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Not yet recruitingNCT07902830Updated Oct 29, 2026

A Study to Investigate the Safety and Tolerability of Granulocyte-colony Stimulating Factor (G-CSF) Dosage Reduction in Mavorixafor-treated Participants With Acquired Primary Autoimmune and Idiopathic Chronic Neutropenia Disorders

A Phase 2 interventional study of Mavorixafor in Acquired Primary Autoimmune and Idiopathic Chronic Neutropenia Disorders, Chronic Neutropenia and Autoimmune Neutropenia, sponsored by X4 Pharmaceuticals. Not yet recruiting. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by X4 Pharmaceuticals · Phase 2, Interventional, and Treatment

Updated Oct 29, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and tolerability of G-CSF dosage reduction with mavorixafor in participants with autoimmune neutropenia (AIN) and chronic idiopathic neutropenia (CIN) disorders as assessed by the ability to safely reduce G-CSF dosage with mavorixafor treatment while maintaining clinically acceptable absolute neutrophil count (ANC) levels.

Read the detailed description

All participants will be receiving chronic G-CSF background therapy and will continue this pre-study background therapy, defined as the participant's current treatment regimen.

02

Conditions studied

  • Acquired Primary Autoimmune and Idiopathic Chronic Neutropenia Disorders
  • Chronic Neutropenia
  • Autoimmune Neutropenia
  • Chronic Idiopathic Neutropenia

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Keywords

  • G-CSF
  • Chronic neutropenia
  • Mavorixafor
  • X4P-001
  • Autoimmune neutropenia
  • Chronic idiopathic neutropenia
03

In context

Neutropenia

316 studies on the registry are indexed under Neutropenia; 42 are open to participants now.

This study's planned enrollment of 40 is below the median of 82 across 230 interventional studies indexed under Neutropenia.

Browse Neutropenia studies →

Lead sponsor

X4 Pharmaceuticals is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

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

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Diagnosis of acquired primary chronic neutropenia (CN) disorder ≥6 months prior to the screening visit (Week -2 up to Week 1) that is not attributable to medications, active or recent infections, or .
  • On G-CSF for ≥6 months; stable dose prior to start of mavorixafor dosing.
  • Most recent bone marrow examination, within 3 years, shows no evidence of malignancy/high risk of malignant transformation.

Key Exclusion Criteria:

  • Participant is incapacitated and unable to comply with protocol-specific requirements.
  • A diagnosis of any of the following:

    1. Aplastic anemia
    2. Warts, Hypogammaglobulinemia, Infections, and Myelokathexis (WHIM) syndrome
    3. CN other than CIN or AIN
  • A medical or personal condition that may potentially compromise the safety of the participant, may preclude the participant's successful completion of the clinical study, or could, in the opinion of the Investigator or the Medical Monitor, interfere with the objectives of the study.
  • Participant is currently taking or has taken an drug \<30 days prior to the screening visit, or 5 half-lives, whichever is longer.
  • Participant is pregnant or breastfeeding.

Note: Other protocol-defined inclusion and exclusion criteria may apply.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Mavorixafor

    Participants will receive mavorixafor once daily orally for 52 weeks (starting from Week 4 through 56).

    Drug: Mavorixafor

Interventions

  • Mavorixafor will be administered per schedule specified in the arm description.

    Also known as: X4P-001

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame: Up to Week 56

  2. Percent Change in Average Daily G-CSF Dosage

    Time frame: Week 12 through Week 28 or 32

  3. Percentage of Participants Achieving G-CSF Cessation

    Time frame: Week 28 or 32

  4. Percentage of Participants Achieving G-CSF Dosage Reduction ≥75%

    Time frame: Week 28 or 32

Secondary outcomes

  1. Percentage of Participants Achieving G-CSF Dosage Reduction by ≥ 25%/≥ 50%

    Time frame: Week 12 through Week 28 or 32

  2. Time to G-CSF Cessation

    Time frame: Week 4 through Week 28 or 32

  3. Time to G-CSF Dosage Reduction of ≥25% or ≥50% or ≥75

    Time frame: Week 4 through Week 28 or 32

  4. Change From Week 12 in Average Daily G-CSF Dosage at Week 28 or 32

    Time frame: Week 12, Week 28 or 32

  5. Change From Week 12 in Average Daily G-CSF Frequency at Week 28 or 32

    Time frame: Week 12, Week 28 or 32

  6. Change From Week 4 in Bone Pain up to Week 56, Assessed Using Patient-Reported Outcomes Measurement Information System Short Form (PROMIS SF) Pain Intensity Scale Score (Participants Aged 12 to <18 Years)

    Time frame: Week 4, up to Week 56

  7. Change From Week 4 in Bone Pain up to Week 56, Assessed Using Functional Assessment of Chronic Illness Therapy (FACIT) Bone Pain Scale Score (Participants Aged ≥18 Years)

    Time frame: Week 4, up to Week 56

  8. Change From Week 4 in Fatigue up to Week 56, Assessed Using PROMIS SF Fatigue Scale Score (Participants Aged 12 to <18 Years)

    Time frame: Week 4, up to Week 56

  9. Change From Week 4 in Fatigue up to Week 56, Assessed Using FACIT-Fatigue Scale Score (Participants Aged ≥18 years)

    Time frame: Week 4, up to Week 56

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07902830
Lead sponsor
X4 Pharmaceuticals
Responsible party
Sponsor
First posted
Oct 29, 2026
Start date
Dec 2026 (estimated)
Primary completion
Jan 30, 2029 (estimated)
Completion
Jan 30, 2029 (estimated)
Last update
Oct 29, 2026

Study contacts

Patient Affairs and Advocacy
Contact
clinicaltrialinfo@x4pharma.com
857-529-5779
Senior Vice President, Clinical Development
study director · X4 Pharmaceuticals

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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