Detection of Poor Mobilizer (PM) in Multiple Myeloma (MM) Patients

Prior treatment

• Prior allogeneic or autologous transplantation.
• Prior failed mobilization attempt.
• Pregnant or nursing women or patients unwilling to have adequate contraception up to 3 months after end of treatment with plerixafor
• Acute infection (febrile, i.e. temperature \> 38°C) within 24 hours prior to dosing or antibiotic therapy within 7 days prior to the first dose of GCSF.
• Splenectomised or splenic irradiation.
• Treatment with G-CSF or other cytokine within 2 weeks prior to the first dose of G-CSF for mobilization.
• Patients previously treated with Plerixafor
• Patients mobilised with chemotherapy other than cyclophosphamide 2 et 4 gr/m2

Other illness

• Clinical active infectious hepatitis type A, B, C or HIV
• Psychiatric, addictive, or any disorder/disease which compromises ability to give truly informed consent for participation in this study and renders the patient at high risk from treatment complications or impairs the ability to comply with the study treatment and protocol.

Lab values

• Left ventricular ejection fraction \< 50%.

Age

• Age \< 18.

Other

• Relapse/refractory MM patients
• Non secretory MM
• Primary plasmacell leukemia.
• Inability to tolerate PBPC harvest.
• Peripheral venous access not possible.
• Patients mobilised with growth factors at a dose other than (5-10µg/kg)

• Newly diagnosed transplant eligible MM patients
• Measurable disease as defined by the presence of M-protein in serum or urine, or abnormal free light chain ratio
• Eligible and planned for HDT and autologous haematopoietic stem cell transplantation
• ≥18 years of age
• Patients or their legally authorized representatives must provide written informed consent
• Mobilization performed with G-CSF 2-4 g/m2 of cyclophosphamide and Plerixafor On Demand if considered needed based on center policies
• Patients can be included in interventional clinical trials
• Karnofsky performance status ≥ 60%
• Total bilirubin \< 1.5 upper limit of normal (ULN)
• AST/SGOT and ALT/SGPT \< 2.5 upper limit of normal (ULN)
• Serum creatinine \< 2 upper limit of normal (ULN)
• WBC count ≥2.5x109/L
• ANC count ≥1.5x109/L
• Platelet count ≥75x109/L
• Adequate cardiac, renal, and pulmonary function sufficient to undergo apheresis and transplantation, i.e., eligible by institutional standards for autologous stem cell transplant
• Women are not breast feeding and not pregnant
• A negative pregnancy test is required for women in child-bearing age; patients must agree to use an adequate method of contraception whilst on study treatment and for 3 months following plerixafor treatment