Clinical Trial Results:
A PHASE II STUDY TO INVESTIGATE THE EFFICACY OF CYCLOPHOSPHAMIDE (ENDOXAN) AS SOLE GRAFT-VERSUS-HOST-PROPHYLAXIS AFTER ALLOGENEIC STEM CELL TRANSPLANTATION (OCTET-CY)
Summary
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EudraCT number |
2010-022058-18 |
Trial protocol |
DE |
Global end of trial date |
10 Aug 2013
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Results information
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Results version number |
v1(current) |
This version publication date |
18 Sep 2021
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First version publication date |
18 Sep 2021
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Other versions |
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Summary report(s) |
Octet-Cy_summary_report PharmNet_results |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
Uni-Koeln-1430
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01283776 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
University of Cologne
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Sponsor organisation address |
Albertus-Magnus-Platz, Cologne, Germany, 50923
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Public contact |
Dr. med. Udo Holtick,
Dept. I of Internal Medicine
Cologne University Hospital, University hospital Cologne
, udo.holtick@uk-koeln.de
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Scientific contact |
Prof. C. Scheid
Dept. I of Internal Medicine
Cologne University Hospital, University hospital Cologne
, christoph.scheid@uk-koeln.de
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
10 Aug 2013
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
10 Aug 2013
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To assess the efficacy of post-transplantation cyclophosphamide as single-agent GvHD prophylaxis after allogeneic hematopoietic stem cell transplantation in patients with multiple myeloma or lymphoma and to describe the influence of the modified immunosuppression concept on relapse rates, minimal residual disease, immune reconstitution and chimerism.
Primary end point:
• Number of patients not requiring any additional immunosuppressive treatment until day 100 after allogeneic transplantation
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Protection of trial subjects |
Patients will be treated according to current standard practices in the stem cell transplantation programme of the University Hospital Cologne. This includes prophylactic antibiotic, antifungal and antiviral agents. Corticosteroids are permitted in case of acute allergic reactions e.g. after transfusions. If an acute GvHD develops Corticosteroids and/or other immunosuppressive drugs such as calcineurin inhibitors may be used at the discretion of the treating physicians at any time.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
14 Mar 2011
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 13
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Worldwide total number of subjects |
13
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EEA total number of subjects |
13
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
13
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
moncentric trial, Germany; recruiting period March 2011 - August 2013 | ||||||
Pre-assignment
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Screening details |
non screening has taken place. All patients included in the study fulfilled the inclusion cri-teria. No protocol deviations were recorded. All patients were considered for safety analysis. | ||||||
Period 1
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Period 1 title |
Overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||
Arms
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Arm title
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allogeneic hematopoietic stem cell transplantation | ||||||
Arm description |
Patients received cyclophosphamide once daily (50mg/kg bodyweight) intravenous infusion on day +3 and +4 after standard allogeneic stem cell transplantation | ||||||
Arm type |
Experimental | ||||||
Investigational medicinal product name |
Cyclophosphamide
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Investigational medicinal product code |
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Other name |
Endoxan (trade name)
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Pharmaceutical forms |
Infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
50mg/kg bodyweight once daily intravenous infusion on days +3 and +4 after standard allogenic stem cell transplantation
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Baseline characteristics reporting groups
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Reporting group title |
Overall trial
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Reporting group description |
Patients with multiple myeloma, Non-Hodgkin’s lymphoma or Hodgkin’s disease after allogeneic stem cell transplantation with reduced intensity conditioning | |||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
allogeneic hematopoietic stem cell transplantation
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Reporting group description |
Patients received cyclophosphamide once daily (50mg/kg bodyweight) intravenous infusion on day +3 and +4 after standard allogeneic stem cell transplantation |
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End point title |
Number of patients not requiring any additional immuno-sup-pressive treatment until day 100 after allogeneic transplantation. [1] | ||||||||
End point description |
Number of patients not requiring any additional immunosup-pressive treatment until day 100 after allogeneic transplantation. - As the main aim of this pilot study is to test post-transplant Cy as single-agent immunosuppression, the absence of systemic immunosuppression at d+100 has been defined as primary endpoint. It is measured as the proportion of patients not requring additional immunosuppressive treatment for GVHD until day 100.
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End point type |
Primary
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End point timeframe |
14.03.2011 – 10.08.2013
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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 Summary report and publication reference |
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No statistical analyses for this end point |
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Adverse events information [1]
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Timeframe for reporting adverse events |
Advers events were collected from day +3 (beginning of IMP administration) until day 100 after transplantation
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Assessment type |
Systematic | ||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||
Dictionary version |
12.1
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Frequency threshold for reporting non-serious adverse events: 0% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: For safety analysis see attached report summary |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported | |||
Online references |
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http://www.ncbi.nlm.nih.gov/pubmed/25703164 |