Status:
COMPLETED
Trial to Evaluate Palifermin in the Reduction of Acute Graft Versus Host Disease in Patients With Hematologic Malignancies Undergoing Allogeneic Marrow/Peripheral Blood Progenitor Cell (PBPC) Transplantation
Lead Sponsor:
Swedish Orphan Biovitrum
Collaborating Sponsors:
Amgen
Conditions:
Graft Versus Host Disease
Hematologic Malignancies
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The main purpose of this study is to evaluate the effect of palifermin versus placebo in the reduction of severe acute graft versus host disease (GVHD) and severe oral mucositis.
Eligibility Criteria
Inclusion
- Subjects with hematologic malignancies (including myelodysplastic syndromes \[MDS\]) who are considered eligible for Cyclophosphamide (Cy)/Total Body Irradiation(TBI) +/- Etoposide (VP-16); Total Body Irradiation(TBI)/ Etoposide(VP-16); Melphalan(Mel) / Total Body Irradiation(TBI); Busulfan(Bu)/ Cyclophosphamide(Cy); Busulfan(Bu)/ Melphalan (Mel); or Fludarabine(Flu)/ Melphalan(Mel) conditioning therapy with allogeneic stem cell support
- Subjects with a 6/6 Human Leukocyte Antigen (HLA)-matched family member or unrelated donor who would provide donor marrow/ peripheral progenitor stem cells. \[For unrelated matched donors, molecular typing of class I and class II is mandatory\]
- Karnofsky Performance Status \>= 70%
- 18 years of age or older at time of informed consent
- Before any study-specific procedure, the appropriate written informed consent must be obtained
Exclusion
- Cancer other than Non-Hodgkin's lymphoma, Hodgkin's disease, acute myelogenous leukemia, acute lymphoblastic leukemia, chronic myelogenous leukemia, chronic lymphocytic leukemia, myelodysplastic syndrome or multiple myeloma (except: adequately treated basal cell carcinoma of the skin)
- Prior autologous or allogeneic bone marrow or peripheral blood stem cell transplantation
- Previous use of palifermin
- Current active infection (including human immunodeficiency virus (HIV) and hepatitis) or oral mucositis
- Congestive heart failure as defined by New York Heart Association class III or IV
- Graft T-cell depletion for Graft-versus-host disease (GVHD) prophylaxis
- Inadequate renal function (serum creatinine \> 1.5x the upper limit of normal per the institutional guidelines or clearance \< 40 ml/min adjusted for age)
- Inadequate liver function (total bilirubin \> 1.5x the upper limit of normal, aspartate aminotransferase (AST) \> 3x upper limit of normal and/or alanine aminotransferase (ALT) \> 3x upper limit of normal per the institutional guidelines)
- Inadequate pulmonary function as measured by a corrected DLCO (diffusing capacity of the lung for carbon monoxide lung function test) \<50% of predicted
- Subject is currently enrolled in or has not yet completed at least 30 days since ending other investigational device or drug trial(s), or subject is receiving other investigational agent(s)
- Subject of child-bearing potential is evidently pregnant (e.g. positive human chorionic gonadotropin- HCG test) or is breast feeding during Part A of the study
- Subject or partner of subject is not using or refuses to use adequate contraceptive precautions during Part A of the study
- Subject has known sensitivity to any of the products to be administered during dosing including Escherichia coli-derived products
- Subject was previously randomized into this study
- Subject will not be available for follow-up assessments
- Subject has any kind of disorder that compromises the ability of the subject to give written informed consent and/or to comply with study procedures
Key Trial Info
Start Date :
December 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 1 2013
Estimated Enrollment :
155 Patients enrolled
Trial Details
Trial ID
NCT00189488
Start Date
December 1 2005
End Date
August 1 2013
Last Update
September 15 2014
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