Acute Myeloid Leukemia, Myelodysplastic Syndrome
Conditions
Keywords
Acute myeloid leukemia, Myelodysplastic syndrome, Stem Cell Mobilization, Allogeneic Stem Cell Transplantation
Brief summary
The aim of this study is to evaluate the efficacy of TevaGastrim which is a biosimilar version of Filgrastim recombinant human G-CSF (G-CSF) in mobilizing sufficient number of stem cells from normal sibling donors for allogeneic stem cell transplantation.
Interventions
TevaGastrim 10 mg/kg SC will be administered in the evening for 4 days prior to apheresis.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age between 18 and 70 years. 2. Normal sibling donor that is HLA matched to a patient with AML or MDS that needs and is eligible for allogeneic stem cell transplantation 3. Written informed consent.
Exclusion criteria
1. Inability to tolerate PBPC harvest. 2. Peripheral venous access not possible. 3. Positive pregnancy test for female donors. 4. Positive serology for hepatitis C and/or HBSAg, unless negative for antigen PCR. 5. Psychiatric, addictive, or any disorder which compromises ability to give truly informed consent for participation in this study. 6. Treatment with other investigational drugs. 7. Known sensitivity to CHO derived products. 8. HIV positive. 9. History of malignant disease or current malignancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mobilisation success rate | 4 weeks | Mobilisation success rate is defined as the mobilisation of a PBSC graft containing \>2x106 CD34+ cells/kg in ≤ 4 apheresis sessions. We will evaluate the time from chemotherapy to stem cell collection,number of collections required to reach \>2x106 CD34+ cells/kg, number of CD34+ cells collected and percentage of patients reaching \>5x10 CD34+ cells/kg in ≤ 4 apheresis sessions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| engraftment after transplantation | 100 days | speed of engraftment is determined by the time until recovery of blood counts after transplantation |
| Donor safety | 100 days | To determine side effects to the stem cell donor |
Countries
Israel