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Trial registered on ANZCTR
Registration number
ACTRN12609000590268
Ethics application status
Approved
Date submitted
13/07/2009
Date registered
16/07/2009
Date last updated
16/07/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
A pilot study of the role of CD133+ as a cell marker for human haematopoietic stem cells
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Scientific title
A pilot study of the role of CD133+ as a cell marker for human haematopoietic stem cells for patients undergoing autologous stem cell tranplantation
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Universal Trial Number (UTN)
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Trial acronym
CD 133
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stem cell transplantation
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Condition category
Condition code
Blood
237278
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0
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Haematological diseases
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Cancer
239552
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0
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Myeloma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Therapeutic transplantation of haematopoietic stem cells (HSCs) is an increasing area of interest in
medicine. In autologous stem cell transplantation, there is the ability to harvest stem cells soon after
chemotherapeutic treatment, and then cryo-preserve and store such cells for stem cell transplantation at a later date.
CD34 is the typical cell marker used to identify HSCs for transplantation. There exist certain limitations to CD34+ HSCs which include its expression on cells not capable engraftment, and also on acute leukaemic cells. CD133 is an alternative cell surface marker on HSCs which could prove useful in identifying cells for
transplantation. Preliminary research suggests that CD133 is a more primitive marker, which is expressed
by early progenitor cell line, and it has the additional advantage of not being expressed on acute leukaemic
cells.
The Launceston General Hospital is the site for stem cell harvest for the North and North-West of Tasmania.
Annually, approximately 20-30 patients undergo stem cell harvest typically one time over few days (majority of patients can successfully harvest over 1-2 days), which usually lasts few hours on each harvest day depending on the amount of cell harvested with the aim of later transplantation. This project is a pilot study to evaluate the value of CD133 in addition to the usual marker CD34+ as a cell marker for HSCs while using the current protocol for stem cell harvest. There is currently little data on the validity of
CD133 as a HSC marker, and this project, as a part of Master degree at the School of Human Life Sciences at the University of Tasmania, aims to add to the current data and potentially identify the role of CD133 as HSC marker.
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Intervention code [1]
236707
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Diagnosis / Prognosis
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Intervention code [2]
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Not applicable
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To measure stem cells that express CD 133 vial flow cytometry technique.
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Assessment method [1]
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Timepoint [1]
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By completion of stem cell harvest
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Secondary outcome [1]
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To correlate the amount of stem cell harvested with the engraftment kinetics after stem cell transplanatation assessed by regular full blood count daily after transplantation.
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Assessment method [1]
242286
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Timepoint [1]
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Haematological recovery after autologous stem cell transplantation, which is typically range between 2-3 weeks after transplantation.
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Eligibility
Key inclusion criteria
Patients requiring stem cell harvest at the Launceston General Hospital with subsequent stem cell transplantation .
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients under 18 years of age. People with intellectual or mental impairment.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/03/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Launceston General Hospital, Pathology Department
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Address [1]
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Charles St
Launceston
Tasmania, 7250
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Launceston General Hospital, Pathology Department
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Address
charles St
Launceston
Tasmania, 7250
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
236824
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Country [1]
236824
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Tasmania Health and Medical Human Research Ethics Committee EC00337
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Ethics committee address [1]
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Executive Officer University of Tasmania (UTAS), Research and Development Office GPO Box 252-01 Hobart Tasmania 7001
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Ethics committee country [1]
239196
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Australia
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Date submitted for ethics approval [1]
239196
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Approval date [1]
239196
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04/03/2008
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Ethics approval number [1]
239196
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H0009780
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Summary
Brief summary
Therapeutic transplantation of haematopoietic stem cells (HSCs) is an increasing area of interest in medicine. In autologous stem cell transplantation, there is the ability to harvest stem cells soon after chemotherapeutic treatment, and then cryo-preserve and store such cells for stem cell transplantation at a later date. CD34 is the typical cell marker used to identify HSCs for transplantation. There exist certain limitations to CD34+ HSCs which include its expression on cells not capable engraftment, and also on acute leukaemic cells. CD133 is an alternative cell surface marker on HSCs which could prove useful in identifying cells for transplantation. Preliminary research suggests that CD133 is a more primitive marker, which is expressed by early progenitor cell line, and it has the additional advantage of not being expressed on acute leukaemic cells. The Launceston General Hospital is the site for stem cell harvest for the North and North-West of Tasmania. Annually, approximately 20-30 patients undergo stem cell harvest with the aim of later transplantation. This project is a pilot study to evaluate the value of CD133 in addition to the usual marker CD34+ as a cell marker for HSCs while using the current protocol for stem cell harvest. There is currently little data on the validity of CD133 as a HSC marker, and this project, as a part of Master degree at the School of Human Life Sciences at the University of Tasmania, aims to add to the current data and potentially identify the role of CD133 as HSC marker. We are aiming to study 30-50 patients with different haematological malignancies that require stem cell harvest with subsequent stem cell transplantation during a period of 24 months at the LGH, Tasmania. Current numbers of autologous stem cell harvest at a single centre; the LGH are varied between 20 and 30 episodes per year. Our current autologous stem cell harvest-protocol for patients with malignant haematological disorders is employing mobilisation chemotherapy with cyclophosphamide 5g/m2 and subsequent administration of granulocyte colony stimulating factor (G-CSF) subcutaneously daily at a dose of 10mcg/kg body weight (BW) until harvesting sufficient stem cells per transplant defined as at least 2x106 stem cells/Kg BW. We will start to measure both CD 34+ and CD 133+ daily using the flow cytometr (Becton-Dickenson) when the white cell count (WCC) recovers above 1.0/nL post chemotherapy and until the time of stem cell harvest at the Holman Clinic. Thereafter we will measure both markers according to manufacturer reccomendations (with commercially available CD34 and CD133 kits) in the harvest product for each patient. Correlation between the amount of harvested CD 34+/CD133+ cells and patient engraftment will be documented for each patient. Using commercially available kits, we are proposing to study the progenitors cells which express CD133 antigen by flow cytometry technique according to the manufacturer recommendations as a part of the usual daily measurement of CD34+ cells. There is no additional sample will be required from patients and hence this will not expose the participants to any extra burden. Also we are proposing to measure CD133+ in addition to CD34+ stem cells in the stem cell product garnered by the stem cell harvest. Using flow cytometry to study stem cell characteristics in the leukaphoresis product will provide useful information regarding engraftment kinetics. Platelets engraftment is defined as reaching platelet count>20/nL without substitution, while neutrophil engraftment is defined as reaching neutrophil count above>0.5/nL.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Assoc Prof Alhossain Khalafallah
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Address
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Launceston General Hospital
Charles St
Launceston,
Tasmania 7250
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Country
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Australia
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Phone
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+613 6348 7111
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Assoc Prof Alhossain Khalafallah
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Address
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Launceston General Hospital
Charles St
Launceston,
Tasmania 7250
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Country
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Australia
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Phone
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+613 6348 7111
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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