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TerminatedNCT00501228Updated Aug 7, 2012Results posted

Tissue Repair in Stem Cell Transplant Recipients

An interventional study of Filgrastim in Graft-Versus-Host Disease, sponsored by M.D. Anderson Cancer Center. Terminated at 1 site in United States. Per ClinicalTrials.gov, last updated 2012-08-07.

Sponsored by M.D. Anderson Cancer Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
2
Allocation
Non-randomized
Sex
All
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Study summary

Primary Objective:

  1. To determine whether rhG-CSF treatment will increase the frequency of donor-derived cells contributing to repair of damaged epithelial/endothelial or solid organ-specific tissue caused by graft-versus-host disease (GVHD) in patients who underwent sex-mismatched stem cell transplantation.

Secondary Objective:

  1. To determine whether rhG-CSF treatment can alleviate GVHD-induced damage to epithelial/endothelial or solid organ-specific tissue.
Read the detailed description

It has been found that cells circulating in the blood are capable of forming cells lining the oral cavity, skin cells, and/or cells of various organs. RhG-CSF is used to support cell recovery after stem cell transplantation and is commercially available.

Before treatment starts, participants will have at least one (and up to three) biopsy(ies) of damaged tissue performed to find out about the severity of tissue damage. A biopsy is taken with a large needle. Women able to have children must have a negative blood pregnancy test.

Participants in this study will receive rhG-CSF as an injection under the skin once a day over one week. This will be repeated every other week for a total of 4 weeks. Blood tests (about 2 teaspoons each) will be performed 3 times while at M. D. Anderson or once a week while outpatient to make sure that the white blood count stays in a safe range. Participants will have at least one (and up to three) biopsy(ies) again performed about 8 weeks after the start of rhG-CSF treatment. An additional biopsy at 3 months after the start rhG-CSF treatment will only be performed in case your regular treatment follow up requires it, and not for research purposes only.

Participants will be taken off study if severe side effects occur. The study will end after the last biopsy or biopsies are taken, about 3 months after the start of rhG-CSF treatment.

This is an investigational study. RhG-CSF is FDA approved and commercially available, though its use in this study is investigational. A maximum of 5 patients will be treated on this protocol. All will be enrolled at M. D. Anderson.

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Conditions studied

  • Graft-Versus-Host Disease

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Keywords

  • Graft-Versus-Host Disease
  • Stem Cell Transplantation
  • Tissue Repair
  • Organ-Specific Tissue Damage
  • Filgrastim
  • RhG-CSF
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In context

Graft vs Host Disease

806 studies on the registry are indexed under Graft vs Host Disease; 138 are open to participants now.

This study's enrollment of 2 is below the median of 35 across 637 interventional studies indexed under Graft vs Host Disease.

Browse Graft vs Host Disease studies →

Lead sponsor

M.D. Anderson Cancer Center is the lead sponsor of 2,999 studies on the registry; 581 are open to participants now.

Of its 599 completed or terminated interventional studies of FDA-regulated products, 402 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients who underwent allogeneic bone marrow or peripheral blood stem cell transplantation.
  2. Patients should have engrafted with WBC concentration >3000/ul. Patients should have acute GVHD overall > grade 2 or chronic GVHD.
  3. Patients with acute GVHD or chronic GVHD including patients refractory to steroid treatment.
  4. Donors and patients must be of different gender.
  5. Patients must sign an informed consent indicating that they are aware of the investigational nature of this study in keeping with the policies of the hospital.
  6. The only acceptable consent form is the one attached at the end of this protocol.
  7. Patients agree to biopsy tissue areas unaffected by GVHD for only research purposes.

Exclusion criteria

Exclusion Criteria:

  1. Patients who are allergic to rhG-CSF.
  2. Patients who had any prior allogeneic stem cell transplantation using a sex mismatched donor other than the donor used for the previous stem cell allotransplantation.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Filgrastim Injections

    Drug: Filgrastim

Interventions

  • DrugFilgrastim

    5 mg/kg ID Once Daily x 1 Week

    Also known as: RhG-CSF

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What researchers measure

Primary outcomes

  1. Number of Donor Derived Cells After G-CSF Therapy

    In each patient, the number of donor derived (dd) cells in solid organ tissue specimens measured by biopsy of relevant tissue at initiation of rhG-CSF treatment (baseline) and at eight weeks post allogeneic transplant.

    Time frame: Baseline + 8 Weeks post transplant

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Results

Posted Nov 20, 2009
Limitations and caveats
Study was closed because of the very limited number of patients enrolled. Patients eligible for enrollment were not willing to undergo 4 weekly cycles of G-CSF treatment because of the well known side effect of bone pain.

Participant flow

Recruitment Period: 06/15/2005 through 05/03/2006. All participants enrolled at U.T. M.D. Anderson Cancer Center.

Participant flow — Overall Study
MilestoneFilgrastim Injections
Started2
Completed1
Not completed1
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryNumber of Donor Derived Cells After G-CSF Therapy

In each patient, the number of donor derived (dd) cells in solid organ tissue specimens measured by biopsy of relevant tissue at initiation of rhG-CSF treatment (baseline) and at eight weeks post allogeneic transplant.

Time frame:
Baseline + 8 Weeks post transplant

No measurements were reported for this outcome.

Adverse events

Collected over 3 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Filgrastim Injections—0/2 (0%)0/2 (0%)

Baseline characteristics

Age Continuous
Age Continuous(years)Filgrastim Injections
Median48 (40 to 56)
Sex: Female, Male
Sex: Female, Male(Participants)Filgrastim Injections
Female2
Male0
Region of Enrollment
Region of Enrollment(participants)Filgrastim Injections
United States2
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Study locations

1 site
  • U.T.M.D. Anderson Cancer Center
    Houston, Texas 77030, United States
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References and documents

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00501228
Lead sponsor
M.D. Anderson Cancer Center
Collaborators
Amgen
Responsible party
Sponsor
First posted
Jul 16, 2007
Start date
Feb 2003
Primary completion
Sep 2008
Completion
Sep 2008
Results posted
Nov 20, 2009
Last update
Aug 7, 2012

Study contacts

Martin J. Korbling, MD
principal investigator · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2012. You cannot join it, but the record below documents what was studied.

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