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    Clinical Trial Results:
    A phase II study to assess engraftment and engraftment kinetics after double cord blood transplantation with a reduced-intensity conditioning regimen in patients eligible for allogeneic stem cell transplantation lacking a matched unrelated donor

    Summary
    EudraCT number
    2008-000053-35
    Trial protocol
    NL  
    Global end of trial date
    04 Jul 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    10 Mar 2022
    First version publication date
    10 Mar 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    HO106
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    HOVON
    Sponsor organisation address
    De Boelelaan 1117, Amsterdam, Netherlands,
    Public contact
    HOVON Data Center, HOVON, hdc@erasmusmc.nl
    Scientific contact
    HOVON Data Center, HOVON, hdc@erasmusmc.nl
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    04 Oct 2013
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    19 Mar 2012
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Jul 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Evaluation of engraftment and disease-free survival following double cord blood transplantation after a reduced intensity conditioning regimen in adult patients. In addition to description of clinical parameters biological studies will be performed in order to evaluate whether parameters can be identified that predict which graft ultimately prevails.
    Protection of trial subjects
    Monitoring and Insurance
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    29 Jul 2008
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 60
    Worldwide total number of subjects
    60
    EEA total number of subjects
    60
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    60
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    All subjects gave written informed consent and were screened according to the inclusion and exclusion criteria.

    Period 1
    Period 1 title
    Overall period
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Experimental group
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    UCB
    Investigational medicinal product code
    Other name
    CBU
    Pharmaceutical forms
    Infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Depending on the existence of major ABO-incompatibility between CBU and recipient and the number of prefreeze RBC CBU’s will undergo a careful washing procedure after thawing or will be infused immediately after a direct-thaw procedure. Major ABO-incompatible CBU’s will undergo a post-thaw washing procedure if the total prefreeze RBC count exceeds 150 x 109 . Minor ABO-incompatible or ABO-compatible CBU’s will undergo a post-thaw washing procedure if the total prefreeze RBC count exceeds 300 x 109. In all other cases CBU´s will be infused immediately after a direct-thaw procedure. Grafts will be infused on two consecutive days (day 0 and day +1). An ABO compatible graft will be given first.

    Number of subjects in period 1
    Experimental group
    Started
    60
    Completed
    54
    Not completed
    6
         Protocol deviation
    6

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall period
    Reporting group description
    -

    Reporting group values
    Overall period Total
    Number of subjects
    60 60
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
        Adults (18-65 years)
    60 60
    Age continuous
    Units: years
        median (full range (min-max))
    51 (20 to 65) -
    Gender categorical
    Units: Subjects
        Female
    28 28
        Male
    32 32

    End points

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    End points reporting groups
    Reporting group title
    Experimental group
    Reporting group description
    -

    Primary: Primary endpoint

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    End point title
    Primary endpoint [1]
    End point description
    End point type
    Primary
    End point timeframe
    See publication
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: See attached chart/document for results.
    End point values
    Experimental group
    Number of subjects analysed
    60
    Units: Whole
    60
    Attachments
    Statistical data section from publication
    List of reported SAE's
    List of reported non-SAE's
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events will be reported from the first study-related procedure until 30 days following the last dose of any drug from the protocol treatment schedule or until the start of subsequent systemic therapy for the disease under study, if earlier.
    Adverse event reporting additional description
    Adverse events occurring after 30 days should also be reported if considered at least possibly related to the investigational medicinal product by the investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    CTCAE
    Dictionary version
    3
    Reporting groups
    Reporting group title
    Experimental group
    Reporting group description
    -

    Serious adverse events
    Experimental group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    42 / 54 (77.78%)
         number of deaths (all causes)
    37
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute myeloid leukaemia refractory
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 2
    secondary malignancy
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    General disorders and administration site conditions
    Death
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Disease progression
         subjects affected / exposed
    5 / 54 (9.26%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 5
    Body temperature increased
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Disease recurrence
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Immune system disorders
    Acute graft versus host disease
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypersensitivity
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Graft versus host disease
         subjects affected / exposed
    6 / 54 (11.11%)
         occurrences causally related to treatment / all
    1 / 6
         deaths causally related to treatment / all
    0 / 0
    Graft versus host disease in gastrointestinal tract
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Graft versus host disease in skin
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Viral infection
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Hypoxia
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonitis
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    respiratory insufficiency
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 1
    Investigations
    creatinine
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    creatinine increased
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Graft failure
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    head wound
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Cardiac failure
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Pericardial effusion
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Leukoencephalopathy
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Neuropathy sensory
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Seizure
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancytopenia
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Eye disorders
    Personality disorder
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Retinal detachment
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    9 / 54 (16.67%)
         occurrences causally related to treatment / all
    1 / 9
         deaths causally related to treatment / all
    0 / 1
    Body temperature increased
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Skin infection
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Haematuria
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    renal insufficiency
         subjects affected / exposed
    5 / 54 (9.26%)
         occurrences causally related to treatment / all
    3 / 5
         deaths causally related to treatment / all
    0 / 1
    Endocrine disorders
    Thyroiditis
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Cytomegalovirus infection reactivation
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cystitis
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Epstein-Barr virus infection reactivation
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Hepatic infection
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    5 / 54 (9.26%)
         occurrences causally related to treatment / all
    1 / 6
         deaths causally related to treatment / all
    1 / 3
    Sepsis
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Skin infection
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urosepsis
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    metabolic disturbance
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Experimental group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    52 / 54 (96.30%)
    Vascular disorders
    Vascular
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    5 / 54 (9.26%)
         occurrences all number
    5
    General disorders and administration site conditions
    Constitutional
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences all number
    3
    Pain
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences all number
    2
    Injury, poisoning and procedural complications
    Hemorrhage/bleeding
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences all number
    1
    Cardiac disorders
    Cardiac arrhythmia
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences all number
    4
    Cardiac general
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    9 / 54 (16.67%)
         occurrences all number
    9
    Nervous system disorders
    Neurology
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    4 / 54 (7.41%)
         occurrences all number
    5
    Blood and lymphatic system disorders
    Blood/BM
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    33 / 54 (61.11%)
         occurrences all number
    108
    Coagulation
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences all number
    4
    Eye disorders
    Ocular/visual
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences all number
    3
    Gastrointestinal disorders
    Gastrointestinal
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    12 / 54 (22.22%)
         occurrences all number
    13
    Skin and subcutaneous tissue disorders
    Dermatology/skin
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    2 / 54 (3.70%)
         occurrences all number
    2
    Renal and urinary disorders
    Renal/genitourinary
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    1 / 54 (1.85%)
         occurrences all number
    1
    Endocrine disorders
    Endocrine
         subjects affected / exposed
    3 / 54 (5.56%)
         occurrences all number
    3
    Infections and infestations
    Infection
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    43 / 54 (79.63%)
         occurrences all number
    95
    Metabolism and nutrition disorders
    Metabolic/laboratory
    Additional description: All combined, see AE chart for details
         subjects affected / exposed
    12 / 54 (22.22%)
         occurrences all number
    19

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    19 Nov 2009
    Change of sponsor
    02 Mar 2010
    Addition of extra site
    01 Jul 2010
    Amendment of product information and PIF/ICF
    30 Nov 2010
    Change of safety reporting procedures and addition of extra site
    30 May 2011
    Addition of extra site

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/25107890
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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