Evaluation of the Safety and Efficacy of TXA127 (Angiotensin 1-7) to Enhance Engraftment in Pediatric Patients Undergoing Single or Double Umbilical Cord Blood Transplantation

This study has been withdrawn prior to enrollment.
(Lack of enrollment)
Sponsor:
Collaborator:
Tarix Pharmaceuticals
Information provided by (Responsible Party):
US Biotest, Inc.
ClinicalTrials.gov Identifier:
NCT01554254
First received: March 12, 2012
Last updated: December 18, 2013
Last verified: December 2013
  Purpose

Engraftment failure is a major obstacle to the success of cord blood transplantation in children with malignancies and inherited metabolic disorders, despite the fact that they receive relatively high doses of nucleated cells from UCB. TXA127 is pharmaceutically formulated Angiotensin 1-7 [A(1-7)], a non-hypertensive derivative of Angiotensin-II (which contains the 8th amino acid conferring receptor binding to blood pressure receptors). TXA127 has multilineage effects on hematopoietic progenitors in vitro and in vivo. Preclinical data show that TXA127 is a novel stimulator of early multilineage hematopoietic progenitors, increases engraftment of committed hematopoietic progenitors, and induces more rapid production of platelets and neutrophils in the peripheral circulation, especially in limited cell number transplants. Treatment with TXA127 following UCBT is expected to increase the numbers of hematopoietic progenitors and accelerate engraftment.


Condition Intervention Phase
Cord Blood Transplant
Hematologic Malignancy
Inherited Metabolic Disease
Drug: TXA127
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Evaluation of the Safety and Efficacy of TXA127 (Angiotensin 1-7) to Enhance Engraftment in Pediatric Patients Undergoing Single or Double Umbilical Cord Blood Transplantation

Resource links provided by NLM:


Further study details as provided by US Biotest, Inc.:

Primary Outcome Measures:
  • Safety of TXA127 in subjects undergoing cord blood transplantation [ Time Frame: Through Day 100 post transplant ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Effect of TXA127 on incidence, severity and duration of aGVHD [ Time Frame: Through Day 100 post transplant ] [ Designated as safety issue: No ]
  • Effect of TXA127 on incidence, severity and duration of mucositis [ Time Frame: Through Day 100 post transplant ] [ Designated as safety issue: No ]
    WHO oral toxicity score

  • Effect of TXA127 on neutrophil engraftment [ Time Frame: Through Day 100 post transplant ] [ Designated as safety issue: No ]
  • Effect of TXA127 on platelet recovery [ Time Frame: Through Day 100 post transplant ] [ Designated as safety issue: No ]
  • Effect of TXA127 on immune reconstitution [ Time Frame: Through Day 100 post transplant ] [ Designated as safety issue: No ]

Enrollment: 0
Study Start Date: March 2012
Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 300mcg/kg/day for 28 days Drug: TXA127
300mcg/kg/day, subcutaneous injection for up to 28 days

  Eligibility

Ages Eligible for Study:   6 Months to 20 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subject, parent, or legal guardian provided written informed consent.
  • Subjects must be >6 months and <21 years of age.
  • Subjects must have one or two available 4, 5, or 6/6 antigen matching unrelated UCB unit(s) that will deliver a cell dose between 3.0-5.0 x 107cells/kg.

    • These units must be HLA-matched minimally at 4 of 6 HLA-A and B (at intermediate resolution by molecular typing) and DRB1 (at high resolution by molecular typing) loci with the subject.
    • If two CB units will be used, the units must be HLA-matched at 3 of 6 HLA- A, B, and DRB1 loci with each other (using same resolution of molecular typing as indicated above).
    • For a single unit transplant, a minimum of 3 x 107cells/kg will be required.
    • For a double unit transplant, HLA-matched units must be available such that together both units deliver a combined pre-cryopreserved nucleated cell dose of at least 4.0 x 107 cells/kg with 1 unit of at least 2.5 x 107 cells/kg and the other at least 1.5 x 107 cells/kg.
  • Subjects must have histologically confirmed diagnosis of a hematologic malignancy or a laboratory confirmed inherited metabolic disease.
  • Subjects who have had a prior autologous or allogeneic transplant are allowed to participate provided it has been >1 year since the transplant was completed.
  • Subjects must not have active CNS disease at the time of study enrollment.
  • Subjects must have a life expectancy of >4 months.
  • Female subjects capable of reproduction (defined as a subject who has started menses) must agree to the following:

    • Use of an effective oral or IM contraceptive method during the course of the study and 2 months following the last administration of study drug.
    • Female subjects capable of reproduction must have a negative pregnancy test result within 3 days prior to first study drug dose.
  • Subjects must have adequate function of other organ systems as measured by:

    • Creatinine <2.0 mg/dL and creatinine clearance >50 mL/min.
    • Hepatic transaminases (ALT/AST) <4 x ULN, bilirubin <2.0 mg/dL.
    • Adequate cardiac function by echocardiogram or MUGA scan (ejection fraction or shortening fraction >80% of normal value for age).
    • Pulmonary function tests demonstrating FVC and FEV1 of >60% of predicted. DLCO should be used for subjects >10 years old. Crying vital capacity of >60% may be substituted for subjects unable to complete PFTs.

Exclusion Criteria:

  • Subjects with an uncontrolled infection at the time of cytoreduction.
  • Subjects who are pregnant or breast feeding.
  • Subjects who are known to be seropositive for HIV or HTLV-1.
  • Subjects who have had an autologous or allogeneic transplant <1 year from the anticipated administration of the first dose of study drug.
  • Subjects who have received treatment with an investigational agent within 30 days of anticipated administration of the first dose of study drug.
  • Subjects with current alcohol use, illicit drug use or any other condition (e.g., psychiatric disorder) that, in the opinion of the Investigator, may interfere with the subject's ability to comply with the study requirements or visit schedule.
  • Subjects must not have any co-morbid condition which, in the view of the Principal Investigators, renders the subject at too high a risk from treatment complications and regimen-related morbidity/mortality.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01554254

Locations
United States, North Carolina
Pediatric Bone and Cord Blood, Duke Univ. Med. Center
Durham, North Carolina, United States, 27710
Sponsors and Collaborators
US Biotest, Inc.
Tarix Pharmaceuticals
Investigators
Principal Investigator: Kristin Page, MD Duke University
Principal Investigator: Joanne Kurtzberg, MD Duke University
  More Information

No publications provided

Responsible Party: US Biotest, Inc.
ClinicalTrials.gov Identifier: NCT01554254     History of Changes
Other Study ID Numbers: TXA127-2010-002
Study First Received: March 12, 2012
Last Updated: December 18, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by US Biotest, Inc.:
Cord blood transplant
hematological malignancy
inherited metabolic disease
Mucositis
Neutrophil engraftment
Platelet recovery
Immune reconstitution

Additional relevant MeSH terms:
Neoplasms
Metabolic Diseases
Angiotensin I (1-7)
Antihypertensive Agents
Cardiovascular Agents
Therapeutic Uses
Pharmacologic Actions
Vasodilator Agents

ClinicalTrials.gov processed this record on September 15, 2014