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Economic Evaluation of the Use of Plerixafor for Autologous HSC Transplantation for Multiple Myeloma

Completed
Conditions
Multiple Myeloma
Registration Number
NCT02861287
Lead Sponsor
Institut Paoli-Calmettes
Brief Summary

This study aims to realize an economic evaluation of the introduction of Plerixafor in addition to G-CSF and alternative options, in patients with multiple myeloma (MM) who failed or insufficiently mobilize peripheral blood stem and progenitor cells in response to G-CSF alone.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Adult patients diagnosed with Multiple Myeloma who were eligible for high-dose melphalan supported with autologous hematopoietic stem cell transplantation (HSCT) as part of their treatment plan
  • First mobilization attempt
  • "rhG-CSF alone" mobilization regimen
  • Failed mobilization as documented by an increase in CD34+ cell mobilization deemed insufficient to initiate apheresis (below 15/µL), after the 4 first injections of rhG-CSF that are administered in the evening
Exclusion Criteria
  • Age < 18 years;
  • Primary diagnosis other than MM
  • 2nd or subsequent mobilization attempt
  • Patients who previously received HDCT + autologous HSCT
  • Chemotherapy-based mobilization regimen
  • Efficient mobilization, allowing for apheresis and collection of the target cell number (5x106 CD34+ cells/kg for every planned autologous transplantation as per institutional SOPs).

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cost-effectiveness analysis1 year

The cost-effectiveness analysis will be performed using the collection of a transplantable graft as effectiveness criteria; the suitability of collected cell products for transplantation will be judged as per institutional criteria.

Direct medical costs will be estimated by micro-costing, i.e. by measuring physical quantities (capital and labor) consumed for each patient and attributing corresponding monetary costs on the basis of average French prices. Costs (including room - inpatient and outpatient, drugs and laboratory tests) will be estimated on the basis of patients' medical records.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Institut Paoli-Calmettes

🇫🇷

Marseille, Bouches-du Rhône, France

Institut Paoli-Calmettes
🇫🇷Marseille, Bouches-du Rhône, France

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