Status:

COMPLETED

Evaluating the Safety and Effectiveness of Mozobil Mobilization in Adults With Beta-Thalassemia Major

Lead Sponsor:

University of Washington

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

George Papanicolaou Hospital

Conditions:

Beta-Thalassemia

Eligibility:

All Genders

18-50 years

Phase:

NA

Brief Summary

Thalassemia is considered the most common genetic disorder worldwide, occurring with high frequency in Mediterranean areas, the Middle East, Southeast Asia, and the Pacific Islands. Currently, the onl...

Detailed Description

The purpose of this study is to optimize blood stem cell mobilization in adults with beta thalassemia major. We seek a method of mobilization that will be safe, with minimum side effects, and that wil...

Eligibility Criteria

Inclusion

  • Βeta- thalassemia major
  • Age \>18\<50
  • Karnofsky performance status ³80%
  • Splenectomized patients or patients with spleen volume \<800cm3 (only for the non splenectomized patients who will receive Mozobil + G-CSF)
  • Compliant with regular transfusions and regular chelation
  • Liver iron by MRI \<280μmol/gr or ³1.7msec by T2\*MRI
  • Heart iron by MRI \>2.8 (SI/SD) or ³9msec by T2\*MRI
  • Hepatitis B or C virus load negative by PCR (polymerase chain reaction)
  • Left ventricular ejection fraction (LVEF) \>45% by echocardiogram
  • Adequate respiratory function with DLCO \>50%
  • Negative pregnancy test, if female
  • Ability to give informed consent and willingness to meet all the expected requirements of the protocol for the duration of the study

Exclusion

  • History of thrombosis or known thrombophilia
  • Symptomatic viral, bacterial or fungal infection within 6 weeks prior eligibility evaluation
  • Pregnancy or lactation
  • HIV positivity
  • History of malignancy, other than local skin cancer
  • Other systematic disease non thalassemia-associated
  • Splenectomized patients with platelet count \>900,000 (only for the splenectomized patients who will receive low dose G-CSF+ Mozobil)
  • Additional risk factors for thrombosis, including Factor V Leiden; antiphospholipid antibodies and less than 50% of the lowest normal value for the following procoagulants: antithrombin 3, protein C, or protein S.

Key Trial Info

Start Date :

October 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2014

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT01206075

Start Date

October 1 2010

End Date

December 1 2014

Last Update

December 30 2014

Active Locations (1)

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George Papanicolaou Hospital

Thessaloniki, Greece