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| Name | Class |
|---|---|
| Versiti Blood Health | OTHER |
| Key Biologics, LLC | INDUSTRY |
| LeukoLab | UNKNOWN |
| Yale University |
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The purpose of this protocol is to characterize the performance of CaridianBCT's Spectra Optia Apheresis System, when used to collect mononuclear cells (MNCs) and cluster of differentiation 34 (CD34) positive cells from healthy nonmobilized blood donors and healthy G-CSF (granulocyte colony stimulating factor) mobilized blood donors, respectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-mobilized donors | In this arm the collection efficiency of mononuclear cells from non-mobilized donors will be studied. |
| |
| G-CSF mobilized donors | In this arm the collection efficiency of CD34+ cells will be studied. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mononuclear cell collection. | Device | Each donor will undergo one apheresis procedure to collect mononuclear cells from their peripheral blood. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mononuclear Cell Collection Efficiency | The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected. | One day |
| CD34+ Cell Collection Efficiency | The collection efficiency for CD34+ cells is defined as the percent of processed CD34+ cells that were in fact collected. | one day |
| Measure | Description | Time Frame |
|---|---|---|
| Platelet Collection Efficiency | Platelet contamination of the cell product was measured as the platelet collection efficiency, that is, as the percent of platelets processed that were collected. | One Day |
| Hematocrit of MNC Product |
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Inclusion Criteria:
Exclusion Criteria:
a) Collection or loss of:
Acute or symptomatic chronic lung disease.
Active or chronic heart disease, including hypertension controlled by medication.
History of hematologic malignancy or chronic hematologic disorder or bleeding disorder.
Reactive test indicative of infection with T. pallidum, Human T-lymphotropic virus, HIV, Hepatitis C Virus, or Hepatitis B Virus (except isolated Hepatitis B Core Antibody Reactivity.
Presence of psychological traits or physiological or medical conditions that would make subject unlikely to tolerate the procedures.
Subjects taking prescription medications other than those deemed allowable by the investigator.
Abnormal serum electrolytes or serum calcium levels.
Abnormal serum creatinine level.
Abnormal liver function results on ALT (alanine amino transferase) test.
Abnormal coagulation testing on prothrombin time or partial thromboplastin time.
Inadequate antecubital veins for leukapheresis or inability or unwillingness to tolerate leukapheresis.
If female, pregnant or lactating. Additional Exclusion Criteria for Mobilized Subjects
Received a G-CSF injection in the prior 4 months, or received more than twenty-five (25) doses of G-CSF (a dose includes several individual injections administered on one occasion).
Known hypersensitivity to G-CSF or any E. coli-derived products.
History of autoimmune condition or disorder, unless approved by principal investigator.
Immediate family history (parents, grandparents, siblings, children) of hematologic malignancy.
Active or history of iritis (anterior uveitis) or episcleritis.
History of deep vein thrombosis or pulmonary embolism.
Current treatment with lithium.
Spleen tip palpable during physical exam.
Positive SickleDex test.
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Healthy Community Volunteers
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| Name | Affiliation | Role |
|---|---|---|
| Jerome R Bill, MD | Terumo BCT | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leukolab/Allcells | Emeryville | California | 94608 | United States | ||
| Key Biologics |
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Healthy adult donors were recruited at three blood collection centers to undergo a mononuclear cell collection using the experimental device, between January and September, 2011.
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| ID | Title | Description |
|---|---|---|
| FG000 | G-CSF Mobilized Donors | In this arm the donors received G-CSF (granulocyte colony stimulating factor) prior to the MNC (mononuclear cell) collection. G-CSF causes the mobilization of hematopoetic stem cells which are CD34 (cluster of differentiation 34) + to the peripheral blood. Collection efficiency of all mononuclear cells and of the CD34+ subset of mononuclear cells was assessed. |
| FG001 | Non-mobilized Donors | In this arm, donors were not mobilized prior to mononuclear cell collection. Only collection efficiency of mononuclear cells could be assessed as CD34+ cells are not present in this population. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Data is given only for subjects who completed the study. Reasons why subjects did not complete the study are given above in Participant Flow.
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| ID | Title | Description |
|---|---|---|
| BG000 | G-CSF Mobilized Donors | Donors received G-CSF prior to MNC collection |
| BG001 | Nonmobilized Donors | Donors not mobilized prior to MNC collection |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Median and range reported are for donors who completed the study. |
| 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 | Mononuclear Cell Collection Efficiency | The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected. | Results are given for all per protocol subjects. | Posted | Median | Full Range | % of processed MNCs that were collected | One day |
|
For the Nonmobilized Arm, adverse events were collected during the leukapheresis procedure itself and for one week following the procedure. For the G-CSF mobilized arm, adverse events were also collected during the 5 days of mobilization.
All subjects who underwent a leukapheresis procedure were included in the adverse event analysis. This includes the categories "COMPLETED" and "NOT COMPLETED--Protocol Violation" on the Participant Flow section above. Thus 15+10=25 Mobilized and 15+1+16 Nonmobilized subjects are included for a total of 41 subjects.
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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 | G-CSF Mobilized Donors | Donors received G-CSF prior to MNC collection |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arm numbness/stiffness | General disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jerome R Bill, M.D. | Terumo BCT | 303-231-4729 | jerry.bill@terumobct.com |
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| OTHER |
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The hematocrit of the collected product was used to quantitate RBC (red blood cell) contamination.
| One Day |
| Granulocyte % of MNC Product | Granulocyte contamination of the MNC product was quantitated as the percent of total product WBC (white blood cell) that were segmented granulocytes or bands. | One day |
| Viability of the Collected MNC Product | The viability of the collected white blood cells was assessed using the 7-AAD (7-amino actinomycin D) viability dye in a flow cytometric assay. Viability assessment is incorporated into the CD34 assay. This assay was only performed on G-CSF mobilized donors as nonmobilized donor have too few CD34+ cells to detect. Thus viability of the collected WBCs is reported only for the G-CSF mobilized arm. | One day |
| Memphis |
| Tennessee |
| 38104-3401 |
| United States |
| Blood Center of Wisconsin | Milwaukee | Wisconsin | 53233 | United States |
| Protocol Violation |
|
| Physician Decision |
|
| BG002 | Total | Total of all reporting groups |
| Median |
| Full Range |
| Years of Age |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units | Counts |
|---|---|
| Participants |
|
|
| Secondary | Platelet Collection Efficiency | Platelet contamination of the cell product was measured as the platelet collection efficiency, that is, as the percent of platelets processed that were collected. | Per protocol | Posted | Median | Full Range | % of processed platelets collected | One Day |
|
|
|
| Secondary | Hematocrit of MNC Product | The hematocrit of the collected product was used to quantitate RBC (red blood cell) contamination. | Per protocol | Posted | Median | Full Range | RBC % of product volume | One Day |
|
|
|
| Secondary | Granulocyte % of MNC Product | Granulocyte contamination of the MNC product was quantitated as the percent of total product WBC (white blood cell) that were segmented granulocytes or bands. | Results given for all per protocol subjects. | Posted | Median | Full Range | percentage of WBCs collected | One day |
|
|
|
| Secondary | Viability of the Collected MNC Product | The viability of the collected white blood cells was assessed using the 7-AAD (7-amino actinomycin D) viability dye in a flow cytometric assay. Viability assessment is incorporated into the CD34 assay. This assay was only performed on G-CSF mobilized donors as nonmobilized donor have too few CD34+ cells to detect. Thus viability of the collected WBCs is reported only for the G-CSF mobilized arm. | Per Protocol | Posted | Median | Full Range | percentage of total WBCs collected | One day |
|
|
|
| Primary | CD34+ Cell Collection Efficiency | The collection efficiency for CD34+ cells is defined as the percent of processed CD34+ cells that were in fact collected. | Results are given for all per protocol subjects. | Posted | Median | Full Range | % of processed CD34+ cells collected | one day |
|
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|
| 0 |
| 25 |
| 19 |
| 25 |
| EG001 | Nonmobilized Donors | Donors not mobilized prior to MNC collection. Note that some Adverse Events (Flu-like symptoms, Muscle Aches, and Bone Pain) apply only to G-CSF mobilized donors. Nonmobilized donors were not assessed for these adverse events as they were not "at risk". | 0 | 16 | 8 | 16 |
| Bone Pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Citrate reaction | General disorders | Systematic Assessment |
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| Flu-like symptoms | General disorders | Systematic Assessment |
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| Muscle Aches | General disorders | Systematic Assessment |
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| Nausea | General disorders | Systematic Assessment |
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| Venous infiltration/hematoma | General disorders | Systematic Assessment |
|
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