Bortezomib and Filgrastim to Promote Stem Cell Mobilization in Patients With Non-Hodgkin Lymphoma or Multiple Myeloma
Official Title
A Pilot Study of Peripheral Blood Hematopoietic Stem Cell Mobilization With the Combination of Bortezomib and G-CSF in Multiple Myeloma and Non-Hodgkin's Lymphoma Patients
Acronym
Not provided
Organization
Barbara Ann Karmanos Cancer InstituteOTHER
Status Module
Record Verification Date
Apr 2021
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jul 2011
Primary Completion Date
Jan 21, 2015Actual
Completion Date
Jan 21, 2015Actual
First Submitted Date
Jan 14, 2014
First Submission Date that Met QC Criteria
Jan 14, 2014
First Posted Date
Jan 15, 2014Estimated
Results Waived
Not provided
Results First Submitted Date
Aug 21, 2020
Results First Submitted that Met QC Criteria
Apr 14, 2021
Results First Posted Date
May 10, 2021Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Apr 14, 2021
Last Update Posted Date
May 10, 2021Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Divaya Bhutani, Principal Investigator, Barbara Ann Karmanos Cancer InstitutePrincipal Investigator
Lead Sponsor
Barbara Ann Karmanos Cancer InstituteOTHER
Collaborators
Name
Class
National Cancer Institute (NCI)
NIH
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This clinical trial studies peripheral blood hemapoietic stem cell mobilization with the combination of bortezomib and G-CSF (filgrastim) in multiple myeloma and non-Hodgkin lymphoma patients.
Detailed Description
PRIMARY OBJECTIVES:
I. To estimate if addition of Bortezomib to the mobilization protocol will result with an increase in the levels of circulating peripheral blood stem cells (PBSCs) by at least 2-fold in blood and in the apheresis collections in up to 4-days collection protocol.
II. To assess whether time to neutrophil engraftment is 12 days or less, the historical value.
SECONDARY OBJECTIVES:
I. To test for co-mobilization of lymphoma or myeloma cells by bortezomib and G-CSF using real time polymerase chain reaction (PCR) for non-Hodgkin lymphoma (NHL) patients and by flow cytometry (cluster of differentiation [CD]38+/CD138+ cell) for multiple myeloma (MM) patients.
II. To determine the effect of Bortezomib on the extent of mobilization of dendritic cells subsets, plasmacytoid dendritic cell (pDC)1 and pDC2 and DC1/DC2 ratio by flow cytometry.
Conditions Module
Conditions
Adult Grade III Lymphomatoid Granulomatosis
B-cell Chronic Lymphocytic Leukemia
Contiguous Stage II Adult Burkitt Lymphoma
Contiguous Stage II Adult Diffuse Large Cell Lymphoma
Contiguous Stage II Adult Diffuse Mixed Cell Lymphoma
Contiguous Stage II Adult Diffuse Small Cleaved Cell Lymphoma
Contiguous Stage II Adult Immunoblastic Large Cell Lymphoma
Contiguous Stage II Adult Lymphoblastic Lymphoma
Contiguous Stage II Grade 1 Follicular Lymphoma
Contiguous Stage II Grade 2 Follicular Lymphoma
Contiguous Stage II Grade 3 Follicular Lymphoma
Contiguous Stage II Mantle Cell Lymphoma
Contiguous Stage II Marginal Zone Lymphoma
Contiguous Stage II Small Lymphocytic Lymphoma
Cutaneous B-cell Non-Hodgkin Lymphoma
Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue
Intraocular Lymphoma
Nodal Marginal Zone B-cell Lymphoma
Noncontiguous Stage II Adult Burkitt Lymphoma
Noncontiguous Stage II Adult Diffuse Large Cell Lymphoma
Noncontiguous Stage II Adult Diffuse Mixed Cell Lymphoma
Noncontiguous Stage II Adult Diffuse Small Cleaved Cell Lymphoma
Noncontiguous Stage II Adult Immunoblastic Large Cell Lymphoma
Noncontiguous Stage II Adult Lymphoblastic Lymphoma
Noncontiguous Stage II Grade 1 Follicular Lymphoma
Noncontiguous Stage II Grade 2 Follicular Lymphoma
Noncontiguous Stage II Grade 3 Follicular Lymphoma
Participants with >= 2 fold increase in circulating PBSC's in blood and in apheresis collections in up to 4-days collection
Up to 6 months
Secondary Outcomes
Measure
Description
Time Frame
Time to Neutrophil Engraftment
Estimated Median Time to Neutrophil Engraftment, ANC 500
Up to 6 months
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Voluntary written informed consent form before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care
Diagnosis of B-type NHL or with multiple myeloma and eligible for autologous transplantation
No more than 3 prior regimens of chemotherapy (Rituximab is not considered chemotherapy) and 4 weeks out of Bortezomib treatment for MM
Karnofsky performance status of > 50%
The patient has recovered from all acute toxic effects of prior chemotherapy
White blood cell (WBC) > 3.0 x 10^9/L
Absolute neutrophil count > 1.5 x 10^9/L
Platelet count > 100 x 10^9/L
Serum creatinine =< 2.2
Serum glutamic oxaloacetic transaminase (SGOT) and serum glutamic pyruvate transaminase (SGPT) less than two times the upper limit of normal (ULN)
Total bilirubin less than two times the ULN
Left ventricle ejection fraction > 50% (by normal echocardiogram [ECHO] or multi gated acquisition scan [MUGA] scan)
Diffusing capacity of the lung for carbon monoxide (DLCO) > 50%
Forced vital capacity > 50% of predicted
Negative for human immunodeficiency virus (HIV)
Female subject is either post-menopausal for at least 1 year before the screening visit, is surgically sterilized or if they are of childbearing potential , agree to use 2 effective methods of birth control (i.e., a hormonal contraceptive, intra-uterine device, diaphragm with spermicide, condom with spermicide, or abstinence) from the time of signing the informed consent form through 30 days after the last dose of Bortezomib, or agree to completely abstain from heterosexual intercourse; women of child bearing potential agree to use an approved form of contraception; male subject, even if surgically sterilized (i.e., status post-vasectomy) must agree to 1 of the following: practice effective barrier contraception during the entire study treatment period and through a minimum of 30 days after the last dose of study drug, or completely abstain from heterosexual intercourse for the duration of the study
Exclusion Criteria:
Patient has a platelet count of < 100x 10^9/L within 14 days before enrollment
Patient has an absolute neutrophil count of ANC <1.5 x 10^9/L within 14 days before enrollment
Patient has creatinine of > 2.2 MG/DL within 14 days before enrollment
Patient has > 1.5 x ULN total bilirubin
Patient has >= grade 2 peripheral neuropathy within 14 days before enrollment
Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities; prior to study entry, any electrocardiogram (ECG) abnormality at screening has to be documented by the investigator as not medically relevant
Patient has hypersensitivity to Bortezomib, boron or mannitol
Female subject is pregnant or breast-feeding; confirmation that the subject is not pregnant must be established by a negative serum beta-human chorionic gonadotropin (b-hCG) pregnancy test result obtained during screening; pregnancy testing is not required for post-menopausal or surgically sterilized women
Participation in clinical trials with other investigational drugs not included in this trial, within 14 days before enrollment and throughout the duration of this trial
Serious medical or psychiatric illness likely to interfere with participation in this clinical study
A co-morbid condition which, in the view of the investigators, renders the patient at high risk for this study
An acute medical condition resulting from prior chemotherapy
Patients of child-bearing potential unwilling to implement adequate birth control
Patients who have deterioration of their clinical status or laboratory parameters between the time of enrollment and transplant (such that they no longer meet entry criteria) may be removed from study at the discretion of the treating physician or principal investigator
Diagnosed or treated for another malignancy within 3 years of enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy
Radiation therapy within 3 weeks before randomization; enrollment of subjects who require concurrent radiotherapy (which must be localized in its field size) should be deferred until the radiotherapy is completed and 3 weeks have elapsed since the last date of therapy
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
70 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Divaya Bhutani, M.D.
Barbara Ann Karmanos Cancer Institute
Principal Investigator
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Barbara Ann Karmanos Cancer Institute
Detroit
Michigan
48201
United States
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Not provided
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
A. Standard of Care Mobilization
GROUP A: Standard of care mobiliation: Bortezomib (1.3 mg/m2) in the evening after completion of mobilization with G-CSF
FG001
GROUP B: Alternative Mobilization
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Stage I Adult Immunoblastic Large Cell Lymphoma
Stage I Adult Lymphoblastic Lymphoma
Stage I Grade 1 Follicular Lymphoma
Stage I Grade 2 Follicular Lymphoma
Stage I Grade 3 Follicular Lymphoma
Stage I Mantle Cell Lymphoma
Stage I Marginal Zone Lymphoma
Stage I Multiple Myeloma
Stage I Small Lymphocytic Lymphoma
Stage II Multiple Myeloma
Stage III Adult Burkitt Lymphoma
Stage III Adult Diffuse Large Cell Lymphoma
Stage III Adult Diffuse Mixed Cell Lymphoma
Stage III Adult Diffuse Small Cleaved Cell Lymphoma
Stage III Adult Immunoblastic Large Cell Lymphoma
Stage III Adult Lymphoblastic Lymphoma
Stage III Grade 1 Follicular Lymphoma
Stage III Grade 2 Follicular Lymphoma
Stage III Grade 3 Follicular Lymphoma
Stage III Mantle Cell Lymphoma
Stage III Marginal Zone Lymphoma
Stage III Multiple Myeloma
Stage III Small Lymphocytic Lymphoma
Stage IV Adult Burkitt Lymphoma
Stage IV Adult Diffuse Large Cell Lymphoma
Stage IV Adult Diffuse Mixed Cell Lymphoma
Stage IV Adult Diffuse Small Cleaved Cell Lymphoma
GROUP B: Bortezomib (1.3 mg/m2) IV on days 4 and 7 (if needed)
FG0003 subjects
FG00120 subjects
COMPLETED
1 withdrew consent prior to Velcade infusion
1 removed from protocol prior to Velcade infusioin
1 failed to comply with protocol requirement to come to transplant in 2 months
FG0003 subjects
FG00117 subjects
NOT COMPLETED
FG0000 subjects
FG0013 subjects
Type
Comment
Reasons
Protocol Violation
FG0000 subjects
FG0011 subjects
Withdrawn prior to Velcade
FG0000 subjects
FG0012 subjects
Evaluable participants
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Arm A
Pts. receive filgrastim SC on days 1-9 & begin apheresis on day 5. Pts. undergo apheresis for up to 2 days, & receive bortezomib intravenously (IV) over 3-5 seconds after target collection is obtained with filgrastim alone or on the 1st day of collection with the Bortezomib plus filgrastim mobilization, prior to receiving the administration of filgrastim. 2nd apheresis will continue until target stem cell dose is reached or for maximum 4 days. Pts. undergo autologous hematopoietic stem cell transplantation after receiving high dose chemotherapy & peripheral blood stem cell (PBSC) infusion following standard of care procedures.
bortezomib: Given IV
filgrastim: Given SC
autologous hematopoietic stem cell transplantation: Under
BG001
Arm B
Pts. receive filgrastim SC on days 1-8 & receive bortezomib IV over 3-5 seconds on days 4 & day 7, before administration of filgrastim. Pts. undergo apheresis on days 5-8
BG002
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0003
BG00117
BG00220
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Categorical
Count of Participants
Participants
Title
Denominators
Categories
g
Title
Measurements
<=18 years
BG0000
BG0010
BG0020
Between 18 and 65 years
Age, Continuous
Median
Full Range
years
Title
Denominators
Categories
Title
Measurements
BG00062(52 to 67)
BG00156(40 to 68)
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG0002
BG0019
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Region of Enrollment
Count of Participants
Participants
Title
Denominators
Categories
United States
Title
Measurements
BG0003
BG00117
BG002
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
>= 2 Fold Increase in Circulating PBSC's
Participants with >= 2 fold increase in circulating PBSC's in blood and in apheresis collections in up to 4-days collection
Evaluable patients
Posted
Count of Participants
Participants
Up to 6 months
ID
Title
Description
OG000
Group A: Bortezomib 1.3 mg/m2
Group A: Bortezomib 1.3 mg/m2 in the evening after completion of 5 day mobilization with G-CSF
OG001
Group B Bortezomib 1/3 mg/m2
Group B Bortezomib 1/3 mg/m2 on day 4 of 5 day GCSF mobilizati
Units
Counts
Participants
OG0003
OG00117
Title
Denominators
Categories
Doubling
Title
Measurements
OG0000
OG0014
Less than doubling
Title
Measurements
OG000
Secondary
Time to Neutrophil Engraftment
Estimated Median Time to Neutrophil Engraftment, ANC 500
Evaluable patients
Posted
Median
95% Confidence Interval
days to ANC 500
Up to 6 months
ID
Title
Description
OG000
Arm A Standard of Care Mobilization
G-CSF 16 mcg/kg/day for 9 days; Bortezomib 1.3 mg/m2 IV on day 6. Blood draws and apheresis on days 5-9.
OG001
Arm B Alternative Mobilization
G-CSF16 mcg/kg/day for 8 days; Bortezomib on days 4 and 7. Blood collection on days 4 & 8, apheresis on days 5-8.
Units
Counts
Participants
OG000
Time Frame
6 months
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
A Treatment (Bortezomib and Filgrastim)
GROUP A Pts. receive filgrastim SC on days 1-8 & receive bortezomib IV over 3-5 seconds on days 4 & day 7, before administration of filgrastim. Pts. undergo apheresis on days 5-8
bortezomib: Given IV
filgrastim: Given SC
autologous hematopoietic stem cell transplantation: Under
0
6
0
6
6
6
EG001
B Treatment (Bortezomib and Filgrastim)
Group B Pts receive filgrastim SC on days 1-8 and receive bortezomib IV over 3-5 seconds on days 4 and day 7 before administraioin of filgrastim. Pts undergo apheresis on days 5-8.
0
17
0
17
17
17
Serious Adverse Events
Not provided
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Dyspnea
Respiratory, thoracic and mediastinal disorders
Systematic Assessment
EG0001 events1 affected6 at risk
EG0010 events0 affected17 at risk
Tachycardia
Cardiac disorders
Systematic Assessment
EG0001 events1 affected6 at risk
EG0010 events0 affected17 at risk
Febrile neutropenia
Blood and lymphatic system disorders
Systematic Assessment
EG0000 events0 affected6 at risk
EG0012 events2 affected17 at risk
Hypertensive crisis
Cardiac disorders
Systematic Assessment
EG0000 events0 affected6 at risk
EG0011 events1 affected17 at risk
Mucositis
Immune system disorders
Systematic Assessment
EG0000 events0 affected6 at risk
EG0011 events1 affected17 at risk
Vomiting
Gastrointestinal disorders
Systematic Assessment
EG0000 events0 affected6 at risk
EG0011 events1 affected17 at risk
Hypocalcemia
Blood and lymphatic system disorders
Systematic Assessment
EG0002 events2 affected6 at risk
EG0013 events3 affected17 at risk
Hyperuricemia
Blood and lymphatic system disorders
Systematic Assessment
EG0001 events1 affected6 at risk
EG0010 events0 affected17 at risk
Low ionized calcioum
Blood and lymphatic system disorders
Systematic Assessment
EG0000 events0 affected6 at risk
EG0011 events1 affected17 at risk
Hypokalemia
Blood and lymphatic system disorders
Systematic Assessment
EG0000 events0 affected6 at risk
EG0013 events3 affected17 at risk
Infection 1
Infections and infestations
Systematic Assessment
EG0001 events1 affected6 at risk
EG0014 events4 affected17 at risk
Infection 2
Infections and infestations
Systematic Assessment
EG0000 events0 affected6 at risk
EG0013 events3 affected17 at risk
Certain Agreements
Are all PI(s) employees of the sponsor?
Yes
Restriction Type
Not provided
Results Disclosure Restriction on PI(s)?
Not provided
Other Details
Not provided
Point of Contact
Title
Organization
Phone
Extension
Email
Dr. Divaya Bhutani
Barbara Ann Karmanos Cancer Institute
501-680-9229
db3203@cumc.columbia.edu
ID
Term
D015451
Leukemia, Lymphocytic, Chronic, B-Cell
D064090
Intraocular Lymphoma
D018442
Lymphoma, B-Cell, Marginal Zone
D002051
Burkitt Lymphoma
D016403
Lymphoma, Large B-Cell, Diffuse
D008228
Lymphoma, Non-Hodgkin
D016400
Lymphoma, Large-Cell, Immunoblastic
D054198
Precursor Cell Lymphoblastic Leukemia-Lymphoma
D008224
Lymphoma, Follicular
D020522
Lymphoma, Mantle-Cell
D007943
Leukemia, Hairy Cell
D009101
Multiple Myeloma
D008258
Waldenstrom Macroglobulinemia
Ancestor Terms
ID
Term
D015448
Leukemia, B-Cell
D007945
Leukemia, Lymphoid
D007938
Leukemia
D009370
Neoplasms by Histologic Type
D009369
Neoplasms
D006402
Hematologic Diseases
D006425
Hemic and Lymphatic Diseases
D008232
Lymphoproliferative Disorders
D008206
Lymphatic Diseases
D007160
Immunoproliferative Disorders
D007154
Immune System Diseases
D002908
Chronic Disease
D020969
Disease Attributes
D010335
Pathologic Processes
D013568
Pathological Conditions, Signs and Symptoms
D008223
Lymphoma
D005134
Eye Neoplasms
D009371
Neoplasms by Site
D016393
Lymphoma, B-Cell
D020031
Epstein-Barr Virus Infections
D006566
Herpesviridae Infections
D004266
DNA Virus Infections
D014777
Virus Diseases
D007239
Infections
D014412
Tumor Virus Infections
D054219
Neoplasms, Plasma Cell
D020141
Hemostatic Disorders
D014652
Vascular Diseases
D002318
Cardiovascular Diseases
D010265
Paraproteinemias
D001796
Blood Protein Disorders
D006474
Hemorrhagic Disorders
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
D000069286
Bortezomib
D000069585
Filgrastim
D016179
Granulocyte Colony-Stimulating Factor
Ancestor Terms
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
D003115
Colony-Stimulating Factors
D006023
Glycoproteins
D006001
Glycoconjugates
D002241
Carbohydrates
D016298
Hematopoietic Cell Growth Factors
D016207
Cytokines
D036341
Intercellular Signaling Peptides and Proteins
D010455
Peptides
D000602
Amino Acids, Peptides, and Proteins
D011506
Proteins
D001685
Biological Factors
Browse Leaves
Not provided
Browse Branches
Not provided
BG0002
BG00113
BG00215
>=65 years
BG0001
BG0014
BG0025
58
(40 to 68)
11
Male
BG0001
BG0018
BG0029
0
Asian
BG0000
BG0010
BG0020
Native Hawaiian or Other Pacific Islander
BG0000
BG0010
BG0020
Black or African American
BG0001
BG0013
BG0024
White
BG0002
BG00114
BG00216
More than one race
BG0000
BG0010
BG0020
Unknown or Not Reported
BG0000
BG0010
BG0020
20
3
OG00113
3
OG00117
Title
Denominators
Categories
Title
Measurements
OG00012(12 to NA)Two few observations to calculate upper limit