A Phase II Study Evaluating the Safety and Efficacy of MGTA-145 in Combination With Plerixafor for the Mobilization and Transplantation of HLA-Matched Donor Hematopoietic Stem Cells in Recipients With Hematological Malignancies
Overview
- Phase
- Phase 2
- Intervention
- MGTA-145
- Conditions
- Related Donors Donating PBSC to a Family Member
- Sponsor
- Ensoma
- Enrollment
- 7
- Locations
- 8
- Primary Endpoint
- HSC Yield in Apheresis Product
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
This research study tests a new medicine for mobilizing stem cells so they can be collected and used for allogeneic stem cell transplant for treatment of hematological malignancies. MGTA-145, the new medicine, will be given with plerixafor.
Detailed Description
This is a Phase II, open-label, multicenter, prospective study of MGTA-145 + plerixafor mobilized HLA-matched sibling and matched unrelated donor allografts for myeloablative hematopoietic stem cell transplantation (HSCT) in recipients with hematological malignancies. Donors will undergo 1 or 2 days of mobilization and apheresis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Donor Inclusion Criteria:
- •Donor medical suitability and eligibility will be determined following Institution or NMDP/Be The Match standards
- •Age 18-65 years old at the time of signing informed consent
- •8/8 (HLA- A, B, C, and DRB1) HLA-matched sibling or volunteer unrelated donor
- •Fulfill Institution or NMDP/Be The Match criteria to serve as a mobilized blood cell donor
- •Serum creatinine \< 1.5 x institution upper limit of normal (ULN) or estimated creatinine clearance (CRCL) \> 50 mL/min using the Modification of Diet in Renal Disease Study (MDRD) equation or similar method
- •Recipient Inclusion Criteria:
- •At least 18 years old at the time of signing informed consent
- •Has an available 8/8 (HLA- A, B, C, and DRB1) HLA-matched sibling or volunteer unrelated donor willing to donate peripheral blood stem cells (PBSC) for transplant
- •Fulfill additional individual Transplant Center Criteria for transplant beyond NMDP/Be The Match criteria
Exclusion Criteria
- •Donor Exclusion Criteria:
- •Donor unwilling or unable to give informed consent, or unable to comply with the protocol including required follow-up and testing
- •Donor already enrolled on another investigational agent study
- •Pregnant or breastfeeding females, sexually active female and male donors not willing or able to use adequate contraception, or males who do not agree to refrain from donating sperm, from the time of consent through 3 months after treatment with MGTA-145 + plerixafor
- •Recipient Exclusion Criteria:
- •Subject unwilling or unable to give informed consent, or unable to comply with the protocol including required follow-up and testing
- •Subject whose donor does not meet the eligibility criteria and is a screen fail
- •Subjects with a prior allogeneic transplant
- •Subjects with active, uncontrolled infection at the time of the transplant preparative regimen
- •Pregnant or breastfeeding females, sexually active female or male subjects not willing or able to use adequate contraception, or males who do not agree to refrain from donating sperm, from the time of consent through 3 months after PBSC infusion
Arms & Interventions
Single dose MGTA-145 plus plerixafor followed by apheresis
MGTA-145 in combination with plerixafor followed by apheresis on one or two consecutive days
Intervention: MGTA-145
Single dose MGTA-145 plus plerixafor followed by apheresis
MGTA-145 in combination with plerixafor followed by apheresis on one or two consecutive days
Intervention: Plerixafor
Outcomes
Primary Outcomes
HSC Yield in Apheresis Product
Time Frame: Up to 2 days
Number of subjects with adequate number of hematopoietic stem cells (≥ 2.0 x 10\^6 CD34+ cells/kg) in one apheresis setting.
Secondary Outcomes
- HSC Yield in Apheresis Product(Up to 2 days)
- Adverse Events Experienced by Donors(Baseline though day 180)
- Graft Durability(Day 28)
- Graft-versus Host Disease (GVHD)(Day 100)
- Treatment-related Mortality(Day 100)
- Overall Survival(Day 100)