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AzTrials

Multiple MyelomaPhase 2NCT05294055

Mecapegfilgrastim With Chemotherapy for Peripheral Blood Stem Cell Mobilization in MM and Lymphoma

A Phase 2 study testing Etoposide, Cyclophosphamide and Mecapegfilgrastim, day 2 in people with Multiple Myeloma and Lymphoma, run by Institute of Hematology & Blood Diseases Hospital, China at 7 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a multicenter prospective study to evaluate the efficacy and safety of chemotherapy combined with a single dose of subcutaneous(SC) injection mecapegfilgrastim on day 2 or day 5 after chemotherapy for autologous peripheral blood stem cell (PBSC) mobilization in patients with multiple myeloma or lymphoma. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Multiple Myeloma, Lymphoma
What is being tested?
Etoposide, Cyclophosphamide and Mecapegfilgrastim, day 2
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
7 sitesChina
Study dates
26 Apr 2022to 30 Sep 2026
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Lymphoma patients with ≤2 lines of prior therapy, patients with multiple myeloma with one line of therapy;
  • Patients who had achieved at least partial response (PR);
  • Patients who were eligible for autologous peripheral blood stem cell transplantation
  • Age≥18 and≤65 years;
  • Patients with Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Patients who have an estimated life expectancy of more than three months
  • Fertile patients must be willing to use reliable contraception during the clinical study period and for 90 days after the last dose and have a negative serological pregnancy test within 72 hours prior to the first dose.
  • Patients must be able and willing to give written informed consent prior to any study-related procedures

Who cannot join

  • Patients who had previously attempted hematopoietic stem cell mobilization;
  • Patients who had undergone previous bone marrow transplantation;
  • Lymphoma patients with bone marrow involvement or patients with MM who had >10% bone marrow involvement at screening ;
  • Patients with angina pectoris, myocardial infarction, coronary stent implantation, uncontrolled arrhythmias (atrial tachycardia, atrial fibrillation, persistent ventricular arrhythmias, etc.), cardiac insufficiency, Q-Tc interval >500ms, left ventricular ejection fraction (EF)<60%, or other heart diseases that the investigator considers unsuitable for hematopoietic stem cell mobilization or hematopoietic stem cell transplantation;
  • Patients with uncontrolled pulmonary infection;
  • Patients who had any of the following laboratory indicators:
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  • White blood cell count(WBC)<2.5×109/L;
  • Absolute neutrophil count(ANC)<1.5×109/L;
  • Platelets count(PLT)<80×109/L;
  • Creatinine > 2.0 X ULN of the reference range or creatinine clearance ≤60ml/min
  • AST/ALT/Total bilirubin > 2.5 X ULN;
  • Patients who have received any of the following treatments:
  • Patients who had been treated with more than 4 cycles of lenalidomide or received lenalidomide within 4 weeks prior to hematopoietic stem cell mobilization chemotherapy.
  • Patients who previously been treated with fludarabine or melphalan;
  • Patients who plan to receive radiation within 30 days after transplantation
  • Patients who had received radiation therapy in the pelvis
  • Patients allergic to Mecapegfilgrastim, pegylated granulocyte stimulating factor, granulocyte stimulating factor, or other formulations expressed by E. coli.
  • Patients who are pregnant or breastfeeding
  • Patients who are participating in other clinical studies or the interval of the last dose of prior study drug to the mobilization chemotherapy is less than 4 weeks (or 5 half-lives of the study drug);
  • Patients with other conditions unsuitable for this study according to the investigator's judgment.

Trial locations and contacts

7 sites in 1 country. Contact the study team or a site near you to ask about taking part.

7 sites in 1 country

China7 sites, 7 recruiting
  • Peking University Third Hospital

    Beijing, Beijing Municipality

    Hongmei Jing

    Hongmei Jing

    Not yet recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui

    Zimin Sun

    Zimin Sun

    Not yet recruiting
  • Shandong Cancer Hospital

    Jinan, Shandong

    Zengjun Li

    Zengjun Li

    Not yet recruiting
  • Institute of Hematology & Blood Diseases Hospital

    Tianjin, Tianjin Municipality, 300020

    Wei Liu, MD, 86-022-23909282, liuwei@ihcams.ac.cn

    Lugui Qiu, MD

    Recruiting
  • Tianjin Medical University Cancer Institute & Hospital

    Tianjin, Tianjin Municipality

    Yafei Wang

    Yafei Wang

    Recruiting
  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality

    Rong Fu

    Rong Fu

    Not yet recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan

    Baijun Fang

    Baijun Fang

    Not yet recruiting

Other trials in China

About this study

Official title: A Prospective and Multicenter Clinical Study of Mecapegfilgrastim in Combination With Chemotherapy for Autologous Peripheral Blood Stem Cell Mobilization in Patients With Multiple Myeloma or Lymphoma

This is a multicenter prospective study to evaluate the efficacy and safety of chemotherapy combined with a single dose of subcutaneous(SC) injection mecapegfilgrastim on day 2 or day 5 after chemotherapy for autologous peripheral blood stem cell (PBSC) mobilization in patients with multiple myeloma or lymphoma.

Read the detailed description

Subjects eligible for autologous stem-cell transplantation are randomized to receive a single dose of 12mg mecapegfilgrastim SC on day 2 or day 5 after chemotherapy for PBSC mobilization. According to the protocol, high-dose cyclophosphamide (50mg/kg or 2g/m2, for 2 days) is given to patients with MM, and high-dose etoposide (1.5-1.8g/m2, single dose ) is administered to patients with lymphoma. Apheresis is performed according to the standard institutional regulations. The primary point is to evaluate the percentage of successful mobilization, defined as the cumulative collection of ≥2×10^6/kg CD34+ cells in three or fewer apheresis.

Being tested
Etoposide, Cyclophosphamide, Mecapegfilgrastim, day 2, Mecapegfilgrastim, day 5
Keywords
peripheral blood stem cell mobilization, Mecapegfilgrastim, chemotherapy
Medical subject headings
Multiple Myeloma, Lymphoma

What participants receive

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

  • EtoposideDrug

    Etoposide 1.5-1.8g/m2, single dose

  • CyclophosphamideDrug

    Cyclophosphamide 50mg/kg or 2g/m2, for 2 days

  • Mecapegfilgrastim, day 2Drug

    Mecapegfilgrastim 12mg SC, on day 2 after chemotherapy

  • Mecapegfilgrastim, day 5Drug

    Mecapegfilgrastim 12mg SC, on day 5 after chemotherapy

Study groups in NCT05294055
Study groupRoleWhat they receive
lymphoma, chemotherapy plus Mecapegfilgrastim SC on day 2ExperimentalNot described
Receives: Drug: Etoposide; Drug: Mecapegfilgrastim, day 2
lymphoma, chemotherapy plus Mecapegfilgrastim SC on day 5ExperimentalNot described
Receives: Drug: Etoposide; Drug: Mecapegfilgrastim, day 5
myltiple myeloma, chemotherapy plus Mecapegfilgrastim SC on day 2ExperimentalNot described
Receives: Drug: Cyclophosphamide; Drug: Mecapegfilgrastim, day 2
myltiple myeloma, chemotherapy plus Mecapegfilgrastim SC on day 5ExperimentalNot described
Receives: Drug: Cyclophosphamide; Drug: Mecapegfilgrastim, day 5

What is being measured

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

  1. percentage of successful mobilization

    The percentage of subjects with ≥2×106 cell/kg CD34+ cells were collected.

    Measured: up to 28 days since the last subject were given mecapegfilgrastim

Secondary outcomes (4)
  1. the number of the total CD34+ cells

    the number of the total CD34+ cells which were collected from each subject

    Measured: up to 28 days since the last subject were given mecapegfilgrastim

  2. the number of leukaphereses

    the number of leukaphereses needed to collect ≥2×10^6/kg CD34+ cells

    Measured: up to 28 days since the last subject were given mecapegfilgrastim

  3. Incidence of febrile neutropenia (FN)

    incidence of FN during chemotherapy plus mecapegfilgrastim mobilization

    Measured: up to 28 days since the last subject were given mecapegfilgrastim

  4. times to neutrophil and platelet engraftment

    times to neutrophil and platelet engraftment after autologous stem cell transplantation

    Measured: up to 1 year post-transplantation

Timeline

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

  1. First posted24 Mar 2022
  2. Study start26 Apr 2022
  3. Primary completion31 Mar 2026 (estimated)
  4. Study completion30 Sep 2026 (estimated)

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05294055
Sponsor's protocol ID
IIT2021036
Status last verified
May 2025
First submitted
15 Mar 2022
Last updated
13 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Etoposide, Cyclophosphamide and Mecapegfilgrastim, day 2 in people with Multiple Myeloma and Lymphoma, run by Institute of Hematology & Blood Diseases Hospital, China at 7 sites in China.

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 8 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 13 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in China. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Wei Liu (86-022-23909282, liuwei@ihcams.ac.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

percentage of successful mobilization (time frame: up to 28 days since the last subject were given mecapegfilgrastim). 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 13 May 2025.

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