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HealthyPhase 2NCT02653443

A Randomized, Multi-center, Open-label, Paired Controlled, Crossover In Vivo Study

A Phase 2 study testing Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets. and Autologous apheresis Conventional untreated Platelet Components in people with Healthy, run by Cerus Corporation at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The objective of this study is to test the hypothesis that INTERCEPT Blood System for platelet components stored for 6 or 7 days after INTERCEPT Blood System treatment retain sufficient viability for therapeutic efficacy. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets. and Autologous apheresis Conventional untreated Platelet Components
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
2 sitesUnited States
Study dates
Dec 2015to May 2016
Phase
Phase 2
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Normal health status (as determined by the Investigator review of medical history and blood donor physical exam)
  • Meet FDA, American Association of Blood Banks (AABB), and site guidelines for blood donation or apheresis platelet donation
  • Complete blood count (CBC) and serum chemistry values within established reference ranges or within guidelines as above.
  • Pre-donation platelet count of more than 150×10^9 platelets/L
  • Negative blood donor screening test panel for Human Immunodeficiency virus (HIV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), Human T-Lymphotropic virus (HTLV), syphilis, and West Nile virus (WNV)
  • Male and female subjects of childbearing potential must agree to use a medically acceptable method of contraception throughout the study. A barrier method of contraception must be included, regardless of other methods.
  • Signed and dated informed consent form

Who cannot join

  • Clinically significant acute or chronic disease (as determined by the Investigator)
  • Pregnant or nursing females
  • Male or female subjects of childbearing potential not using effective contraception
  • Disease states or conditions that preclude blood donation or apheresis platelet donation per AABB reference standards
  • Treatment with aspirin or aspirin-containing medications within 7 days of apheresis or treatment with non-steroidal anti inflammatory drugs (NSAID), anti-platelet agents or other drugs affecting platelet viability within 3 days of apheresis (e.g. ibuprofen or other NSAIDs)
  • Subject received platelet inhibitor within 14 days of donation (e.g. clopidogrel, ticlopidine)
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  • Splenectomized subjects
  • History of known hypersensitivity to indium or chromium
  • Participation in another clinical study currently or within the past 28 days

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Hoxworth Blood Center

    Cincinnati, Ohio, 45267

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03766

Other trials in United States

About this study

Official title: A Randomized, Multi-center, Open-label, Paired Controlled, Crossover In Vivo Study to Assess the Recovery and Lifespan of Radiolabeled Autologous INTERCEPT Treated Apheresis Platelet Components Suspended in Nominal 35% Plasma and 65% InterSol Stored for 6 or 7 Days

The objective of this study is to test the hypothesis that INTERCEPT Blood System for platelet components stored for 6 or 7 days after INTERCEPT Blood System treatment retain sufficient viability for therapeutic efficacy. The post-infusion recovery and lifespan of autologous INTERCEPT Blood System for platelet components in 35% plasma/65% InterSol (Test platelets) stored for 6 or 7 days will be measured in comparison to "fresh" autologous radiolabeled platelets (Control platelets) according to FDA guidance for platelet testing (FDA 1999). Recovery and lifespan results between components stored for 6 and 7 days will also be assessed.

Read the detailed description

For each of the 2 study donation periods, this study will have the following procedures: single or double dose platelet apheresis collection, pathogen inactivation with INTERCEPT Blood System treatment, storage for 6 or 7 days (depending on the period and randomization scheme) at 20°C to 24°C with agitation, collection of "fresh" autologous platelets, radiolabeling, infusion of fresh and stored INTERCEPT Blood System-treated radiolabeled autologous platelets, and collection of blood samples for assessment of platelet recovery and survival (lifespan). There will be a minimum wash-out period of two weeks between the two study periods.

Apheresis platelets will be collected using the Amicus separator and stored for 6 or 7 days (depending on the period and randomization scheme) in 35% plasma/65% InterSol.

Procedures will be as follows: On Day 0, each healthy volunteer subject has apheresis platelets collected. INTERCEPT Blood System treatment will begin on either the day of donation (Day 0) or the day following donation (Day 1) and will be completed within 24 hours after collection. Platelets will then be stored for 6 or 7 days after collection (depending on the period and randomization scheme) at 22°C ±2°C with agitation. Aliquots for in vitro platelet function will be taken on Day 0/1 before INTERCEPT Blood System treatment and on Day 6 or 7. On Day 6 or 7, healthy volunteers will return to the site, and 43 mL of blood will be drawn into a syringe containing 9 mL of Anticoagulant Citrate Dextrose Solution, Formula A (ACD-A). Fresh platelets will be prepared from this sample. An aliquot (10-20 mL) of the stored INTERCEPT Blood System for platelets will be aseptically removed from each subject's test container.

Previously stored (Test) and fresh (Control) platelets will be radiolabeled according to randomization assignment with either Chromium-51 (51Cr) (≤20 μCi) as sodium radiochromate (Na251CrO4) or Indium-111 (111In) (≤15 μCi) as indium oxine, following the labeling and washing procedures outlined by the Biomedical Excellence for Safer Transfusion (BEST) Collaborative. The isotope labels will be assigned randomly with equal probability that fresh platelets and stored INTERCEPT Blood System for platelets will be labeled with each isotope., and the same randomization assignment of isotope labels will be utilized for both donation periods for the same subject. Aliquots of the fresh and stored platelets will be radiolabeled in tubes with the standard techniques. After radiolabeling, the autologous fresh and stored INTERCEPT Blood System for platelets will be simultaneously infused into the subject (approximately 10-30 mL). Negative pregnancy test for females of childbearing potential are required before infusion.

Blood samples for radioactivity measurements will be drawn immediately before infusion and at approximately 0, 0.5, 1, and 2 hours post-infusion, and then 6 more samples will be drawn at 1, 2, 3, 4 (or 6), 7, and 11±1 days post-infusion, at approximately the same time of day as the radiolabeled platelet infusion was administered (±4 hours).

Patients will be monitored for safety (adverse events) from the beginning of the study until 10 days following the infusion of radiolabelled platelets in period 2.

Radioactivity measurements Samples will be obtained from the radiolabeled fresh and stored INTERCEPT Blood System for platelets before infusion and used as a radioactive standard. By measuring the volume infused, the total dose of radioactivity infused will be calculated. In vitro elution of the label from the transfused platelets will be determined by the BEST elution assessment method, as well as the in vivo elution of radioactivity from the serial blood samples obtained post-infusion of the labeled platelets.

The standard as well as the subject's whole-blood samples will be corrected for elution and also for the residual activity in the cellular fraction one day after the infusion. Data points 24 hours post-infusion will be used to calculate in vivo recovery after all radioactive corrections have been made. The radioactivity of the samples will be determined by use of a gamma counter. A multiple-hit model will be used to estimate the survival of the radioactively labeled platelets.

Conditions
Healthy
Being tested
Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets., Autologous apheresis Conventional untreated Platelet Components
Keywords
INTERCEPT, Platelet, Pathogen Inactivation, Platelets Components Stored, Therapeutic Efficacy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets.Biological

    Each subject will provide two apheresis platelet donations (one per period) and receive two infusions (one per period) of autologous radiolabeled fresh platelets combined with INTERCEPT treated platelet components stored for either 6 or 7 days (approximately 10 to 30 mL). Platelets are administered by intravenous infusion in a peripheral vein via 19-gauge butterfly infusion needle.

  • Autologous apheresis Conventional untreated Platelet ComponentsBiological

    Each subject will provide two apheresis platelet donations (one per period) and receive two infusions (one per period) of autologous radiolabeled fresh platelets combined with conventional untreated platelet components stored for either 6 or 7 days (approximately 10 to 30 mL). Platelets are administered by intravenous infusion in a peripheral vein via 19-gauge butterfly infusion needle.

Study groups in NCT02653443
Study groupRoleWhat they receive
Day 6ExperimentalEach subject will provide two apheresis platelet donations (one per period) and receive two infusions (one per period) of autologous radiolabeled fresh platelets combined with INTERCEPT treated platelet components stored for either 6 or 7 days (approximately 10 to 30 mL).
Receives: Biological: Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets.; Biological: Autologous apheresis Conventional untreated Platelet Components
Day 7ExperimentalEach subject will provide two apheresis platelet donations (one per period) and receive two infusions (one per period) of autologous radiolabeled fresh platelets combined with conventional untreated platelet components stored for either 6 or 7 days (approximately 10 to 30 mL).
Receives: Biological: Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets.; Biological: Autologous apheresis Conventional untreated Platelet Components

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post infusion recovery of the Test platelets compared to fresh platelets.

    Measured: 16 Days

  2. Post infusion recovery of the Test platelets compared to fresh platelets.

    Measured: 17 Days

  3. Post infusion lifespan of Test platelets compared to fresh platelets.

    Measured: 16 Days

  4. Post infusion lifespan of Test platelets compared to fresh platelets.

    Measured: 17 Days

  5. Adverse events: any untold medical occurrence in a subject or clinical investigation subject administered an investigational product and which does not necessarily have a causal relationship with this treatment.

    Measured: 16 Days

  6. Adverse events: any untold medical occurrence in a subject or clinical investigation subject administered an investigational product and which does not necessarily have a causal relationship with this treatment.

    Measured: 17 Days

  7. Body Mass Index (kg/m^2)

    Measured: 16 Days

  8. Body Mass Index (kg/m^2)

    Measured: 17 Days

  9. Hematocrit (g/dL)

    Measured: 16 Days

  10. Hematocrit (g/dL)

    Measured: 17 Days

  11. Hemoglobin (g/dL)

    Measured: 16 Days

  12. Hemoglobin (g/dL)

    Measured: 17 Days

  13. Red Blood Cell Count (x10^12/L)

    Measured: 16 Days

  14. Red Blood Cell Count (x10^12/L)

    Measured: 17 Days

  15. Platelet Count (×10^3μL)

    Measured: 16 Days

  16. Platelet Count (×10^3μL)

    Measured: 17 Days

  17. White Blood Cell Count - with Differential (x10^9/L)

    Measured: 16 Days

  18. White Blood Cell Count - with Differential (x10^9/L)

    Measured: 17 Days

  19. Blood Urea Nitrogen (mg/dL)

    Measured: 16 Days

  20. Blood Urea Nitrogen (mg/dL)

    Measured: 17 Days

  21. Calcium (mg/dL)

    Measured: 16 Days

  22. Calcium (mg/dL)

    Measured: 17 Days

  23. Chloride (mEq/L)

    Measured: 16 Days

  24. Chloride (mEq/L)

    Measured: 17 Days

  25. Creatinine (mg/dL)

    Measured: 16 Days

  26. Creatinine (mg/dL)

    Measured: 17 Days

  27. Glucose (mg/dL)

    Measured: 16 Days

  28. Glucose (mg/dL)

    Measured: 17 Days

  29. Potassium (mEq/L)

    Measured: 16 Days

  30. Potassium (mEq/L)

    Measured: 17 Days

  31. Sodium (mEq/L)

    Measured: 16 Days

  32. Sodium (mEq/L)

    Measured: 17 Days

  33. Post infusion recovery of the platelets at Day 6 platelets compared to Day 7 platelets.

    Measured: 16 Days

  34. Post infusion recovery of the platelets at Day 6 platelets compared to Day 7 platelets.

    Measured: 17 Days

  35. Post infusion lifespan of the platelets at Day 6 platelets compared to Day 7 platelets.

    Measured: 16 Days

  36. Post infusion lifespan of the platelets at Day 6 platelets compared to Day 7 platelets.

    Measured: 17 Days

Secondary outcomes (32)
  1. pH (pH)

    Measured: 16 Days

  2. pH (pH)

    Measured: 17 Days

  3. Platelet count (×10^3/μL)

    Measured: 16 Days

  4. Platelet count (×10^3/μL)

    Measured: 17 Days

  5. Platelet dose (×10^11 cells/component)

    Measured: 16 Days

  6. Platelet dose (×10^11 cells/component)

    Measured: 17 Days

  7. Mean platelet volume (MPV) (fL)

    Measured: 16 Days

  8. Mean platelet volume (MPV) (fL)

    Measured: 17 Days

  9. Morphology score (Kunicki Score)

    Measured: 16 Days

  10. Morphology score (Kunicki Score)

    Measured: 17 Days

  11. Component volume (mL)

    Measured: 16 Days

  12. Component volume (mL)

    Measured: 17 Days

  13. Glucose (mmol/L)

    Measured: 16 Days

  14. Glucose (mmol/L)

    Measured: 17 Days

  15. Lactate (mmol/L)

    Measured: 16 Days

  16. Lactate (mmol/L)

    Measured: 17 Days

  17. pO2 (mm Hg)

    Measured: 16 Days

  18. pO2 (mm Hg)

    Measured: 17 Days

  19. pCO2 (mm Hg)

    Measured: 16 Days

  20. pCO2 (mm Hg)

    Measured: 17 Days

  21. Bicarbonate (HCO3-) (mmol/L)

    Measured: 16 Days

  22. Bicarbonate (HCO3-) (mmol/L)

    Measured: 17 Days

  23. Lactate dehydrogenase (IU/L)

    Measured: 16 Days

  24. Lactate dehydrogenase (IU/L)

    Measured: 17 Days

  25. Hypotonic Shock Response (HSR) (%)

    Measured: 16 Days

  26. Hypotonic Shock Response (HSR) (%)

    Measured: 17 Days

  27. Extent of Shape Change (ESC) (%)

    Measured: 16 Days

  28. Extent of Shape Change (ESC) (%)

    Measured: 17 Days

  29. p-selectin expression (CD62) (% activation)

    Measured: 16 Days

  30. p-selectin expression (CD62) (% activation)

    Measured: 17 Days

  31. Adenosine 5'-Triphosphate (ATP) (nmol/10^8 platelets)

    Measured: 16 Days

  32. Adenosine 5'-Triphosphate (ATP) (nmol/10^8 platelets)

    Measured: 17 Days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2016 (estimated)
  2. Study startDec 2015
  3. Primary completionMay 2016
  4. Study completionMay 2016

Resources

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 2
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02653443
Sponsor's protocol ID
CLI 00116
Status last verified
Jan 2018
First submitted
2 Dec 2015
Last updated
26 Jan 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Autologous apheresis Platelet Components, prepared with the INTERCEPT Blood System for Platelets. and Autologous apheresis Conventional untreated Platelet Components in people with Healthy, run by Cerus Corporation at 2 sites in United States.

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 7 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: stopped early, as of the sponsor's last update on 26 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 stopped early. Results are not available in the source record.

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?

Post infusion recovery of the Test platelets compared to fresh platelets. (time frame: 16 Days). The study lists 36 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 26 Jan 2018.

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