Clinical trial
Prospective, Single-arm, Multicenter Exploratory Clinical Study of the Combination of Etoposide, Cytarabine and PEG-rhG-CSF (EAP Regimen) on Hematopoietic Stem Cell Mobilization in Poor Mobilization Patients With Hematological Malignancies
Name
2022-YAN-019
Description
This is a single-arm, multicenter, exploratory clinical study to evaluate the safety and efficacy of the combination of etoposide, cytarabine and PEG-rhG-CSF (EAP regimen) on hematopoietic stem cell mobilization in poor mobilization patients with hematological malignancies. All eligible patients will receive EAP regimen treatment, then the number of CD34+ cells and white blood cells will be monitoring. When the collection standard is met, hematopoietic stem cell collection will be started.
Trial arms
Trial start
2022-09-01
Estimated PCD
2024-05-31
Trial end
2024-12-31
Status
Recruiting
Treatment
Etoposide
D1\~D2: 75mg/m\^2
Arms:
EAP regimen
Other names:
VP-16
Cytarabine
D1\~D2: 300mg/m\^2, q12h
Arms:
EAP regimen
Other names:
Ara-C
PEG-rhG-CSF
D6: 6mg
Arms:
EAP regimen
Size
62
Primary endpoint
% of patients achieving the collection of ≥2×10^6 CD34+ cells/kg.
4 weeks
Eligibility criteria
Inclusion Criteria:
1. According to the diagnostic criteria of the Italian transplantation working group, patients with multiple myeloma or lymphoma diagnosed as "confirmed poor mobilization" or "predicted poor mobilization".
2. Patients with auto-HSCT indication.
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0\~2.
4. Patients should be within age range of ≥18 and ≤75 years old.
5. Life expectancy ≥ 3 months.
6. Patients must be able to sign informed consent.
Exclusion Criteria:
1. Patients with severe cardiac, hepatic or renal insufficiency, such as:
* Cardiac function class II or higher or severe arrhythmia;
* Serum direct bilirubin (DBIL)\>2× upper limit of normal (ULN);
* Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 2× ULN;
* Serum creatinine clearance rate≤50%.
2. Patients with active infection.
3. History of allergy to Etoposide (VP-16), Cytarabine (Ara-C), or PEG-rhG-CSF.
4. Women who are pregnant or breastfeeding.
5. Have received live vaccine and attenuated live vaccine within 4 weeks before enrollment.
6. For any other reasons, the patients are believed not suitable for participation in this study by investigators
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 62, 'type': 'ESTIMATED'}}
Updated at
2023-10-10
1 organization
2 products
1 drug
1 indication
Product
EtoposideIndication
Hematological MalignancyProduct
CytarabineDrug
PEG-rhG-CSF