UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009758
Receipt number R000011433
Scientific Title Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study
Date of disclosure of the study information 2013/01/15
Last modified on 2019/01/16 15:51:57

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Basic information

Public title

Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study

Acronym

Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study

Scientific Title

Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study

Scientific Title:Acronym

Development of treosulfan-based conditioning regimen for congenital metabolic diseases; Phase I study

Region

Japan


Condition

Condition

Mucopolysaccharidosis type I (Herler syndrome), type II (Hunter syndrome)

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine the recommended dose of treosulfan when combined with low-dose irradiation, fludarabine, thymoglobulin for preparative regimen in patients with mucopolysaccharidosis

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase I


Assessment

Primary outcomes

The incidence of severe RRT (Grade III/IV) on day 28 after HSCT with Treosulfan as a conditioning regimen.

Key secondary outcomes

Regimen-related toxicity, engraftment rate, survival rate at 28 days posttransplant, survival rate at 100 days posttransplant, chimeric study, GVHD, hepatic SOS, event-free survival and overall survival at 1 year posttransplant.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Treosulfan 14 g/m2, intravenous,
day -6 -5 -4

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Mucopolysaccharidosis type I (Herler syndrome), type II (Hunter syndrome)
2. Body weight; equal or more than 10 kg
3. ECOG performance status; 0 or 1
4. The transplant should be the first one for the patient. Retransplantation is acceptable under the following conditions; after over 6 months from previous transplantation, and has no effect of previous preconditioning regimen
5. One of the following stem cell donor is available
1) 6/6 or 5/6 (either class I or class II) HLA-A/B/DR serologically matched related bone marrow
2) 6/6 HLA-A/B/DR allelic matched or HLA-DR/DRB1 serologically/allelic mismatched unrelated bone marrow
3) Cord blood units with 6/6, 5/6, or 4/6 HLA serologically match and nucleated cell dose equal or more than 3.5 x 10e7/kg, and CD34+ cell dose equal or more than 1.0 x 10e5/kg
6. Major organ dysfunction (laboratory data)
1) Ejection fraction at rest (UCG); equal or more than 50%
2) Arterial oxygen saturation without oxygen supplementation; equal or greater than 93%
3) Serum creatinine < 1.3 mg/dl
4) Total bilirubin <1.6 mg/dl or AST(GOT) < 2 x normal of each institution
7. Patients without following active infections
1) Pathogen-proven bacterial infection requiring antimicrobial treatment
2) Imaging study (XP, CT, US, MRI) manifested infectious foci requiring antimicrobial treatment
3) Abscess formation or necrotizing infection
4) Viral infection necessitating systemic antiviral agents
5) Culture-positive or PCR-positive tuberculosis/non-tuberculous mycobacterial infection
6) Pneumocystis pneumonia
7) Meningitis, Encephalitis, Encephalopathy
8) Protozoan infection
9) Intraocular fungal infection
8. No previous history of hypersensitivity to the following drugs that are used for conditioning or prophylaxis of GVHD
Treosulfan (L-threitol-1,4-bis-methanesulfonate; dihydroxybusulfan)
Fludarabine
Antithymocyte globulin
Cyclosporine
Methotrexate
Tacrolimus

Key exclusion criteria

1. Down syndrome
2. HIV-positivity

Target sample size

12


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shunichi Kato

Organization

Tokai University School of Medicine

Division name

Department of Cell Transplantation and Regenerative Medicine

Zip code


Address

143, Shimokasuya, Isehara, Kanagawa, 259-1193, Japan

TEL

0463-93-1121

Email

skato@is.icc.u-tokai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiromasa Yabe

Organization

Tokai University School of Medicine

Division name

Department of Cell Transplantation and Regenerative Medicine

Zip code


Address

143, Shimokasuya, Isehara, Kanagawa, 259-1193, Japan

TEL

0463-93-1121

Homepage URL


Email

yabeh@is.icc.u-tokai.ac.jp


Sponsor or person

Institute

Tokai University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Government of Japan

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

1. School of Human Health Science Faculty of Medicine Kyoto University
2. Department of Pediatrics, Japanese Red cross Nagoya Daiichi Hospital
3. Department of Pediatrics, Nihon University

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東海大学病院(神奈川県)
京都大学病院(京都府)
名古屋第一赤十字病院(愛知県)
日本大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2013 Year 01 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2013 Year 06 Month 24 Day

Date of IRB


Anticipated trial start date

2013 Year 06 Month 24 Day

Last follow-up date

2014 Year 12 Month 23 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 01 Month 11 Day

Last modified on

2019 Year 01 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011433


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name