ClinicalTrials.gg
CompletedNCT05573386M-PRPUpdated Aug 28, 2025Results posted

Comparison of Quality and Quantity of M-PRP Cellular Content Filgrastim vs. Pegfilgrastim

An observational study in Healthy, sponsored by Andrews Research & Education Foundation. Completed at 1 site in United States. Open to male participants aged 19 Years to 39 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-28.

Sponsored by Andrews Research & Education Foundation · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
15
Ages
19 Years to 39 Years
Sex
Male
01

Study summary

The goal of this prospective, observational study is to compare the quality and quantity of the cellular content of platelet-rich plasma harvested after administering one of two cell-stimulating proteins, filgrastim and pegfilgrastim. The main question it aims to answer is:

  • Will participants have a similar cellular content when comparing a 4-day filgrastim treatment to a one-day pegfilgrastim treatment?

Participants will have the following intervention administered:

  • 130mL of blood will be drawn on the first visit after consent and in followup visits after administering treatment (4 days for filgrastim, 7 days for pegfilgrastim)
  • Half of all participants will receive filgrastim first, followed by pegfilgrastim 8 weeks after filgrastim treatment concludes. The other half will receive the treatments in reverse order

Researchers will compare the quality and quantity of cell content after each treatment administration as well as comparing differences in data dependent on which order treatment was given.

Read the detailed description

The proposed study is a prospective, randomized controlled, single-center laboratory study involving 10 healthy volunteers. Once the potential participant has cleared the screening, consented to the study procedures, completed the medical interview, and laboratory blood testing, the subject will undergo two serial mobilization events. The scheduling of the mobilization events will be varied across the 10 participants to counter sequencing effects of the mobilization events. 5 healthy donors will be administered standard filgrastim mobilization regimen of 10 mcg/kg per day for 4 days. This will be followed by a standard pegfilgrastim mobilization regimen consisting of one 6 mg injection separated by 8 weeks for 5 of the participants. The other 5 healthy donors will receive the reverse order of the pharmaceutical agent, first pegfilgrastim followed by filgrastim.

On the first day of the study, a first blood draw of 130 mL will be performed which will be used to create standard PRP for laboratory testing and subjects will begin a filgrastim or pegfilgrastim dosage series. After the specified time (4 days for filgrastim and 7 days for pegfilgrastim), a second 130 mL of blood will be harvested and processed with the Arthrex Angel system to create M-PRP for laboratory testing. The standard PRP and M-PRP cellular content will be studied and quantified in vitro with cell counting, cell culturing and protein analysis. 8 weeks after the second blood harvest, the subjects will return for a third 130 mL of blood draw, followed by administration of a second mobilizing agent (pegfilgrastim or filgrastim). After the specified time (4 days for filgrastim and 7 days for pegfilgrastim), the patients will return for a fourth blood draw of 130mL. The sample will be processed with the Arthrex Angel system to create M-PRP for laboratory testing. The cellular content of the M-PRP product will be studied and quantified in vitro with cell counting, cell culturing and protein analysis. Thereafter, the cellular content of M-PRP product will be compared between filgrastim and pegfilgrastim mobilization agents.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

Andrews Research & Education Foundation is the lead sponsor of 20 studies on the registry; 2 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 4 (67%) have results posted.

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

04

Who can participate

Ages eligible
19 Years to 39 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Healthy, male, college to adult aged males weighing between 50 and 100kg are the focus demographic of this study

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy 19-39 of age and weight 50-100kg
  • Subject consents to coming 5 serial days for filgrastim treatment and additional blood draw, 8 weeks later two additional visits for pegfilgrastim treatment and blood draw 7 days later. This order of administration will be provided to half of the participants, where as the other half will receive the same treatments in reverse order.

Exclusion criteria

Exclusion Criteria:

  • Female
  • Weight \< 50kg or > 100kg
  • Previous allergic reaction to filgrastim, PEG, lidocaine, latex, acrylic, or any other injectable numbing agent
  • History of Diabetes
  • Abdominal tenderness to palpation
  • Unclear lung fields on physical exam
  • Splenomegaly
  • Significant cardiovascular, renal, hepatic, or pulmonary disease
  • White blood cell count (WBC) over 20,000/microliter (mcL) upon initial complete blood count (CBC) screening
  • Blood disorders, disorders, disorders requiring , cancer, an ongoing infectious disease, sickle cell, or other blood disorders.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
15 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Filgrastim to Pegfilgrastim

    Participants in this group will receive filgrastim treatment, followed by pegfilgrastim treatment at the 8-week mark.

    Drug: Filgrastim · Drug: Pegfilgrastim

  • Pegfilgrastim to filgrastim

    Participants in this group will receive pegfilgrastim treatment, followed by filgrastim treatment at the 8-week mark

    Drug: Filgrastim · Drug: Pegfilgrastim

Interventions

  • human granulocyte colony-stimulating factor (G-CSF) protein obtained from the bacterial fermentation of a strain of E. coli. transformed with a genetically engineered plasmid containing the human G-CSF gene; administered via syringe

    Also known as: Granix (tbo-filgrastim)

  • long-acting covalent conjugate of recombinant methionyl human filgrastim and monomethoxypolyethylene glycol (PEG); administered via syringe

    Also known as: Fulphila (pegfilgrastim-imdb)

06

What researchers measure

Primary outcomes

  1. Arthrex Angel System for PRP Concentration

    Machine utilizing centrifugation and optics to precisely separate cell types using buffy coat method. . All cells have a density range and non-uniformly after centrifugation. Arthrex Angel system has the unique ability to isolate specific cells using inherent properties of cells that absorb differing wavelengths of light. The settings on the system can be controlled to adjust the proportion of cells versus plasma. Increasing the setting from 7% to 15%, the Angel system isolates more cells from a deeper portion of the buffy coat, which results in capturing more HPCs per volume.

    Time frame: at time of enrollment

  2. Arthrex Angel System for PRP Concentration

    Machine utilizing centrifugation and optics to precisely separate cell types using buffy coat method. . All cells have a density range and non-uniformly after centrifugation. Arthrex Angel system has the unique ability to isolate specific cells using inherent properties of cells that absorb differing wavelengths of light. The settings on the system can be controlled to adjust the proportion of cells versus plasma. Increasing the setting from 7% to 15%, the Angel system isolates more cells from a deeper portion of the buffy coat, which results in capturing more HPCs per volume.

    Time frame: 8 weeks from enrollment, upon switch in treatment from filgrastim/pegfilgrastim

07

Results

Posted Aug 28, 2025

Participant flow

Participant flow — Overall Study
MilestoneFilgrastim Then PegfilgrastimPegfilgrastim Then Filgrastim
Started87
Completed55
Not completed32
Withdrew: Withdrawal by subject32

Outcome measures

PrimaryArthrex Angel System for PRP Concentration

Machine utilizing centrifugation and optics to precisely separate cell types using buffy coat method. . All cells have a density range and non-uniformly after centrifugation. Arthrex Angel system has the unique ability to isolate specific cells using inherent properties of cells that absorb differing wavelengths of light. The settings on the system can be controlled to adjust the proportion of cells versus plasma. Increasing the setting from 7% to 15%, the Angel system isolates more cells from a deeper portion of the buffy coat, which results in capturing more HPCs per volume.

Time frame:
at time of enrollment
Reported as:
Mean · CD45+ cells/uL
Arthrex Angel System for PRP Concentration
CD45+ cells/uLFilgrastim to PegfilgrastimPegfilgrastim to Filgrastim
Arthrex Angel System for PRP Concentration61.73 ± 9.3560.86 ± 12.34
PrimaryArthrex Angel System for PRP Concentration

Machine utilizing centrifugation and optics to precisely separate cell types using buffy coat method. . All cells have a density range and non-uniformly after centrifugation. Arthrex Angel system has the unique ability to isolate specific cells using inherent properties of cells that absorb differing wavelengths of light. The settings on the system can be controlled to adjust the proportion of cells versus plasma. Increasing the setting from 7% to 15%, the Angel system isolates more cells from a deeper portion of the buffy coat, which results in capturing more HPCs per volume.

Time frame:
8 weeks from enrollment, upon switch in treatment from filgrastim/pegfilgrastim
Reported as:
Mean · Total Nucleated Cell (TNC) Count
Arthrex Angel System for PRP Concentration
Total Nucleated Cell (TNC) CountFilgrastim to PegfilgrastimPegfilgrastim to Filgrastim
Arthrex Angel System for PRP Concentration6,939.20 ± 6,252.248,923.20 ± 3,258.09

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Filgrastim to Pegfilgrastim0/5 (0%)0/5 (0%)0/5 (0%)
Pegfilgrastim to Filgrastim0/5 (0%)0/5 (0%)0/5 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Filgrastim to PegfilgrastimPegfilgrastim to FilgrastimTotal
Mean28.3 ± 6.4828.3 ± 6.4828.3 ± 6.48
Sex: Female, Male
Sex: Female, Male(Participants)Filgrastim to PegfilgrastimPegfilgrastim to FilgrastimTotal
Female000
Male5510
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Filgrastim to PegfilgrastimPegfilgrastim to FilgrastimTotal
Count of participants——0
Height
Height(cm)Filgrastim to PegfilgrastimPegfilgrastim to FilgrastimTotal
Mean181.42 ± 8.24181.42 ± 8.24181.42 ± 8.24
BMI
BMI(kg)Filgrastim to PegfilgrastimPegfilgrastim to FilgrastimTotal
Mean25.29 ± 3.825.29 ± 3.825.29 ± 3.8
Weight
Weight(kg)Filgrastim to PegfilgrastimPegfilgrastim to FilgrastimTotal
Mean83.1 ± 12.2483.1 ± 12.2483.1 ± 12.24
08

Study locations

1 site
  • Andrews Research and Education Foundation
    Gulf Breeze, Florida 32561, United States
09

References and documents

Publications

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  • Siegel G, Kluba T, Hermanutz-Klein U, Bieback K, Northoff H, Schafer R. Phenotype, donor age and gender affect function of human bone marrow-derived mesenchymal stromal cells. BMC Med. 2013 Jun 11;11:146. doi: 10.1186/1741-7015-11-146. PubMed 23758701 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2025, 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
NCT05573386
Lead sponsor
Andrews Research & Education Foundation
Collaborators
Florida
Responsible party
Sponsor
First posted
Oct 10, 2022
Start date
Aug 9, 2021
Primary completion
Aug 5, 2023
Completion
Oct 5, 2023
Results posted
Aug 28, 2025
Last update
Aug 28, 2025

Study contacts

Adam Anz, MD
principal investigator · Orthopedic Surgeon

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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