Nilotinib for Cytomegalovirus Prophylaxis and Treatment After Allogeneic Hematopoietic Stem Cell Transplantation
- Registration Number
- NCT01252017
- Lead Sponsor
- National Taiwan University Hospital
- Brief Summary
The purpose of this study is to determine whether nilotinib is effective in the prophylaxis and treatment of CMV reactivation in allo-HSCT patients.
- Detailed Description
The purpose of this study is to determine whether nilotinib is effective in the prophylaxis and treatment of CMV reactivation in allo-HSCT patients.
Prophylaxis Part: patients will be treated with nilotinib after their hemogram engraftment to prevent CMV reactivation Salvage Part: patients who have had intractable CMV reactivation after gancyclovir therapy will be treated with nilotinib
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 36
Inclusion Criteria
Part A:
- Adult patients who have received allo-HSCT
- Performance status ECOG 0-2
- Patients with CMV reactivation (defined as plasma CMV DNA copy numbers of more than 1000 copy numbers/ml by Quantitative-PCR) after allo-HSCT.
- Patients with CMV reactivation that is uncontrollable by conventional first line agent (ganciclovir) for 2 or more weeks, or patients who are intolerable to ganciclovir treatment.
Part B
- Adult patients who have received allo-HSCT
- Performance status ECOG 0-2
- Either the patient or his/her donor are CMV-IgG test positive
- Patients with post-transplantation engraftment: stable myeloid engraftment (absolute neutrophil count 500/mm3) for at least 3 consecutive days, and stable megakaryocyte engraftment (platelet count 20k/uL) for at least 3 consecutive days.
- Patient with no CMV reactivation before enrollment: a negative (undetectable) plasma CMV DNA Quantitative-PCR assay on blood collected within 7 days Patients without previous or current exposure to any prophylactic or therapeutic drugs for CMV reactivation
Exclusion Criteria
- Patients with renal insufficiency: serum creatinine > 2.5 mg/dL,
- Patients with significant electrolyte deficiency after suitable supplement: [K] <3.0mmol/L, [Ca]< 2.0 mmol/L(corrected), or [Mg] < 0.6 mmol/L.
- Patients with hepatic dysfunction: alkaline phosphatase ≥2.5 times of the upper normal limit of the normal range (ULN); serum alanine or aspartate aminotransferase levels of > 5 times ULN; a serum total bilirubin of > 3 mg/dL
- Patients with serum amylase and lipase > 1.5 x ULN
- Patients with history of HIV infection
- Patients with unstable medical condition or any other history of serious/significant medical diseases deemed not appropriate to be included to this study as judged by investigators
- Females patient who are pregnant or breast-feeding
- Female patients of childbearing potential not using any reliable and appropriate contraception method(s)
- Patients with life expectancy, as judged by the investigators, is less than 3 months
- Patients with, as judged by the investigators, other contraindications of nilotinib administration, such as prolonged QTc, concurrent usage of drugs that possess possible severe drug-drug interactions with nilotinib, or had severe adverse effects in the previous exposure to nilotinib
- Patients who cannot swallow capsules.
- Patients who are unwilling or unable to give consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Nilotinib nilotinib Single arm, open label study
- Primary Outcome Measures
Name Time Method anti-CMV treatment free rate 100 days after allo-HSCT (Day+100) For prophylaxis part
- Secondary Outcome Measures
Name Time Method Successful salvage rate up to 8 weeks For salvage treatment part
Trial Locations
- Locations (1)
National Taiwan University Hospital
🇨🇳Taipei, Taiwan