The purpose of the study is to explore the safety and efficacy of CLT-008 as an extra supportive care measure after induction chemotherapy for patients with acute myeloid leukemia (AML).
The prolonged period of severe neutropenia caused by induction chemotherapy for the treatment of AML is associated with a nearly universal risk of febrile neutropenia. Standard supportive care strategies include administration of prophylactic anti-bacterial and anti-fungal agents, but serious breakthrough bacterial and fungal infections still occur. Granulocyte colony-stimulating factor (G-CSF; filgrastim, Neupogen®) has been shown to shorten the duration of severe neutropenia, fever, antibiotic use and hospitalization following induction chemotherapy for AML. CLT-008, a human allogeneic myeloid progenitor cell product, is intended to provide the cellular target for G-CSF to produce neutrophils during the period of chemotherapy-induced bone marrow suppression when the patient's own progenitor cells may be limited in responding to G-CSF. It is hypothesized that the production of allogeneic neutrophils from CLT-008 will be sufficient to mitigate the infection-related consequences of induction chemotherapy for AML.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
163
University of California San Diego Moores Cancer Center
La Jolla, California, United States
Duration of febrile episodes (fever)
Time frame: 42 days
Time to absolute neutrophil count (ANC) recovery
Time frame: 42 days
Incidence and duration of febrile neutropenia
Time frame: 42 days
Incidence and duration of infection
Time frame: 42 days
Incidence and severity of mucositis
Time frame: 42 days
Incidence of infusion reactions
Time frame: 42 days
Incidence of Graft-versus-Host Disease (GVHD)
Time frame: 42 days
Incidence of Adverse Events (AE)
Time frame: 42 days
Incidence of Serious Adverse Events (SAE)
Time frame: 42 days
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