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| ID | Type | Description | Link |
|---|---|---|---|
| X05175 |
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| Name | Class |
|---|---|
| Brigham and Women's Hospital | OTHER |
| Millennium Pharmaceuticals, Inc. | INDUSTRY |
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The purpose of this study is to determine if Velcade (also known as bortezomib) can help prevent graft versus host disease (GVHD) developing after transplantation. This is done by using a combination of three immune suppressive medications: Velcade, tacrolimus and methotrexate. Stem cell transplantation is one of the options for patients with cancer of the blood or blood forming organs. Recently, allogeneic stem cell transplants have been performed using lower doses of chemotherapy and radiotherapy: non-myeloablative or "mini" transplants. GVHD is a significant problem that may occur even after "mini" transplantations. Information from other research studies, suggests that Velcade may help to reduce the risk of developing GVHD when given early after transplantation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bortezomib/Tacrolimus/Methotrexate post HSCT | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bortezomib (Velcade) | Drug | Infusion for a total of 3 doses |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The Maximally Tolerated Dose (MTD) of Bortezomib (Velcade) That Can be Administered With Tacrolimus and Methotrexate After Mismatched Allogeneic Non-myeloablative Peripheral Blood Stem Cell (PBSC) Transplantation | The MTD of bortezomib was evaluated at 3 dose levels: Dose level 1: 1.0 mg/m^2 Dose level 2: 1.3 mg/m^2 Dose level 3: 1.5 mg/m^2 Cohorts of 3-5 pts were enrolled at each dose level. At any dose level, if no DLT in the first 3, 4, or 5 pts, then dose escalation would occur. If 3 evaluable pts in cohort, and 1 of 3 experiences DLT then 2 additional pts treated at the same dose level. If >=1 of 2 additional pts experience DLT then previous dose level will be MTD. If no DLT in additional 2 pts then dose escalation will occur. If 4 evaluable pts in cohort, and 1 of the 4 experiences DLT then 1 additional pt treated at same dose level. If this additional pt experiences DLT then the previous dose will be declared to be the MTD. If additional pt does not experience DLT, then dose escalation will take place. If 5 evaluable pts in cohort, and 1 experiences DLT, then dose escalation will take place. If >=2 of first 3, 4, or 5 pts experience DLT then the previous dose will be declared MTD. | by day 45 post PBSC infusion |
| Successful Initial Engraftment by Day 45 Post Peripheral Blood Stem Cell (PBSC) Infusion and Administration of Bortezomib (Velcade), Tacrolimus and Methotrexate | Percentage of participants who did not experience failure to engraft or relapse or death before assessment. | by day 45 post PBSC infusion |
| Incidence of Grade II-IV Acute Graft Versus Host Disease (GVHD) by Day 100. | by day 100 after peripheral blood stem cell (PBSC) infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Sustained Engraftment Following Transplant. | As measured by median total donor chimerism at day 100. | by day 100 post transplant |
| Incidence of Chronic Graft Versus Host Disease (Chronic GVHD). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Koreth, MD | Dana-Farber Cance Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States | ||
| Dana-Farber Cancer Institute |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19713456 | Derived | Koreth J, Stevenson KE, Kim HT, Garcia M, Ho VT, Armand P, Cutler C, Ritz J, Antin JH, Soiffer RJ, Alyea EP 3rd. Bortezomib, tacrolimus, and methotrexate for prophylaxis of graft-versus-host disease after reduced-intensity conditioning allogeneic stem cell transplantation from HLA-mismatched unrelated donors. Blood. 2009 Oct 29;114(18):3956-9. doi: 10.1182/blood-2009-07-231092. Epub 2009 Aug 27. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Phase I (45 Days) | Bortezomib plus tacrolimus and methotrexate after mismatched allogeneic non-myeloablative hematopoietic stem cell transplantation (HSCT). |
| FG001 | Phase II (45 Days) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Phase I (45 Days) |
|
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| Tacrolimus |
| Drug |
Taken until Doctor determines it is not necessary any more |
|
| Methotrexate | Drug | Infusion for a total of 4 doses |
|
| blood stem cell transplantation | Procedure | Allogeneic Non-myeloablative peripheral blood stem cell transplantation |
|
Number of participants with chronic GVHD at 1 year post transplant.
| by 1 year after PBSC infusion |
| Overall Survival and Progression-free Survival. | Progression is defined as disease relapse or disease progression since transplant. | by 1 year after PBSC infusion |
| Boston |
| Massachusetts |
| 02115 |
| United States |
| COMPLETED |
|
| NOT COMPLETED |
|
| Phase II (45 Days) |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Phase I | |
| BG001 | Phase II | |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Maximally Tolerated Dose (MTD) of Bortezomib (Velcade) That Can be Administered With Tacrolimus and Methotrexate After Mismatched Allogeneic Non-myeloablative Peripheral Blood Stem Cell (PBSC) Transplantation | The MTD of bortezomib was evaluated at 3 dose levels: Dose level 1: 1.0 mg/m^2 Dose level 2: 1.3 mg/m^2 Dose level 3: 1.5 mg/m^2 Cohorts of 3-5 pts were enrolled at each dose level. At any dose level, if no DLT in the first 3, 4, or 5 pts, then dose escalation would occur. If 3 evaluable pts in cohort, and 1 of 3 experiences DLT then 2 additional pts treated at the same dose level. If >=1 of 2 additional pts experience DLT then previous dose level will be MTD. If no DLT in additional 2 pts then dose escalation will occur. If 4 evaluable pts in cohort, and 1 of the 4 experiences DLT then 1 additional pt treated at same dose level. If this additional pt experiences DLT then the previous dose will be declared to be the MTD. If additional pt does not experience DLT, then dose escalation will take place. If 5 evaluable pts in cohort, and 1 experiences DLT, then dose escalation will take place. If >=2 of first 3, 4, or 5 pts experience DLT then the previous dose will be declared MTD. | Posted | Number | mg/m^2 | by day 45 post PBSC infusion |
|
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| |||||||||||||||||||||||||||
| Primary | Successful Initial Engraftment by Day 45 Post Peripheral Blood Stem Cell (PBSC) Infusion and Administration of Bortezomib (Velcade), Tacrolimus and Methotrexate | Percentage of participants who did not experience failure to engraft or relapse or death before assessment. | Posted | Number | percentage of participants | by day 45 post PBSC infusion |
|
| ||||||||||||||||||||||||||||
| Primary | Incidence of Grade II-IV Acute Graft Versus Host Disease (GVHD) by Day 100. | Posted | Number | 95% Confidence Interval | percentage of participants | by day 100 after peripheral blood stem cell (PBSC) infusion |
|
|
| |||||||||||||||||||||||||||
| Secondary | Sustained Engraftment Following Transplant. | As measured by median total donor chimerism at day 100. | Several subjects experienced failure to graft, relapse or death prior to assessment and were removed from analysis. | Posted | Number | percentage of participants | by day 100 post transplant |
|
| |||||||||||||||||||||||||||
| Secondary | Incidence of Chronic Graft Versus Host Disease (Chronic GVHD). | Number of participants with chronic GVHD at 1 year post transplant. | Posted | Number | 95% Confidence Interval | percentage of participants | by 1 year after PBSC infusion |
|
|
| ||||||||||||||||||||||||||
| Secondary | Overall Survival and Progression-free Survival. | Progression is defined as disease relapse or disease progression since transplant. | Posted | Number | 95% Confidence Interval | percentage of participants | by 1 year after PBSC infusion |
|
|
By day 45 post PBSC infusion.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Phase I-II | 7 | 45 | 0 | 45 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Febrile neutropenia | Blood and lymphatic system disorders | Systematic Assessment | CTCAE grade 3 |
| |
| Parainfluenzae sinusitis | Infections and infestations | Systematic Assessment | CTCAE grade 3 |
| |
| Cerebrovascular accident with parathesias | Injury, poisoning and procedural complications | Systematic Assessment | CTCAE grade 3 |
| |
| Hyperglycemia | Metabolism and nutrition disorders | Systematic Assessment | CTCAE grade 3 |
| |
| Deep vein thrombosis/pulmonary embolus | Vascular disorders | Systematic Assessment | CTCAE grade 3 |
| |
| Clostridium difficile diarrhea | Infections and infestations | CTCAE grade 3 |
| ||
| Coagulase-negative staphylococcal bacteremia | Infections and infestations | Systematic Assessment | CTCAE grade 3 |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| John Koreth, MBBS, D.Phil | Dana-Farber Cancer Institute | (617) 632-2949 | jkoreth@partners.org |
| ID | Term |
|---|---|
| D019337 | Hematologic Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| D000069286 | Bortezomib |
| D016559 | Tacrolimus |
| D008727 | Methotrexate |
| ID | Term |
|---|---|
| D001897 | Boronic Acids |
| D000148 | Acids, Noncarboxylic |
| D000143 | Acids |
| D007287 | Inorganic Chemicals |
| D001896 | Boron Compounds |
| D009930 | Organic Chemicals |
| D011719 | Pyrazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D018942 | Macrolides |
| D007783 | Lactones |
| D000630 | Aminopterin |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| >=65 years |
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| Male |
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