The purpose of this study is to investigate mobilization and collection of HSPCs in patients with bone marrow failure syndromes (BMFS) using granulocyte-colony stimulating factor (otherwise known as Filgrastim) with plerixafor to demonstrate safety and feasibility of collecting HSPCs to advance gene therapy. Primary objective: \- To characterize the safety of Filgrastim plus plerixafor in participants with bone marrow failure syndromes as determined by the incidence of adverse events (AEs). Secondary Objectives: * To characterize the feasibility of HSPC mobilization using Filgrastim plus plerixafor as determined by peripheral blood CD34+ counts. * To measure the mobilization effects of Filgrastim plus plerixafor in the peripheral blood in participants as determined by peak peripheral blood CD34+ counts. * To estimate efficacy of Filgrastim plus plerixafor for HSPC mobilization and apheresis collection in participants as determined by the yield of CD34+ cells (CD34+ cells/kg).
This is a phase I, open-label, single-center study to evaluate the safety of Filgrastim plus plerixafor stem cell mobilization and apheresis in patients with BMFS. This study will include a screening period with labs, physical examination, and bone marrow evaluation at least 6 months prior to mobilization and apheresis, an intervention period that includes mobilization and apheresis of patient HSPCs, and outpatient follow-up within 7-10 days after intervention. Study staff will follow up with the participant via telephone approximately 30 days after mobilization and apheresis. A bone marrow evaluation will be done within 6 months post-intervention.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
12
Administered twice daily dose starting on day 1 for 5 days.
Administered on day 5 via IV.
Peripheral venous access or through a central venous catheter approximately 4-5 hours after the dose of plerixafor is given.
Saint Jude Children's Research Hospital
Memphis, Tennessee, United States
Incidence of treatment-emergent adverse events following filgrastim plus plerixafor administration
Safety will be assessed by the incidence, type, and severity of adverse events occurring after administration of filgrastim plus plerixafor in participants with bone marrow failure syndromes.
Time frame: From initiation of drug administration through Day +7 to +10 follow-up
Number of participants achieving peripheral blood CD34+ counts ≥5 cells/µL
Feasibility of hematopoietic stem and progenitor cell mobilization will be assessed by peripheral blood CD34+ cell counts measured after plerixafor administration and prior to or during apheresis.
Time frame: From initiation of plerixafor administration through completion of apheresis, or 6 hours after drug administration if apheresis is not performed
Peripheral blood CD34+ kinetics following filgrastim plus plerixafor administration
Peripheral blood CD34+ cell counts will be measured after plerixafor administration and prior to or during apheresis.
Time frame: After plerixafor administration through completion of apheresis, or 6 hours after drug administration if apheresis is not performed
Observed CD34+ cell yield after 1 blood volume apheresis
CD34+ cell yield (CD34+ cells/kg) collected after processing 1 blood volume during apheresis following filgrastim plus plerixafor administration.
Time frame: At completion of 1 blood volume apheresis on Day 5
Estimated total CD34+ cell yield from projected full-volume apheresis
Estimated total CD34+ cell yield (CD34+ cells/kg) projected from the observed yield after processing 1 blood volume during apheresis.
Time frame: At completion of 1 blood volume apheresis on Day 5
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