Umbilical Cord BloodPhase 1NCT01235468
Allogenic Transplantation of Ex-vivo Expanded Cord Blood (CB)
A Phase 1 study testing ex vivo expansion in people with Umbilical Cord Blood and Stem Cell Transplantation, run by Dr. Avichai Shimoni MD.
Trial summary
The aim of this study is to evaluate the safety profile and tolerability of infusion of cord blood cells expanded in the lab and to evaluated whether through the infusion of expanded cells it is possible to expedite engraftment time after transplantation. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Umbilical Cord Blood, Stem Cell Transplantation, Hematological Malignancies
- What is being tested?
- ex vivo expansion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- Jun 2012to Nov 2015
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- age > 18 years
- hematological malignancy
- standard indication for allogeneic transplantation
- expected survival time over 12 weeks
- no related or unrelated donor
- availability of a cord blood unit of compatible placental blood cryopreserved in at least 2 different bags; one of the two units should have a cellular content at least equal to the minimum dose of 2 x 107 nucleated cells per kilogram of body weight
Who cannot join
- Eastern Cooperative Oncology Group (ECOG) performance status >2
- Prior allogeneic transplantation
- Pregnant or nursing women
- Positive serology for hepatitis B or C
- HIV positive
- Left ventricular ejection fraction < 50%
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- DLCO < 50%
- Psychiatric, addictive, or any disorder/disease which compromises ability to give informed consent for participation in this study
- Treatment with other investigational drugs within 4 weeks of enrolling in this protocol
About this study
Official title: Allogenic Transplantation of Ex-vivo Expanded CB Progenitors for Haematological Disorders
The aim of this study is to evaluate the safety profile and tolerability of infusion of cord blood cells expanded in the lab and to evaluated whether through the infusion of expanded cells it is possible to expedite engraftment time after transplantation.
Read the detailed description
Stem cell transplantation is a curative approach for patients with hematological malignancies. Umbilical cord blood is a source of stem cells for transplantation in patients with no related donor. However, in adults, the number of stem cells in a single unit, may be too low to allow engraftment, and the time to engraftment may be prolonged, increasing the risks of the transplant. In this study, we expand part of the cord blood unit, in the lab, trying to increase unit size, such that it would be suitable for adults, and would allow safe engraftment.
- Being tested
- ex vivo expansion
- Keywords
- umbilical cord blood, ex vivo expansion, engraftment, GVHD
- Medical subject headings
- Hematologic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ex vivo expansionBiological
ex-vivo expansion of cord blood for transplantation
| Study group | Role | What they receive |
|---|---|---|
| CB expnasion | Experimental | ex-vivo expansion of cord blood for transplantation Receives: Biological: ex vivo expansion |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety
Number of patients with adverse events during infusion
Measured: 1 month
engraftment
Time to engraftment
Measured: 3 months
treatment-related toxicity
Type and severity of adverse events after transplantation using the NCI CTC scale
Measured: 3 months
GVHD
Number of patients with acute and chronic GVHD after transplantation
Measured: 1 year
Secondary outcomes (2)
Immunological reconstruction
immunological reconstruction after transplantation measured by lymphocyte number and function
Measured: 5 years
relapse
rate of disease recurrence
Measured: 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Nov 2010 (estimated)
- Study startJun 2012
- Primary completionNov 2015 (estimated)
- Study completionNov 2015 (estimated)
Why it stopped: loss of support
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Umbilical Cord BloodStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dr. Avichai Shimoni MD
- Sponsor type
- Other government
- Responsible party
- Sponsor-investigator, Dr. Avichai Shimoni MD, Sheba Medical Center
- Investigators
- Arnon Nagler, MD, Principal investigator, Chaim Sheba Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01235468
- Sponsor's protocol ID
- SHEBA-10-7959-AN-CTIL
- Status last verified
- Dec 2015
- First submitted
- 2 Nov 2010
- Last updated
- 3 Dec 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Allogenic Transplantation of Ex-vivo Expanded CB Progenitors for Haematological Disorders
- ClinicalTrials.gov ID
- NCT01235468
- Acronym / sponsor ID
- SHEBA-10-7959-AN-CTIL
- Keywords
- umbilical cord blood, ex vivo expansion, engraftment, GVHD
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: loss of support
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Dr. Avichai Shimoni MDOther government
- Collaborators
- Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
- Study start
- Jun 2012
- Primary completion
- Nov 2015 (estimated)
- Study completion
- Nov 2015 (estimated)
- First posted
- 5 Nov 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to evaluate the safety profile and tolerability of infusion of cord blood cells expanded in the lab and to evaluated whether through the infusion of expanded cells it is possible to expedite engraftment time after transplantation.
Detailed description
Stem cell transplantation is a curative approach for patients with hematological malignancies. Umbilical cord blood is a source of stem cells for transplantation in patients with no related donor. However, in adults, the number of stem cells in a single unit, may be too low to allow engraftment, and the time to engraftment may be prolonged, increasing the risks of the transplant. In this study, we expand part of the cord blood unit, in the lab, trying to increase unit size, such that it would be suitable for adults, and would allow safe engraftment.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| CB expnasion | Experimental | Biological: ex vivo expansionex-vivo expansion of cord blood for transplantation |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- age > 18 years
- hematological malignancy
- standard indication for allogeneic transplantation
- expected survival time over 12 weeks
- no related or unrelated donor
Key exclusion criteria (9 listed)
- Eastern Cooperative Oncology Group (ECOG) performance status >2
- Prior allogeneic transplantation
- Pregnant or nursing women
- Positive serology for hepatitis B or C
- HIV positive
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ex vivo expansionex-vivo expansion of cord blood for transplantation | Biological | CB expnasion |
Primary outcome
Safety
Time frame: 1 month
Number of patients with adverse events during infusion
engraftment
Time frame: 3 months
Time to engraftment
treatment-related toxicity
Time frame: 3 months
Type and severity of adverse events after transplantation using the NCI CTC scale
GVHD
Time frame: 1 year
Number of patients with acute and chronic GVHD after transplantation
2 secondary outcomes
Immunological reconstruction
Time frame: 5 years
relapse
Time frame: 5 years
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Dec 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Arnon Nagler, MD principal investigator
Chaim Sheba Medical Center
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing ex vivo expansion in people with Umbilical Cord Blood and Stem Cell Transplantation, run by Dr. Avichai Shimoni MD.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 3 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Safety (time frame: 1 month). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Dec 2015.