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Trial · NCT02231879

Plerixafor Versus G-CSF in the Treatment of People With WHIM Syndrome

NCT02231879, Phase 2, Phase 3, Completed, National Institute of Allergy and Infectious Diseases (NIAID); results first posted 2023-04-07

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ConductScience Library. Plerixafor Versus G-CSF in the Treatment of People With WHIM Syndrome. Trials, record NCT02231879. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02231879

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Plerixafor Versus G-CSF in the Treatment of People With WHIM Syndrome
NCT number
NCT02231879
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
20 participants, actual
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Conditions
Myelokathexis, Infections, Neutropenia, Warts, Hypogammaglobulinemia
Interventions
Plerixafor, G-CSF
First posted
2014-09-04
Last updated
2026-06-26
Results first posted
2023-04-07
Limitations and caveats
1. Highly variable disease phenotypic expression made crossover design optimal but a placebo arm was not included due to infection risk of severe neutropenia~2. Prophylactic supplemental immunoglobulin and antibiotics were allowed~3. Tolerance of G-CSF was insured prior to randomization but plerixafor was never used before randomization in 17/19 patients,~4. Non-inferiority analysis of primary endpoint was not planned because there were no defined equivalence margins

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySeverity of InfectionScores from 12 months treatment on each study drug
The primary outcome is a Total Infection Severity Score (TISS). Each infection during the 12 month period of treatment on each drug was scored for severity on a scale of 1-10 with higher scores representing more severe infections and then these scores were summed (weighted based on time at risk) to create a total infection severity score (TISS) in each period for each participant (range 0 to infinity). Drug failures during a period were pre-defined to count as more extreme than any TISS score. The primary analysis outcome is based on the Difference in Total Infection Severity Score (TISS) in Period 1 minus TISS in Period 2 analysis, with drug failures in only one period assigned the highest absolute value for the difference, with the sign defined according to the treatment order (e.g., negative for period 2 drug failures only). Higher values of the difference represent a worse outcome in the first period than in the second period. Thus, each participant's infection severity
PrimaryDifference in Total Infection Severity ScoreScores from 12 months treatment on each study drug
The primary outcome is a difference: the Total Infection Severity Score (TISS) in Period 1 minus the TISS in Period 2. Higher values represent a worse outcome in the first period than in the second period. Each infection during the 12 month period of treatment on each drug was scored for severity on a scale of 1-10 with higher scores representing more severe infections and then these individual infection scores were summed (weighted by time at risk) to create a total infection severity score (TISS) in each period. Because there is no pre-determined number of infections, the range is -infinity to +infinity. If a participant has a drug failure in only one period, their difference rank is either the highest rank (if the failure is in Period 1) or the lowest rank (if the failure is in Period 2), failure on both periods gives a difference of 0. 1 subject failed on both treatments, and 3 subjects failed only on plerixafor.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSeverity of InfectionScores from 12 months treatment on each study drug
There are 19 participants that started both periods, 1 participant had drug failure during both periods, 3 participants had drug failure only during the period on Plerixafor. The outcome measure data table only summarizes the periods that were not drug failures, but the primary analysis includes the treatment failure periods by giving them the most extreme score (see Statistical Analysis section).
score on a scale (with no maximum)MEDIAN
PRIMARYDifference in Total Infection Severity ScoreScores from 12 months treatment on each study drugThe two populations are the two randomization arms in the crossover trial.score on a scaleMEAN

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Severity of InfectionG-CSF (Both Periods Combined)12.5Full Range 0 to 36score on a scale (with no maximum)
Severity of InfectionPlerixafor (Both Periods Combined)9Full Range 0 to 24score on a scale (with no maximum)
Difference in Total Infection Severity ScorePlerixafor in Period 1 and G-CSF in Period 210.6Full Range 1 to 19score on a scale
Difference in Total Infection Severity ScoreG-CSF in Period 1 and Plerixafor in Period 29.33Full Range 1 to 19score on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlerixafor First Then Filgrastim10
Overall StudySTARTEDFilgrastim First Then Plerixafor9
Overall StudyCOMPLETEDPlerixafor First Then Filgrastim8
Overall StudyCOMPLETEDFilgrastim First Then Plerixafor7
Overall StudyNOT COMPLETEDPlerixafor First Then Filgrastim2
Overall StudyNOT COMPLETEDFilgrastim First Then Plerixafor2

Adverse events124

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherIron Deficiency AnemiaBlood and lymphatic system disordersG-CSF1193
otherIron Deficiency AnemiaBlood and lymphatic system disordersPlerixafor1192
otherSplenomegalyBlood and lymphatic system disordersG-CSF2192
otherSplenomegalyBlood and lymphatic system disordersPlerixafor0190
otherAnemiaBlood and lymphatic system disordersG-CSF1191
otherAnemiaBlood and lymphatic system disordersPlerixafor1191
otherTinnitusEar and labyrinth disordersG-CSF2192
otherTinnitusEar and labyrinth disordersPlerixafor1191
otherNauseaGastrointestinal disordersG-CSF61913
otherNauseaGastrointestinal disordersPlerixafor1191

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityG-CSF019
Total, all-cause mortalityPlerixafor019
Total, other adverse eventsG-CSF1919
Total, other adverse eventsPlerixafor1919
Total, serious adverse eventsG-CSF619
Total, serious adverse eventsPlerixafor219

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37561579RESULTPubMed
42606118DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
G-CSF vs Plerixafor: deaths from any causeTrial comparisons
G-CSF vs Plerixafor: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02231879

GET https://conductscience.org/api/trials/v1/NCT02231879/events?page=2