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Recombinant Human Growth Hormone (RH-GH) For Accelerating Immune Reconstitution Post Unrelated Cord Blood Transplant

Information source: Duke University
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Allogeneic Stem Cell Transplantation

Intervention: Genotropin (Recombinant Human Growth Hormone) (Drug)

Phase: Phase 1

Status: Terminated

Sponsored by: Mitchell Horwitz, MD

Official(s) and/or principal investigator(s):
Mitchell Horwitz, MD, Principal Investigator, Affiliation: Duke University

Summary

The primary objective of this study is to define the safety and efficacy of recombinant human growth hormone (rh-GH, Genotropin) in a patients undergoing allogeneic transplantation.

Clinical Details

Official title: Recombinant Human Growth Hormone(RH-GH) For Accelerating Immune Reconstitution In Pediatric and Adult Patients Undergoing Allogeneic Stem Cell Transplantation

Study design: Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label

Primary outcome: To define the safety of recombinant human growth hormone (rh-GH, Genotropin) in a population of patients undergoing allogeneic transplantation

Secondary outcome:

To evaluate the incidence of mortality due to opportunistic infections in the first 6 months.

To evaluate the incidence and severity of infectious complications.

To assess laboratory parameters of post-transplant immune recovery in patients on GH therapy.

To determine the probability and time of neutrophil and platelet recovery on GH therapy.

Detailed description: The primary objective of this study is to define the safety and efficacy of recombinant human growth hormone (rh-GH, Genotropin) in a population of patients undergoing allogeneic stem cell transplant. The secondary objectives of this study are: to evaluate the incidence of mortality due to opportunistic infections in the first 6 months, to evaluate the incidence and severity of infectious complications, to assess laboratory parameters of post-transplant immune recovery in patients on GH therapy and to determine the probability and time of neutrophil and platelet recovery on GH therapy.

Eligibility

Minimum age: 12 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age ≥12

- <90 days following Allogeneic Transplantation.

- ANC>500/ul for 3 consecutive days.

- ≥50% donor cells in all cellular fractions tested.

- No active grade II or higher acute graft versus host disease

- Receiving ≤ 1 mg/kg/day Methylprednisolone or equivalent

- Documentation of morphologic or radiographic remission within 45 days of protocol

enrollment Exclusion Criteria:

- Patients with acute organ dysfunction requiring monitoring in the Intensive Care unit

or receiving invasive interventions that may include, Hemodialysis ,CVVHD, or any form of mechanical ventilation including CPAP/BiPap at the time of starting therapy.

- Pregnant or lactating patients and those without a negative pregnancy test.

- Patients must have a life expectancy of at least 3 months.

- Patients must be HIV negative.

- Patients must not be receiving investigational agents for treatment of GVHD.

- Patients with severe veno-occlusive disease as determined by standard criteria.

- Patients with Type 1 Diabetes at the time of initiation of stem cell transplantation.

Locations and Contacts

Duke University Medical Center, Durham, North Carolina 27705, United States
Additional Information

Starting date: September 2008
Last updated: March 18, 2014

Page last updated: August 23, 2015

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