizers (no risk factors for failed mobilization)
Patients will be enrolled from a list of prospective patients identified during the Bone Marrow Transplant Meeting at Peter MacCallum Cancer Centre.
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
12
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Genzyme Australasia Pty Ltd
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Address [1]
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Level 1, Building C, 12-24 Talavera Rd, North Ryde NSW 2113
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Peter MacCallum Cancer Centre
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Address
St Andrews Place
East Melbourne VIC 3002
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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19/01/2009
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Approval date [1]
6411
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Ethics approval number [1]
6411
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Summary
Brief summary
A potential treatment for some blood cancer types is high dose therapy with stem cell transplantation. Stem cells are normally found in the bone marrow. Stem cells are collected from your bone marrow by ‘mobilising’ them into the blood stream. An apheresis machine removes blood from a vein in your arm or chest, collects off the stem cells and then returns the rest of your blood back to your vein. The collected stem cells are frozen and stored for later use. At the time of transplantation, a high dose of chemotherapy with or without radiotherapy would be given, and your frozen stem cells thawed and injected into your body (similar to a blood transfusion). These stem cells can help your bone marrow recover from the high dose therapy. Stem cells are usually mobilised from the bone marrow into the bloodstream using daily or twice-daily injections of a drug called Granulocyte-Colony Stimulating Factor (G-CSF), or filgrastim (Neupogen). This usually requires 6-10 days of injections. This project aims to test the combination of Mozobil® (a new agent for stem cell collection) with Neulasta® (a single dose, long-acting version of filgrastim) in the hope that it will produce better yields of stem cells in a shorter time with fewer injections.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Kirsten Herbert
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Address
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Peter MacCallum Cancer Centre
St Andrews Place
East Melbourne VIC 3002
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Country
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Australia
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Phone
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+ 61 3 9656 1111
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Kirsten Herbert
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Address
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Peter MacCallum Cancer Centre
St Andrews Place
East Melbourne VIC 3002
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Country
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Australia
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Phone
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+ 61 3 9656 1111
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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