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

Information source: Duke University
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Unrelated Umbilical Cord Blood Transplantation

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

Phase: Phase 1

Status: Recruiting

Sponsored by: Duke University

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

Overall contact:
Mitchell Horwitz, MD, Phone: 919-668-1045, Email: mitchell.horwitz@duke.edu

Summary

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

Clinical Details

Official title: A Phase I Trial To Determine the Safety of Recombinant Human Growth Hormone(RH-GH) For Accelerating Immune Reconstitution In Pediatric and Adult Patients Undergoing Unrelated Cord Blood Transplantation

Study design: Other, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety Study

Primary outcome: To define the safety of recombinant human growth hormone (rh-GH, Genotropin) in a population of patients undergoing unrelated cord blood 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 of recombinant human growth hormone (rh-GH, Genotropin) in a population of patients undergoing unrelated cord blood transplantation. 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: 50 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age ≥12 and ≤ 50 years.

- <90 days following Unrelated Cord Blood 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

Exclusion Criteria:

- Patients with malignancies who are not in remission at the time of transplant

- Patients with malignancies that have progressed after transplant

- 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 concurrently involved in any clinical trial that affects GVHD.

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

Locations and Contacts

Mitchell Horwitz, MD, Phone: 919-668-1045, Email: mitchell.horwitz@duke.edu

Duke University Medical Center, Durham, North Carolina 27705, United States; Recruiting
Paul Szabolcs, MD, Principal Investigator
Mitchell Horwitz, MD, Principal Investigator
Additional Information

Starting date: September 2008
Ending date: September 2012
Last updated: October 19, 2009

Page last updated: October 19, 2009

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