Long-term follow-up of a phase I/II randomized, placebo-controlled trial of palifermin to prevent graft-versus-host disease (GVHD) after related donor allogeneic hematopoietic cell transplantation (HCT).
We previously conducted a randomized, double-blind, placebo-controlled study conducted from 2000 to 2003 of palifermin, a recombinant human keratinocyte growth factor, dosed from 240 microg/kg to 720 microg/kg, in 100 allogeneic hematopoietic stem cell transplantation (HCT) recipients. Treatment with palifermin showed beneficial effects on mucositis, but no significant effect on engraftment, acute graft-versus-host disease (GVHD), or early survival. In addition to the effect of palifermin on mucosa, other pleotrophic effects, including more rapid immune reconstitution, have been seen in experimental transplant models. Therefore, we investigated whether with longer follow-up we could detect additional differences between the palifermin-treated and placebo cohorts. We found no differences in CMV or invasive fungal infections, chronic GVHD, or long-term survival between cohorts. We conclude that the benefits of palifermin appear primarily to be limited to ameliorating mucotoxicity when given to allogeneic HCT recipients.
Levine
John E
JE
Department of Pediatrics, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, Michigan; Department of Internal Medicine, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, Michigan. Electronic address: jelevine@umich.edu.
Blazar
Bruce R
BR
Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota; Division of Pediatric Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
DeFor
Todd
T
Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota.
Ferrara
James L M
JLM
Department of Pediatrics, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, Michigan; Department of Internal Medicine, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, Michigan.
Weisdorf
Daniel J
DJ
Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota; Division of Medical Hematology, University of Minnesota, Minneapolis, Minnesota.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002908:Chronic Disease; D003586:Cytomegalovirus Infections / Q000401:mortality / Q000517:prevention & control; D004311:Double-Blind Method; D005260:Female; D051523:Fibroblast Growth Factor 7 / Q000008:administration & dosage*; D006086:Graft vs Host Disease / Q000401:mortality / Q000517:prevention & control*; D019337:Hematologic Neoplasms / Q000401:mortality / Q000628:therapy; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D052016:Mucositis / Q000401:mortality / Q000517:prevention & control; D009181:Mycoses / Q000401:mortality / Q000517:prevention & control; D014184:Transplantation, Homologous
D051523:Fibroblast Growth Factor 7