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Completed

NCT Number: NCT02253160

An Evaluation of the Spectra Optia CMNC Collection Procedure

The purpose of this prospective, randomized, cross-over, multi-center study is to evaluate the performance of the Spectra Optia Apheresis System's CMNC Collection Procedure, compared to the COBE Spectra Apheresis System's MNC Procedure in mobilized healthy donors. Subject safety will be evaluated beginning with mobilization, throughout the collection procedure and for the day following the last collection.

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hoxworth Blood Center, Cincinnati, Ohio, United States

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About this study

This is a prospective, randomized, cross-over, multi-center study to evaluate the performance of the Spectra Optia system's CMNC Collection Procedure, compared to the COBE Spectra system's MNC Procedure in mobilized healthy donors.

Up to 60 subject may be consented to meet the the enrollment target of 20 complete subjects. Eligible subjects will be randomized to receive either the Spectra Optia CMNC or the COBE Spectra MNC collection procedure first, followed by the opposite on the following day.

Study participation will be up to 14 days: a 7-day screening period, four days for mobilization, one day for the first MNC collection with additional dose of mobilization, one day for the second MNC collection, and safety follow-up the following day.

Subject safety will be evaluated beginning with mobilization, throughout the collection procedure and for the day following the second collection.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • ≥ 18 and ≤ 50 years of age
  • Healthy blood donor criteria as defined by the American Associate of Blood Banks (AABB)

a) Note: Subjects who are deferred from volunteer donations because of travel restrictions, piercings or tattoos may participate in the study

  • Adequate dual peripheral venous access
  • Acceptable prescreening laboratory results prior to MNC mobilization as specified below:

a) WBC 3,500 - 10,800/µL

b) Hematocrit 38% - 56%

c) Platelets 150,000 - 400,000/µL

d) Coagulation tests:

i. PT 9.0 - 13.0 seconds

ii. PTT 23.4 - 41.8 seconds

e) Serum electrolytes:

i. Potassium 3.6 - 5.1 mmol/L

ii. Serum Calcium 8.5 mg/dL - 10.3 mg/dL

f) Renal function: Serum creatinine ≤ 1.5 mg/dL

NOTE: up to two laboratory results may fall out of the ranges listed above if, in the judgment of the investigator, they do not constitute a significant risk to the subject.

  • Liver function: alanine aminotransferase (ALT) < 1.5 times the upper limit of normal
  • Willing to avoid pregnancy until at least 48 hours following last G-CSF injection
  • If male, be willing to use a condom during sexual relations with a female partner until 48 hours following the last G-CSF injection
  • If female and of childbearing potential, be willing to use a medically acceptable contraceptive until 48 hours following the last G-CSF injection
  • Given written informed consent

Exclusion criteria

  • Previous MNC collection failure
  • Known hypersensitivity or condition that prevents the use of anticoagulants
  • Known hypersensitivity or condition that prevents the use of G-CSF
  • Known hemoglobinopathy including sickle cell trait or disease
  • History of use in the past week or anticipated need for lithium
  • Concurrent enrollment in another clinical study that could impact the results or participation in this study
  • Active infection or any serious underlying medical condition that contraindicates apheresis
  • Women who are pregnant or lactating
  • Known history of significant head trauma

Treatment and study plan

Spectra Optia CMNC

Device

The Spectra Optia® Apheresis System is an automated centrifugal system that separates whole blood into its cellular and plasma components. The device is comprised of three major sub-systems, 1) the apheresis machine itself (centrifuge, centrifuge filler, pumps, valves, computerized safety and control systems, etc.), 2) a sterile, single-use, disposable blood tubing set, and 3) embedded software. The Spectra Optia system's investigational CMNC procedure will be used to collect MNC from the peripheral blood.

Other names: Spectra Optia Apheresis System CMNC collection procedure

COBE Spectra MNC

Device

It is also a centrifugal system that separates whole blood into its cellular and plasma components. The COBE Spectra MNC collection procedure is chosen as the comparator device because it is the reference after which design of the Spectra Optia CMNC collection procedure was modeled.

Other names: COBE Spectra Apheresis System MNC collection procedure

Granulocyte-colony stimulating factor (G-CSF)

Drug

Each subject received an injection of the G-CSF approximately equivalent to 10 ug/kg body weight subcutaneous per day for 5 days prior to the MNC collection procedure.

Other names: Mobilization Procedure

Primary outcomes

  1. CD34+ Collection Efficiency (CE1 %)

    Time frame: within 5 minutes upon completion of procedure

    The primary endpoint is the CD34+ cell collection efficiency (CE) associated with the Mononuclear Cell (CMNC) Collection Procedures on the Spectra Optia and COBE Spectra Apheresis Systems. CE is a measurement of device performance calculated using donor and blood product blood counts collected immediately before and after the CMNC collection procedure. The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected.

Secondary outcomes

  1. CD34+ Collection Efficiency (CE2 %)

    Time frame: within 5 minutes upon completion of procedure

    Comparison of collection efficiencies associated with the CMNC Cell Collection Procedures on the Spectra Optia and COBE Spectra Apheresis Systems. CE is a measurement of device performance calculated using donor blood counts immediately before and blood product blood counts immediately after the collection procedure. The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected.

  2. MNC Collection Efficiency (CE1%)

    Time frame: within 5 minutes upon completion of procedure

    Comparison of collection efficiencies associated with the CMNC Collection Procedures on the Spectra Optia and COBE Spectra Apheresis Systems for MNCs. CE1 is a measurement of device performance calculated using donor and blood product blood counts collected immediately before and after the collection procedure. The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected.

  3. CD34+ Per kg of Body Weight

    Time frame: within 5 minutes upon completion of procedure

  4. MNC Product Contamination/Purity (%) - Hematocrit (%)

    Time frame: within 5 minutes upon completion of procedure

  5. MNC Product Contamination/Purity (%) - Granulocyte Concentration (10^3/mL)

    Time frame: within 5 minutes upon completion of procedure

  6. MNC Product Contamination/Purity (%) - Platelet Concentration (10^3/µL)

    Time frame: within 5 minutes upon completion of procedure

  7. MNC Product Contamination/Purity (%) - Platelet Collection Efficiency (CE1 %)

    Time frame: within 5 minutes upon completion of procedure

    Comparison of collection efficiencies associated with the CMNC Collection Procedures on the Spectra Optia and COBE Spectra Apheresis Systems for platelets. CE1 is a measurement of device performance calculated using donor and blood product blood counts collected immediately before and after the collection procedure. The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected.

  8. MNC Blood Product Volume (mL)

    Time frame: within 5 minutes upon completion of procedure

    The produced unit of MNCs collected into the blood bag.

  9. Purity of Plasma Collected for Laboratory Processing of MNC Product - Platelet Concentration in Plasma (10^3/µL)

    Time frame: within 5 minutes upon completion of procedure

    A small amount of plasma typically used for processing was collected in a sub-set of collection procedures.

  10. Procedure Time (Minutes)

    Time frame: within 5 minutes upon completion of procedure

  11. MNC Collection Efficiency (CE2%)

    Time frame: within 5 minutes upon completion of procedure

    Comparison of collection efficiencies associated with the CMNC Collection Procedures on the Spectra Optia and COBE Spectra Apheresis Systems for MNCs. CE2 is a measurement of device performance calculated using donor blood counts immediately before and blood product counts immediately after the collection procedure and does not average the donor pre- and post-collection counts. The collection efficiency for a given cell type is defined as the percent of processed cells of that cell type that are in fact collected.

  12. MNC Product Contamination/Purity - RBC Concentration (10^6/µL)

    Time frame: within 5 minutes upon completion of procedure

Other outcomes

  1. Device Deficiencies

    Time frame: 24-hours after last collection procedure

    Any time a device or disposable does not function as described in the Operator's Manual or Package Insert, a Device Deficiency must be reported. This includes those instances wherein Operator Error led to a malfunction/deficiency. A device deficiency is any inadequacy in the identity, quality, durability, reliability, safety or performance of an investigational device, including malfunction, use errors or inadequacy in the information supplied by the manufacturer. Device malfunctions and device incidents should be reported in the same manner.

  2. Post-collection Platelet Loss in Subject

    Time frame: 24-hours after last collection procedure

    The percent change from pre-collection platelet count to post-collection subject platelet count.

Sponsors and collaborators

Lead sponsor

Terumo BCT

Industry

Registry information

Official study title

A Randomized, Crossover Trial to Characterize the Performance of the Spectra Optia Apheresis System Versus the COBE Spectra Apheresis System for Collection of Mononuclear Cells in Healthy Adult Donors

Acronym: CMNC

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Oct 1, 2014
Registry last updated
Sep 24, 2015

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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