Evidence map›Paper›PMID 28049490›Full record

ArticleJournal of translational medicine2017

Mobilization of hematopoietic stem cells with the novel CXCR4 antagonist POL6326 (balixafortide) in healthy volunteers-results of a dose escalation trial.

Darja Karpova, Susanne Bräuninger, Eliza Wiercinska, Ariane Krämer, Belinda Stock, Jochen Graff, Hans Martin, Achim Wach, Christophe Escot, Garry Douglas and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01841476 (POL6326 - A Phase I, Open, Single Intravenous Infusion Dose, Pharmacokinetic and Pharmacodynamic Study in Healthy Volunteers Who Are Volunteering as Haematopoietic Stem Cell), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% of its field
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.

NCT01841476 phase1completednot on this map

POL6326 - A Phase I, Open, Single Intravenous Infusion Dose, Pharmacokinetic and Pharmacodynamic Study in Healthy Volunteers Who Are Volunteering as Haematopoietic Stem Cell (HSC) Donors

TypeinterventionalSponsorPolyphor Ltd.Ran2012 to 2015Enrolled27ConditionsHealthyArmsPOL6326
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  7. 2023 FDA TIDES (Peptides and Oligonucleotides) Harvest.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
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  17. Genetic therapies for the first molecular disease.The Journal of clinical investigation · 2021
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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

15 authors at 3 institutions in 2 countries.

Darja KarpovaGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany.
Susanne BräuningerGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany.
Eliza WiercinskaGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany.
Ariane KrämerGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany.
Belinda StockGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany.
Jochen GraffClinical Trial Center Rhein-Main (KSRM), Pharmazentrum Frankfurt/ZAFES, Institute of Clinical Pharmacology, Goethe University, Frankfurt, Germany.
Hans MartinDepartment of Medicine II, Goethe University, Frankfurt, Germany.
Achim WachPolyphor Ltd, Allschwil, Switzerland.
Christophe EscotPolyphor Ltd, Allschwil, Switzerland.
Garry DouglasPolyphor Ltd, Allschwil, Switzerland.
Barbara RomagnoliPolyphor Ltd, Allschwil, Switzerland.
Eric ChevalierPolyphor Ltd, Allschwil, Switzerland.
Klaus DembowskiPolyphor Ltd, Allschwil, Switzerland.
Leon HooftmanPolyphor Ltd, Allschwil, Switzerland.
Halvard BonigGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany. hbonig@uw.edu.
Polyphor (Switzerland) · CHGerman Red Cross · DEGoethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCertain disadvantages of the standard hematopoietic stem and progenitor cell (HSPC) mobilizing agent G-CSF fuel the quest for alternatives. We herein report results of a Phase I dose escalation trial comparing mobilization with a peptidic CXCR4 antagonist POL6326 (balixafortide) vs. G-CSF.

methodsHealthy male volunteer donors with a documented average mobilization response to G-CSF received, following ≥6 weeks wash-out, a 1-2 h infusion of 500-2500 µg/kg of balixafortide. Safety, tolerability, pharmacokinetics and pharmacodynamics were assessed.

resultsBalixafortide was well tolerated and rated favorably over G-CSF by subjects. At all doses tested balixafortide mobilized HSPC. In the dose range between 1500 and 2500 µg/kg mobilization was similar, reaching 38.2 ± 2.8 CD34 + cells/µL (mean ± SEM). Balixafortide caused mixed leukocytosis in the mid-20 K/µL range. B-lymphocytosis was more pronounced, whereas neutrophilia and monocytosis were markedly less accentuated with balixafortide compared to G-CSF. At the 24 h time point, leukocytes had largely normalized.

conclusionsBalixafortide is safe, well tolerated, and induces efficient mobilization of HSPCs in healthy male volunteers. Based on experience with current apheresis technology, the observed mobilization at doses ≥1500 µg/kg of balixafortide is predicted to yield in a single apheresis a standard dose of 4× 10E6 CD34+ cells/kg from most individuals donating for an approximately weight-matched recipient. Exploration of alternative dosing regimens may provide even higher mobilization responses. Trial Registration European Medicines Agency (EudraCT-Nr. 2011-003316-23) and clinicaltrials.gov (NCT01841476).

Indexed as

Healthy VolunteersHematopoietic Stem Cell MobilizationCell DifferentiationDendritic CellsDose-Response Relationship, DrugGranulocyte Colony-Stimulating FactorHumansMalePeptidesPeptides, CyclicReceptors, CXCR4balixafortideCXCR4 protein, humanGranulocyte Colony-Stimulating FactorPeptidesPeptides, CyclicReceptors, CXCR4ApheresisClinical trialCXCR4G-CSFMobilizationPEM-technologyPlasmacytoid dendritic cellPlerixaforStem cellTransplantation

Identifiers

PMID28049490
PMCPMC5209880
OpenAlexW2563163577

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.