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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR MOZOBIL


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All Clinical Trials for MOZOBIL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00075335 ↗ AMD 3100 (Mozobil Plerixafor) to Mobilize Stem Cells for Donation Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 2004-01-01 Peripheral blood progenitor cells (PBPC) have become the preferred source of hematopoetic stem cells for allogeneic transplantation because of technical ease of collection and shorter time required for engraftment. Traditionally, granulocyte-colony stimulating factor (G-CSF) has been used to procure the peripheral blood stem cell graft. Although regimens using G-CSF usually succeed in collecting adequate numbers of PBPC from healthy donors, 5%-10% will mobilize stem cells poorly and may require multiple large volume apheresis or bone marrow harvesting. Although G-CSF is generally well tolerated in healthy donors, it may be associated with bone pain, headache, myalgia and rarely life threatening side effects like stroke, myocardial infarction and splenic rupture. AMD3100, is a bicyclam compound that inhibits the binding of stromal cell derived factor-1 (SDF-1) to its cognate receptor CXC- chemokine receptor 4 (CXCR4). CXCR4 is present on cluster of differentiation 34 (CD34)+ hematopoetic progenitor cells and its interaction with stromal cell derived factor 1 (SDF-1) plays a pivotal role in the homing of CD34+ cells in the bone marrow. Inhibition of the CXCR4-SDF1 axis by AMD3100 releases CD34+ cells into the circulation, which can then be collected easily by apheresis. Recently, a published report demonstrated that large numbers of CD34+ cells were rapidly mobilized in healthy volunteers following a single subcutaneous injection of AMD3100. Remarkably, the number of CD34+ cells collected by apheresis following a single injection of AMD3100 was comparable to the number of CD34+ cells collected from historical controls receiving 5 days of G-CSF prior to stem cell mobilization. In this study we will collect PBPCs following a single subcutaneous injection of AMD3100 from healthy donors who have previously had PBPC collected using standard G-CSF mobilization. The AMD3100 mobilized cells, G-CSF mobilized cells, and circulating cells prior to both AMD3100 and G-CSF mobilization will be analyzed in terms of cellular content and function of lymphocytes, natural killer (NK) cells, and antigen presenting cells. AMD3100 mobilized PBPC will be collected for the purpose of research studies and will not be used for therapeutic purposes.
NCT00082329 ↗ G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 2004-06-18 This 12-day study will test whether the combination of G-CSF (granulocyte-colony stimulating factor) and AMD3100 (Mozobil) is more efficient in mobilizing stem cells for collection than the use of G-CSF alone. Traditionally, the growth factor G-CSF has been given to stem cell donors to mobilize, or push, stem cells out of the bone marrow and into the blood circulation for collection for transplantation. Although a sufficient quantity of cells usually can be collected with G-CSF treatment, some donors do not respond well and may require multiple apheresis procedures (see below) to collect enough cells. Studies indicate that G-CSF used together with a drug called AMD3100 may be more effective in mobilizing stem cells for collection than G-CSF alone. The Food and Drug Administration has approved G-CSF for stem cell mobilization. AMD3100 is a new drug that also mobilizes stem cells in large numbers within a few hours. Normal healthy volunteers between 18 and 60 years of age may be eligible for this study.
NCT00082329 ↗ G-CSF and AMD3100 to Mobilize Stem Cells in Healthy Volunteers Completed Richard Childs, M.D. Phase 2 2004-06-18 This 12-day study will test whether the combination of G-CSF (granulocyte-colony stimulating factor) and AMD3100 (Mozobil) is more efficient in mobilizing stem cells for collection than the use of G-CSF alone. Traditionally, the growth factor G-CSF has been given to stem cell donors to mobilize, or push, stem cells out of the bone marrow and into the blood circulation for collection for transplantation. Although a sufficient quantity of cells usually can be collected with G-CSF treatment, some donors do not respond well and may require multiple apheresis procedures (see below) to collect enough cells. Studies indicate that G-CSF used together with a drug called AMD3100 may be more effective in mobilizing stem cells for collection than G-CSF alone. The Food and Drug Administration has approved G-CSF for stem cell mobilization. AMD3100 is a new drug that also mobilizes stem cells in large numbers within a few hours. Normal healthy volunteers between 18 and 60 years of age may be eligible for this study.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for MOZOBIL

Condition Name

Condition Name for MOZOBIL
Intervention Trials
Multiple Myeloma 18
Acute Myeloid Leukemia 5
Lymphoma 5
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Condition MeSH

Condition MeSH for MOZOBIL
Intervention Trials
Multiple Myeloma 22
Lymphoma, Non-Hodgkin 20
Neoplasms, Plasma Cell 20
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Clinical Trial Locations for MOZOBIL

Trials by Country

Trials by Country for MOZOBIL
Location Trials
United States 151
Canada 10
Italy 5
Germany 3
Japan 2
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Trials by US State

Trials by US State for MOZOBIL
Location Trials
California 17
Missouri 12
Washington 11
New York 11
Georgia 8
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Clinical Trial Progress for MOZOBIL

Clinical Trial Phase

Clinical Trial Phase for MOZOBIL
Clinical Trial Phase Trials
PHASE2 1
PHASE1 1
Phase 4 2
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Clinical Trial Status

Clinical Trial Status for MOZOBIL
Clinical Trial Phase Trials
Completed 53
Terminated 13
Recruiting 10
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Clinical Trial Sponsors for MOZOBIL

Sponsor Name

Sponsor Name for MOZOBIL
Sponsor Trials
Genzyme, a Sanofi Company 30
National Cancer Institute (NCI) 13
National Heart, Lung, and Blood Institute (NHLBI) 6
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Sponsor Type

Sponsor Type for MOZOBIL
Sponsor Trials
Other 96
Industry 45
NIH 25
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Clinical Trials Update, Market Analysis, and Projection for Mozobil (Plerixafor)

Last updated: November 5, 2025


Introduction

Mozobil (Plerixafor), developed by Genentech (a Roche subsidiary), is a CXCR4 antagonist indicated primarily for hematopoietic stem cell mobilization in patients with non-Hodgkin’s lymphoma or multiple myeloma undergoing autologous stem cell transplantation. Approved by the FDA in 2008, Mozobil has since gained market presence as a vital adjunct in stem cell harvesting procedures. This article provides an in-depth analysis of recent clinical trial developments, current market positioning, future growth prospects, and strategic insights for stakeholders.


Recent Clinical Trials and Developmental Updates

Since its initial approval, Mozobil has experienced an evolving clinical landscape with ongoing trials aimed at expanding its therapeutic applications and optimizing its efficacy.

Expansion of Indications and Adjunctive Use

Recent clinical efforts have focused on enhancing Mozobil's utility beyond its traditional scope. For instance, a Phase 3 trial (NCT03055429) evaluated the efficacy of Mozobil combined with chemotherapy and G-CSF in mobilizing stem cells in multiple myeloma patients. The results demonstrated superior mobilization efficiency, leading to Food and Drug Administration (FDA) breakthroughs proposing expanded indications.

Novel Combinatorial Strategies

Emerging research explores Mozobil in combination with other agents to improve stem cell yields:

  • Combination with Plerixafor and G-CSF: Trials have shown that dual administration improves mobilization in poor mobilizer subpopulations, such as advanced age or heavily pre-treated patients.

  • Use in Solid Tumor Settings: Investigations are underway into Mozobil’s role in tumor microenvironment modulation, particularly in enhancing chemotherapeutic delivery or modifying immune infiltration. Although preliminary, these trials suggest potential for broader oncologic applications.

Safety and Pharmacokinetic Improvements

Recent pharmacokinetic studies (e.g., NCT02265278) focus on dosing optimization to reduce adverse effects such as leukocytosis and injection site reactions, improving patient tolerability—a critical factor in treatment adherence.

Regulatory Advances and Approvals

Although no recent approvals have expanded Mozobil’s label, regulatory agencies are monitoring ongoing trial data closely, and positive results could prompt label updates, facilitating broader clinician adoption.


Market Analysis

Current Market Landscape

The global hematopoietic stem cell mobilization market was valued at approximately USD 200 million in 2022, with Mozobil holding a dominant position due to its proven efficacy in non-Hodgkin’s lymphoma and multiple myeloma preparations. The drug’s primary competitors include biosimilars and alternative mobilization agents, notably cytokines like G-CSF monotherapy.

Market Share Dynamics:

  • Lead Position: Mozobil maintains a significant share owing to its unique mechanism of CXCR4 antagonism, which accelerates stem cell mobilization outperforming G-CSF alone.
  • Competitive Threats: Biosimilar entry and emerging agents such as Crizanlizumab (a P-selectin inhibitor) pose competitive challenges, although Mozobil’s proven clinical utility sustains its dominance.

Market Drivers

  • Increasing Incidence of Hematologic Malignancies: Globally, the rising prevalence of multiple myeloma and non-Hodgkin's lymphoma directly increases demand for effective stem cell mobilization agents.
  • Expanding Use in Hard-to-Mobilize Patients: Clinical evidence supports Mozobil’s effectiveness in difficult cases, expanding its utilization scope.
  • Growing Adoption in Asia-Pacific: The regional market offers significant growth potential owing to increasing healthcare infrastructure, rising awareness, and expanding clinical research footprint.
  • Advancements in Stem Cell Transplantation Techniques: Innovations such as haploidentical transplants and autologous procedures continue to drive demand.

Market Challenges

  • Pricing and Reimbursement: High costs and variable insurance coverage can restrict access, especially in cost-sensitive regions.
  • Patent Expiry and Biosimilars: Loss of exclusivity—expected around 2030—may lead to biosimilar competition, impacting revenue streams.
  • Emerging Therapies: Novel agents targeting different pathways may reduce reliance on Mozobil in future treatment algorithms.

Market Projection and Future Outlook

Based on current trends and clinical pipeline developments, the outlook for Mozobil is cautiously optimistic.

Short-Term Forecast (Next 3 Years)

The market is projected to grow at a compounded annual growth rate (CAGR) of approximately 8%, reaching USD 270-300 million by 2025. Growth will be driven by:

  • Expanded clinical indications.
  • Increased utilization in both multiple myeloma and lymphoma patients.
  • Adoption in emerging markets, especially in Asia-Pacific.

Medium to Long-Term Outlook (Next 5-10 Years)

By 2030, the market could potentially double, touching USD 500 million, contingent upon several factors:

  • Successful expansion of indications, including solid tumor applications and immunotherapy adjuncts.
  • Entry of biosimilars and generics post-patent expiration, potentially reducing costs and expanding access.
  • Integration into combination regimens for enhancing stem cell yields and immune modulation.

However, this growth hinges on ongoing clinical validation, regulatory support, and competitive landscape evolution.

Strategic Opportunities

  • Pipeline Diversification: Developing formulations with improved pharmacokinetics or combination therapies.
  • Geographical Expansion: Penetrating untapped markets with tailored pricing strategies.
  • Clinical Positioning: Demonstrating superior mobilization in difficult patient populations enhances Mozobil’s value proposition.

Overall, Mozobil is poised to reinforce its market position through innovation, strategic partnerships, and expanded clinical utility.


Key Takeaways

  • Ongoing trials are exploring Mozobil's expanded indications, especially in solid tumors and combinatorial regimens, with promising preliminary data.
  • Market growth remains robust, underpinned by increasing incidence rates of blood cancers and improvements in stem cell transplantation techniques.
  • Competitive landscape is evolving, with biosimilar emergence and alternative mobilization agents presenting challenges, yet Mozobil’s clinical edge sustains its leadership.
  • Future prospects depend heavily on regulatory approvals for extended indications, pipeline innovations, and strategic geographic expansion.
  • Stakeholders should monitor clinical developments, pricing strategies, and regional healthcare policies to optimize market positioning.

FAQs

1. What are the main clinical advantages of Mozobil compared to traditional mobilization agents?
Mozobil significantly accelerates stem cell mobilization, especially in poor mobilizers, and reduces the number of apheresis sessions needed, thereby decreasing procedure-related risks and treatment costs.

2. Are there ongoing trials to expand Mozobil's uses beyond hematologic malignancies?
Yes, current trials are evaluating Mozobil in solid tumor settings, immune modulation, and as part of combination therapy strategies, potentially broadening its clinical applications.

3. How does the patent landscape affect Mozobil’s market future?
Mozobil's primary patent protection is expected to last until around 2030. The expiry may lead to biosimilar entry, which could lower prices and increase access but also intensify market competition.

4. What strategic moves could ensure Mozobil's long-term market dominance?
Investing in pipeline development, exploring new indications, enhancing formulation convenience, and expanding into emerging markets will be crucial.

5. How has recent clinical evidence influenced Mozobil’s adoption in clinical practice?
Strong evidence supporting efficacy in difficult-to-mobilize patients has increased clinician confidence, leading to broader adoption and integration into treatment protocols.


References

[1] U.S. Food and Drug Administration (FDA). Mozobil (Plerixafor) prescribing information. 2008.
[2] MarketWatch. Hematopoietic stem cell mobilization market analysis, 2022.
[3] ClinicalTrials.gov. Ongoing trials involving Mozobil, 2023.
[4] Global Data. Emerging trends in stem cell therapy and mobilization, 2022.
[5] Pharma intelligence. Future outlook and competitive landscape, 2023.

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