Efficacy and Safety Study of StemEx®, to Treat Subjects With High Risk Hematologic Malignancies, Following Myeloablative Therapy - Full Text View

Sponsored by:	Gamida Cell -Teva Joint Venture Ltd.
Information provided by:	Gamida Cell -Teva Joint Venture Ltd.
ClinicalTrials.gov Identifier:	NCT00469729

Purpose

The purpose of this study is to determine the efficacy and safety of transplanting StemEx® in patients with certain hematological malignancies. For these patients, it is suggested that StemEx® can improve upon the outcome of transplanting a single, unmanipulated cord blood unit by significantly increasing the number of stem/progenitor cells available to the patient.

Condition	Intervention	Phase
Hematologic Malignancies Acute Myeloid Leukemia Lymphoid Leukemia Chronic Myeloid Leukemia Hodgkin's Disease Non-Hodgkin's Lymphoma Myelodysplastic Syndromes	Drug: StemEx®	Phase II Phase III

MedlinePlus related topics: Cancer Hodgkin's Disease Leukemia, Adult Acute Leukemia, Adult Chronic Leukemia, Childhood Lymphoma

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study
Official Title:	A Multi-Center, Multi-National, Historical Cohort Controlled Study to Evaluate Efficacy and Safety of Transplantation of StemEx®, Umbilical Cord Blood Stem and Progenitor Cells Expanded Ex Vivo, in Subjects With Hematologic Malignancies Following Myeloablative Therapy

Further study details as provided by Gamida Cell -Teva Joint Venture Ltd.:

Primary Outcome Measures:

Overall 100-day mortality [ Time Frame: 100 days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

180 day mortality, acute Graft versus Host Disease (GvHD) grades III-IV, engraftment failure [ Time Frame: 180 days ] [ Designated as safety issue: Yes ]
Safety and tolerability measures: The incidence and frequency of adverse experiences, acute toxicity, laboratory data and vital signs follow-up. [ Time Frame: 180 days ] [ Designated as safety issue: Yes ]

Estimated Enrollment:	100
Study Start Date:	October 2007
Estimated Study Completion Date:	November 2010
Estimated Primary Completion Date:	November 2009 (Final data collection date for primary outcome measure)

Intervention Details:

The stem/progenitor cell based product composed of ex vivo expanded allogeneic umbilical cord blood cells, which is infused to subject at a rate of 1-3 ml/min in combination with non-manipulated cells derived from the same cord blood unit.

Detailed Description:

Allogeneic hematopoietic stem cell transplantation is a life-saving procedure for patients with hematologic malignancies; yet wide application of this procedure is limited by the availability of suitably Human Leukocyte Antigen (HLA) - matched donors. Only 30% of patients who could benefit from this procedure have an HLA-matched sibling. The lengthy search for a matched donor may critically delay transplantation. In addition, far fewer patients of racial minorities find suitable HLA-matched donors. Umbilical cord blood (UCB) has been increasingly used as an alternative source of stem cells; however, its use in adults and adolescent patients is limited due to insufficient cell dose required for satisfactory hematopoietic reconstitution.

Gamida Cell - Teva Joint Venture Ltd. is engaged in the development of StemEx®, an expanded hematopoietic UCB stem cell graft, as a potential medicinal product for the treatment of cancer and hematological malignancies. The expansion technology enables preferential expansion of hematopoietic stem and early progenitor cells and is based on the findings that copper chelators can regulate the balance between self-renewal and differentiation of stem cells.

The multi-national, multi-center Phase II/III clinical study designated to evaluate the safety and efficacy of StemEx® will enroll approximately 100 subjects with high-risk hematologic malignancies who are candidates for allogeneic stem cell transplantation (SCT). This study will evaluate the effect of StemEx® on overall survival as measured by overall 100-day mortality.

Eligibility

Ages Eligible for Study:	12 Years to 55 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Clinical diagnosis of AML or ALL: CR2 or subsequent complete remission (CR) or CR1 with high-risk features or relapse with < 10% blasts in BM and no circulating blasts.
Clinical diagnosis of CML: in CP1 (Chronic Phase 1) and resistant or intolerant to Gleevec or in CP2 or subsequent CP or in accelerated phase.
Clinical diagnosis of HD: induction failure or relapse and sensitive to last chemotherapy course.
Clinical diagnosis of NHL induction failure or relapse and sensitive to last chemotherapy course.
Clinical diagnosis of MDS with intermediate 2- or high-risk IPSS score.

Exclusion Criteria:

Less than twenty-one days have elapsed since the subject's last radiation or chemotherapy prior to conditioning (except Hydroxyurea).
HIV positive.
Pregnancy or lactation.
Uncontrolled bacterial, fungal or viral infection.
Subjects with signs and symptoms of active central nervous system (CNS) disease.
Availability of appropriate related and willing stem cell donor, who is HLA-matched at 5 or 6/6 antigens.
Prior allogeneic cell transplant.
Allergy to bovine or to any product, which may interfere with the treatment.
Enrolled in another clinical trial or received an investigational treatment during the last 30 days, unless approved by Sponsor.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00469729

Contacts

Contact: David Snyder, PhD

972-2-6595666

David.snyder@gamida-cell.com

Show 26 Study Locations

Sponsors and Collaborators

Gamida Cell -Teva Joint Venture Ltd.

Investigators

Principal Investigator:	Elizabeth J Shpall, MD	M.D. Anderson Cancer Center
Principal Investigator:	Ka Wah Chan, MD	Texas Transplant Institute
Principal Investigator:	Mary J Laughlin, MD	Case Western Reserve University
Principal Investigator:	Scott D Rowley, MD	The Cancer Center at Hackensack University Medical Center
Principal Investigator:	Mary Territo, MD	UCLA Oncology Center
Principal Investigator:	Joanne Kurtzberg, MD	Duke University
Principal Investigator:	Patrick Stiff, MD	Loyola University Cardinal Bernardin Cancer Center
Principal Investigator:	Agha Mounzer, MD	University of Pittsburgh Cancer Institute/UPMC Cancer Centers
Principal Investigator:	Entezam Sahovic, MD	The Western Pennsylvania Hospital
Principal Investigator:	Monica Bhatia, MD	Columbia University College of Physicians and Surgeons
Principal Investigator:	Celia Grosskreutz, MD	Mount Sinai School of Medicine
Principal Investigator:	Roger Giller, MD	The Children's Hospital, B115, University of Colorado Health Sciences Center
Principal Investigator:	William Tse, MD	University of Colorado Cancer Center, University of Colorado Denver Health Science Center
Principal Investigator:	Steven Neudorf, MD	Children’s Hospital of Orange County
Principal Investigator:	Ronit Yerushalmi, MD	Chaim Sheba Medical Center
Principal Investigator:	Tsila Zuckerman, MD	Rambam Health Care Campus
Principal Investigator:	Christelle Ferra, MD	Hospital Germans Trias i Pujol
Principal Investigator:	Enric Carreras, MD	Hospital Clinic of Barcelona
Principal Investigator:	Cristina Arbona, MD	University of Valencia
Principal Investigator:	Guillermo Sanz, MD	Hospital Universitario La Fe
Principal Investigator:	William Arcese, MD	Universita di Roma Tor Vergata
Principal Investigator:	Alberto Bosi, MD	Ospedale di Careggi BMT Unit Department of Haematology
Principal Investigator:	Gerard Socie, MD	Hopital Saint Louis
Principal Investigator:	Sonali Chaudhury, MD	Northwestern University School of Medicine, Stem Cell Transplant Program, Children's Memorial Hospital
Principal Investigator:	Jorge Sierra, MD	Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Principal Investigator:	Dr. Tamas Masszi, MD	Szent Laszlo and Szent Istvan Hospital

More Information

Sponsor's website This link exits the ClinicalTrials.gov site

Study website This link exits the ClinicalTrials.gov site

Patients Against Lymphoma This link exits the ClinicalTrials.gov site

Bone and Marrow Transplant Information Network This link exits the ClinicalTrials.gov site

NCI Leukemia Homepage This link exits the ClinicalTrials.gov site

Leukemia information on MediciNet.com This link exits the ClinicalTrials.gov site

American Society for Blood and Marrow Transplantation This link exits the ClinicalTrials.gov site

American Society of Hematology This link exits the ClinicalTrials.gov site

Lymphoma Research Foundation This link exits the ClinicalTrials.gov site

American Cancer Society website This link exits the ClinicalTrials.gov site

Cord Blood Forum This link exits the ClinicalTrials.gov site

Center for International Blood and Marrow Transplant Research This link exits the ClinicalTrials.gov site

National Marrow Donor Program This link exits the ClinicalTrials.gov site

Children's Hospital of Orange County This link exits the ClinicalTrials.gov site

University of Colorado Cancer Center This link exits the ClinicalTrials.gov site

Northwestern University School of Medicine, Stem Cell Transplant Program, Children's Memorial Hospital website This link exits the ClinicalTrials.gov site

Cardinal Bernadin Cancer Center This link exits the ClinicalTrials.gov site

The Cancer Center at Hackensack University Medical Center This link exits the ClinicalTrials.gov site

Columbia University College of Physicians and Surgeons This link exits the ClinicalTrials.gov site

Mount Sinai Medical Center This link exits the ClinicalTrials.gov site

Duke University Medical Center This link exits the ClinicalTrials.gov site

Case Western Reserve University This link exits the ClinicalTrials.gov site

University of Pittsburgh Cancer Institute This link exits the ClinicalTrials.gov site

The Western Pennsylvania Hospital This link exits the ClinicalTrials.gov site

MD Anderson Cancer Center This link exits the ClinicalTrials.gov site

Texas Transplant Institute This link exits the ClinicalTrials.gov site

Hôpital Saint Louis This link exits the ClinicalTrials.gov site

Szent Laszlo and Szent Istvan Hospital This link exits the ClinicalTrials.gov site

Hadassah University Hospital This link exits the ClinicalTrials.gov site

Chaim Sheba Medical Center This link exits the ClinicalTrials.gov site

Rambam Medical Center This link exits the ClinicalTrials.gov site

Universita di Roma Tor Vergata This link exits the ClinicalTrials.gov site

Ospedale di Careggi BMT Unit Department of Haematology This link exits the ClinicalTrials.gov site

Hospital Germans Trias i Pujol This link exits the ClinicalTrials.gov site

Hospital Clinic of Barcelona This link exits the ClinicalTrials.gov site

Hospital de la Santa Creu i Sant Pau This link exits the ClinicalTrials.gov site

Hospital Clínico Universitario de Valencia This link exits the ClinicalTrials.gov site

Hospital Universitario La Fe This link exits the ClinicalTrials.gov site

ULCA

Publications:

Peled T, Landau E, Prus E, Treves AJ, Nagler A, Fibach E. Cellular copper content modulates differentiation and self-renewal in cultures of cord blood-derived CD34+ cells. Br J Haematol. 2002 Mar;116(3):655-61. Erratum in: Br J Haematol 2002 May;117(2):485.

Peled T, Landau E, Mandel J, Glukhman E, Goudsmid NR, Nagler A, Fibach E. Linear polyamine copper chelator tetraethylenepentamine augments long-term ex vivo expansion of cord blood-derived CD34+ cells and increases their engraftment potential in NOD/SCID mice. Exp Hematol. 2004 Jun;32(6):547-55.

Prus E, Peled T, Fibach E. The effect of tetraethylenepentamine, a synthetic copper chelating polyamine, on expression of CD34 and CD38 antigens on normal and leukemic hematopoietic cells. Leuk Lymphoma. 2004 Mar;45(3):583-9.

Peled T, Mandel J, Goudsmid RN, Landor C, Hasson N, Harati D, Austin M, Hasson A, Fibach E, Shpall EJ, Nagler A. Pre-clinical development of cord blood-derived progenitor cell graft expanded ex vivo with cytokines and the polyamine copper chelator tetraethylenepentamine. Cytotherapy. 2004;6(4):344-55.

Peled T, Glukhman E, Hasson N, Adi S, Assor H, Yudin D, Landor C, Mandel J, Landau E, Prus E, Nagler A, Fibach E. Chelatable cellular copper modulates differentiation and self-renewal of cord blood-derived hematopoietic progenitor cells. Exp Hematol. 2005 Oct;33(10):1092-100.

de Lima M, McMannis J, Gee A, Komanduri K, Couriel D, Andersson BS, Hosing C, Khouri I, Jones R, Champlin R, Karandish S, Sadeghi T, Peled T, Grynspan F, Daniely Y, Nagler A, Shpall EJ. Transplantation of ex vivo expanded cord blood cells using the copper chelator tetraethylenepentamine: a phase I/II clinical trial. Bone Marrow Transplant. 2008 May;41(9):771-8. Epub 2008 Jan 21.

Responsible Party:	Gamida Cell - Teva Joint Venture Ltd. ( Dr. David Snyder )
Study ID Numbers:	GC P#02.01.001
Study First Received:	May 3, 2007
Last Updated:	January 11, 2009
ClinicalTrials.gov Identifier:	NCT00469729
Health Authority:	United States: Food and Drug Administration

Keywords provided by Gamida Cell -Teva Joint Venture Ltd.:

Tetraethylenepentamine
Umbilical Cord Blood Stem Cell Transplantation
Hematological Malignancies
Acute Lymphoid Leukemia
Subjects with high-risk hematologic malignancies who are candidates for allogeneic stem cell transplantation

Study placed in the following topic categories:

Leukemia, Lymphoid
Hodgkin's disease
Hematologic Neoplasms
Precancerous Conditions
Chronic myelogenous leukemia
Hodgkin lymphoma, adult
Lymphoma, small cleaved-cell, diffuse
Leukemia, Myeloid, Acute
Leukemia
Preleukemia
Hodgkin Disease
Lymphoma
Acute myelocytic leukemia
Myelodysplastic syndromes

Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immunoproliferative Disorders
Hematologic Diseases
Myelodysplastic Syndromes
Myelodysplasia
Acute myelogenous leukemia
Myeloproliferative Disorders
Leukemia, Myeloid
Lymphatic Diseases
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Bone Marrow Diseases

Additional relevant MeSH terms:

Neoplasms
Neoplasms by Site
Pathologic Processes
Disease

Neoplasms by Histologic Type
Immune System Diseases
Syndrome

ClinicalTrials.gov processed this record on January 16, 2009