Evidence map›Paper›PMID 27535663›Full record

Trial reportJournal of hematology & oncology2016

Plerixafor (a CXCR4 antagonist) following myeloablative allogeneic hematopoietic stem cell transplantation enhances hematopoietic recovery.

Michael M B Green, Nelson Chao, Saurabh Chhabra, Kelly Corbet, Cristina Gasparetto, Ari Horwitz, Zhiguo Li, Jagadish Kummetha Venkata, Gwynn Long, Alice Mims and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Journal of hematology & oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01280955 (A Phase I/II Study), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01280955 phase1 / phase2completednot on this map

A Phase I/II Study: Enhancing Donor Hematopoietic Cell Engraftment With Plerixafor in Myeloablative Allogeneic Hematopoietic Cell Transplantation

TypeinterventionalSponsorMitchell Horwitz, MDRan2011 to 2015Enrolled41ConditionsFailure of Bone Marrow GraftArmsPlerixafor
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Therapeutic Targeting of the Leukaemia Microenvironment.International journal of molecular sciences · 2021
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Identification of CXCR4 and CXCL10 as Potential Predictive Biomarkers in Triple Negative Breast Cancer (TNBC).Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  15. Targeting CXCR4 in AML and ALL.Frontiers in oncology · 2020
    Review
  16. Article
  17. Article
  18. Enhancement of stem cell engraftment on a WHIM.The Journal of clinical investigation · 2018
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Michael M B GreenDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Nelson ChaoDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Saurabh ChhabraDivision of Hematology/Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Kelly CorbetDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Cristina GasparettoDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Ari HorwitzDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Zhiguo LiDuke University Department of Biostatistics and Bioinformatics, Durham, NC, USA.
Jagadish Kummetha VenkataDivision of Hematology/Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Gwynn LongDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Alice MimsDivision of Hematology, Department of Medicine, The Ohio State University, Columbus, OH, USA.
David RizzieriDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Stefanie SarantopoulosDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Robert StuartDivision of Hematology/Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Anthony D SungDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Keith M SullivanDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Luciano CostaDivision of Hematology/Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Mitchell HorwitzDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Yubin KangDivision of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA. yubin.kang@duke.edu.ORCID 0000-0001-6678-8732

Funding

Sample Engineering CoreU19AI067773 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FORNACE, ALBERT J · 2005 to 2024
$105.4M
Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND N. DUBOIS · 2009 to 2026
$42.7M
Clinical Trial of ABC294640 in Patients with Refractory Multiple MyelomaR44CA199767 · NCI · APOGEE BIOTECHNOLOGY CORPORATION · PI SMITH, CHARLES D · 2015 to 2017
$2.0M
Targeting sphingosine kinase 2 for the treatment of multiple myelomaR01CA197792 · NCI · DUKE UNIVERSITY · PI KANG, YUBIN · 2015 to 2019
$1.8M
Plerixafor for allogeneic hematopoietic stem cell transplantationK08HL103780 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KANG, YUBIN · 2011 to 2015
$649k
NCI NIH HHS P30 CA138313NCI NIH HHS R01 CA197792NCI NIH HHS R44 CA199767NHLBI NIH HHS K08 HL103780NIAID NIH HHS U19 AI067773
6 · The paper itself

Abstract

backgroundThe binding of CXCR4 with its ligand (stromal-derived factor-1) maintains hematopoietic stem/progenitor cells (HSPCs) in a quiescent state. We hypothesized that blocking CXCR4/SDF-1 interaction after hematopoietic stem cell transplantation (HSCT) promotes hematopoiesis by inducing HSC proliferation.

methodsWe conducted a phase I/II trial of plerixafor on hematopoietic cell recovery following myeloablative allogeneic HSCT. Patients with hematologic malignancies receiving myeloablative conditioning were enrolled. Plerixafor 240 μg/kg was administered subcutaneously every other day beginning day +2 until day +21 or until neutrophil recovery. The primary efficacy endpoints of the study were time to absolute neutrophil count >500/μl and platelet count >20,000/μl. The cumulative incidence of neutrophil and platelet engraftment of the study cohort was compared to that of a cohort of 95 allogeneic peripheral blood stem cell transplant recipients treated during the same period of time and who received similar conditioning and graft-versus-host disease prophylaxis.

resultsThirty patients received plerixafor following peripheral blood stem cell (n = 28) (PBSC) or bone marrow (n = 2) transplantation. Adverse events attributable to plerixafor were mild and indistinguishable from effects of conditioning. The kinetics of neutrophil and platelet engraftment, as demonstrated by cumulative incidence, from the 28 study subjects receiving PBSC showed faster neutrophil (p = 0.04) and platelet recovery >20 K (p = 0.04) compared to the controls.

conclusionsOur study demonstrated that plerixafor can be given safely following myeloablative HSCT. It provides proof of principle that blocking CXCR4 after HSCT enhances hematopoietic recovery. Larger, confirmatory studies in other settings are warranted.

trial registrationClinicalTrials.gov NCT01280955.

Indexed as

AdultAgedBenzylaminesCase-Control StudiesChemokine CXCL12CyclamsFemaleGraft SurvivalHematologic NeoplasmsHematopoiesisHematopoietic Stem Cell TransplantationHeterocyclic CompoundsHumansMaleMiddle AgedMyeloablative AgonistsBenzylaminesChemokine CXCL12CXCL12 protein, humanCXCR4 protein, humanCyclamsHeterocyclic CompoundsMyeloablative AgonistsplerixaforReceptors, CXCR4AntagonistCXCR4Hematopoietic stem cellsHematopoietic stem cell transplantationNeutrophil engraftmentOutcomesPlatelet engraftmentStromal-derived factor-1

Identifiers

PMID27535663
PMCPMC4989381

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.