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Completed

NCT Number: NCT06697223

A Study to Assess Recovery and Survival of Radiolabeled Apheresis Platelet Components Treated With the INTERCEPT Blood System for Platelets With LED Illuminator.

The objective of this study is to assess the post-infusion recovery and survival of platelets in 100% Plasma treated with INTERCEPT Blood System for Platelets with LED Illuminator and stored for 5 days after apheresis collection. The post-infusion recovery and survival of autologous radiolabeled 5-day INTERCEPT platelets (Test) stored in 100% plasma will be measured in comparison to fresh autologous radiolabeled platelets (Control).

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

American Red Cross Research Laboratory, Norfolk, Virginia, United States

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About this study

The study population will consist of healthy subjects who meet the FDA, AABB, and site-specific research donor eligibility criteria for an apheresis platelet collection.

Apheresis platelets (single or double) will be collected in 100% plasma on the Trima Accel® Automated Blood Collection system. Each study apheresis collection will be processed using the INTERCEPT Blood System for Platelets; apheresis platelets containing a platelet dose of 4.0 to 5.2 x10^11 platelets in 300 to 390 mL of plasma will be processed using the INTERCEPT Large Volume (LV) processing set. The INTERCEPT process will begin on either the day of collection (Day 0) or the day following collection (Day 1); illumination on the LED Illuminator must occur within 24 hours after the end of collection. Test platelet components will be stored for up to 5 days, after collection, in 100% plasma. In vitro platelet function will be evaluated on pre-treatment (Day 0/1), at the end of INTERCEPT treatment (Day 1/2), and at end of storage (Day 5).

At the end of storage, an aliquot of Test platelets will be aseptically removed from each subject's INTERCEPT platelet storage container and prepared for radiolabeling using Variant 1 BEST version 4.2.1 (Variant 1) method. Variant 1 method does not incorporate an initial soft spin in the presence of ACD A described in the BEST 4.2.1 method which results in improved in vitro platelet recovery and quality during preparation for radiolabeling compared to the BEST procedure. The method for collection and radiolabeling of the fresh Control platelets in Variant 1 of BEST 4.2.1 contains the same steps as published in the BEST 4.2.1 method (BEST).

The recovery and survival for Test platelets will be compared against the fresh platelet Control. Recovery and survival of INTERCEPT platelets will be assessed after 5 days of storage for up to 24 evaluable subjects.

Test and Control platelets will be randomly radiolabeled with either 51Cr as sodium chromate (Na251CrO4) or 111In as Indium Oxine, depending upon randomization. Subjects will be randomized with equal probability to the radiolabeling sequences (111In/51Cr vs. 51Cr/111In) for Test INTERCEPT platelets/Control fresh platelets. After radiolabeling, the autologous Control and Test platelet samples will be simultaneously infused into the subject.

Blood samples will be drawn immediately before infusion and for radioactivity measurements at 2 hours ±15 min post-infusion (Day 0), and 6 more samples will be drawn at 1 (within ±4 hours from time of infusion), 2, 3, 5±1, 7/8, and 11±1 days post-infusion (DPI)). The exact time of each sample draw will be recorded.

Subjects will be monitored for safety (adverse events including transfusion reactions) from the time of the apheresis procedure until 24 hours after the last DPI blood sample is drawn.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥18 years
  • Normal health status (as determined by the Investigator review of medical history and blood donor physical exam)
  • Complete blood count (CBC) and serum chemistry values within normal limits or outside of normal reference range but determined by the Investigator, and consultation with the Sponsor, to be not clinically significant.
  • Meet FDA, AABB or institutional guidelines for allogeneic and plateletpheresis donor qualifications with the following exceptions:

o Deferrals due to travel, tattoos/piercings, male to male sexual contact as institutional policies allow

  • All routine infectious disease testing must be negative or non-reactive (during screening)
  • Subjects of childbearing potential must agree to use a medically acceptable (as per the Investigator) method of contraception throughout the study
  • Signed and dated informed consent form

Exclusion criteria

  • Clinically significant acute or chronic disease (as determined by the Investigator)
  • Treatment with aspirin or aspirin-containing medications within 7 days of apheresis or treatment with non-steroidal anti-inflammatory drugs (NSAID), anti-platelet agents or other drugs affecting platelet viability within 3 days of apheresis (e.g., ibuprofen or other NSAIDs)
  • Subject received platelet inhibitors within 14 days of donation (e.g., clopidogrel, ticlopidine, amphetamines (e.g., Adderall, Dexedrine))
  • Immunosuppressive therapy (e.g., oral or IV prednisone) within the past 28 days
  • Treatment with any medication known to affect platelet viability
  • Pregnant or nursing females
  • Received an investigational drug within the past 28 days or current participation in another clinical interventional study
  • Non study blood component donation throughout the study
  • Subjects with positive cocaine and/or amphetamine result from urine drug screen
  • Splenectomized subjects
  • History of known hypersensitivity to 51Chromium or 111Indium

Treatment and study plan

INTERCEPT Blood System for Platelets with LED Illuminator

Device

Apheresis platelet components in 100% plasma collected using the Trima separator, prepared with the INTERCEPT Blood System for Platelets (Test Platelets) using the LED Illuminator and stored for 5 days at 20 to 24°C with continuous agitation.

Primary outcomes

  1. Post Infusion Recovery of Test Platelets at End of 5 Day Storage

    Time frame: 11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 5 days and fresh Control platelets

    Recovery of Test platelets stored for 5 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is >66% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test-0.66*Control) in survival is greater than or equal to zero.

  2. Post Infusion Survival of Test Platelets at End of 5 Day Storage

    Time frame: 11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 5 days and fresh Control platelets

    Survival of Test platelets stored for 5 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is >58% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test - 0.58 * Control) in survival is greater than or equal to zero.

Secondary outcomes

  1. Platelet Dose in Test Component

    Time frame: At the end of INTERCEPT treatment on Day 1 or Day 2

    Percentage of Test components with ≥ 3.0×10^11 platelets

  2. Platelet Yield Retention in Test Component

    Time frame: At the end of INTERCEPT treatment on Day 1 or Day 2

    Percentage of Test components with ≥80% platelet yield retention

  3. pH 22°C of Test Component

    Time frame: At end of 5 Day storage

    Percentage of Test components with pH 22°C ≥ 6.2

Other outcomes

  1. Assessment of the Input Platelet Components: Platelet Dose

    Time frame: Before treatment on Day 0 or Day 1

    Platelet dose was summarized descriptively for the Input components before treatment on Day 0 or Day 1

  2. Assessment of the Input Platelet Components: Component Volume

    Time frame: Before treatment on Day 0 or Day 1

    Component volume was summarized descriptively for the Input components before treatment on Day 0 or Day 1

  3. Assessment of Test (INTERCEPT) Platelet Component: Component Volume

    Time frame: After treatment on Day 1 or Day 2

    Component volume was summarized descriptively for Test components after treatment on Day 1 or Day 2

  4. Assessment of Test (INTERCEPT) Platelet Component: Platelet Dose

    Time frame: After treatment on Day 1 or Day 2

    Platelet Dose was summarized descriptively for Test components after treatment on Day 1 or Day 2

  5. Assessment of Test (INTERCEPT) Platelet Component: Platelet Yield Retention

    Time frame: After treatment on Day 1 or Day 2

    Platelet yield retention was summarized descriptively for Test components after treatment on Day 1 or Day 2

  6. Assessment of Stored Test (INTERCEPT) Platelet Component: Component Volume

    Time frame: At the end of storage on Day 5

    Component volume was summarized descriptively for Test components at end of storage on Day 5

  7. Assessment of Stored Test (INTERCEPT) Platelet Component: Platelet Count

    Time frame: At the end of storage on Day 5

    Platelet count was summarized descriptively for Test components at end of storage on Day 5

  8. Assessment of Stored Test (INTERCEPT) Platelet Component: Platelet Dose

    Time frame: At the end of storage on Day 5

    Platelet Dose was summarized descriptively for Test components at end of storage on Day 5

  9. Assessment of Stored Test (INTERCEPT) Platelet Component: Mean Platelet Volume

    Time frame: At the end of storage on Day 5

    Mean Platelet Volume was summarized descriptively for Test components at end of storage on Day 5

  10. Assessment of Stored Test (INTERCEPT) Platelet Component: pH

    Time frame: At the end of storage on Day 5

    pH was summarized descriptively for Test components at end of storage on Day 5

  11. Assessment of Stored Test (INTERCEPT) Platelet Component: pO2

    Time frame: At the end of storage on Day 5

    pO2 was summarized descriptively for Test components at end of storage on Day 5

  12. Assessment of Stored Test (INTERCEPT) Platelet Component: pO2 Normalized for Platelet Count

    Time frame: At the end of storage on Day 5

    pO2 normalized for platelet count was summarized descriptively for Test components at end of storage on Day 5

  13. Assessment of Stored Test (INTERCEPT) Platelet Component: pCO2

    Time frame: At the end of storage on Day 5

    pCO2 was summarized descriptively for Test components at end of storage on Day 5

  14. Assessment of Stored Test (INTERCEPT) Platelet Component: pCO2 Normalized for Platelet Count

    Time frame: At the end of storage on Day 5

    pCO2 normalized for platelet count was summarized descriptively for Test components at end of storage on Day 5

  15. Assessment of Stored Test (INTERCEPT) Platelet Component: HCO3

    Time frame: At the end of storage on Day 5

    HCO3 was summarized descriptively for Test components at end of storage on Day 5

  16. Assessment of Stored Test (INTERCEPT) Platelet Component: HCO3 Normalized to Platelet Count

    Time frame: At the end of storage on Day 5

    HCO3 normalized to platelet count was summarized descriptively for Test components at end of storage on Day 5

  17. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant Glucose

    Time frame: At the end of storage on Day 5

    Supernatant glucose was summarized descriptively for Test components at end of storage on Day 5

  18. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant Glucose Normalized to Platelet Count

    Time frame: At the end of storage on Day 5

    Supernatant glucose normalized to platelet count was summarized descriptively for Test components at end of storage on Day 5

  19. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant Lactate

    Time frame: At the end of storage on Day 5

    Supernatant lactate was summarized descriptively for Test components at end of storage on Day 5

  20. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant Lactate Normalized to Platelet Count

    Time frame: At the end of storage on Day 5

    Supernatant lactate normalized to platelet count was summarized descriptively for Test components at end of storage on Day 5

  21. Assessment of Stored Test (INTERCEPT) Platelet Component: Total ATP

    Time frame: At the end of storage on Day 5

    Total ATP was summarized descriptively for Test components at end of storage on Day 5

  22. Assessment of Stored Test (INTERCEPT) Platelet Component: Total ATP Normalized to Platelet Count

    Time frame: At the end of storage on Day 5

    Total ATP normalized to platelet count was summarized descriptively for Test components at end of storage on Day 5

  23. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant LDH Activity

    Time frame: At the end of storage on Day 5

    Supernatant LDH activity was summarized descriptively for Test components at end of storage on Day 5

  24. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant LDH Normalized to Platelet Count

    Time frame: At the end of storage on Day 5

    Supernatant LDH normalized to platelet count was summarized descriptively for Test components at end of storage on Day 5

  25. Assessment of Stored Test (INTERCEPT) Platelet Component: Total LDH Activity

    Time frame: At the end of storage on Day 5

    Total LDH activity was summarized descriptively for Test components at end of storage on Day 5

  26. Assessment of Stored Test (INTERCEPT) Platelet Component: Supernatant LDH as a % of Total LDH

    Time frame: At the end of storage on Day 5

    Supernatant LDH as a % of Total LDH was summarized descriptively for Test components at end of storage on Day 5

  27. Assessment of Stored Test (INTERCEPT) Platelet Component: Baseline Adjusted Supernatant LDH as a % of Total LDH

    Time frame: At the end of storage on Day 5

    Baseline Adjusted Supernatant LDH as a % of Total LDH was summarized descriptively for Test components at end of storage on Day 5

  28. Assessment of Stored Test (INTERCEPT) Platelet Component: P-selectin (CD62P)

    Time frame: At the end of storage on Day 5

    P-selectin (CD62P) was summarized descriptively for Test components at end of storage on Day 5

Sponsors and collaborators

Lead sponsor

Cerus Corporation

Industry

Registry information

Official study title

A Randomized, Multi-center, Controlled, In Vivo Study to Assess the Recovery and Survival of Radiolabeled Autologous Apheresis Platelet Components Suspended in 100% Plasma Treated With the INTERCEPT Blood System for Platelets With LED Illuminator Stored for 5 Days

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Nov 20, 2024
Registry last updated
Aug 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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