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Phase 3 N=254 Randomized Quadruple-blind Prevention

Study of US-ATG-F to Prevent Chronic Graft Versus Host Disease (GVHD)

GVHD · Adult Acute Myeloid Leukemia · Adult Acute Lymphoid Leukemia · Myelodysplastic Syndrome

Enrolled (actual)
254
Serious AEs
74.0%
Results posted
Mar 2019
Primary outcome: Primary: Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD According to 2005 NIH Criteria as Determined by the Independent Endpoint Committee or Death From Any Cause After Allogeneic Stem Cell Transplantation — 60; 72 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
US-ATG-F (Biological); Placebo (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Neovii Biotech
Primary completion
Oct 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD According to 2005 NIH Criteria as Determined by the Independent Endpoint Committee or Death From Any Cause After Allogeneic Stem Cell Transplantation
60; 72
SECONDARY
Overall Survival
49; 36
SECONDARY
Number of Participants With Chronic GVHD Mild to Severe
18; 50
SECONDARY
Number of Participants With Chronic GVHD Moderate to Severe
13; 45
SECONDARY
Number of Participants With Chronic GVHD Severe
3; 16
SECONDARY
Number of Participants With Acute GVHD Grade I-IV
48; 71
SECONDARY
Number of Participants With Acute GVHD Grade II-IV
28; 53
SECONDARY
Number of Participants With Acute GVHD Grade III-IV
8; 17
SECONDARY
Number of Participants With Relapse
37; 26
SECONDARY
Disease-free Survival
61; 49
SECONDARY
Number of Participants With Transplant Related Mortality
24; 23
SECONDARY
Systemic Immunosuppressive Medication for Treatment of Moderate to Severe Chronic GVHD
8; 33

Summary

The study objective is to compare the efficacy and safety of US-ATG-F as a supplement to standard of care prophylaxis versus standard of care prophylaxis alone in moderate to severe chronic GVHD-free survival.

Eligibility Criteria

Key Inclusion Criteria

  • Patients designated to undergo allogeneic peripheral blood or bone marrow stem cell transplantation following the diagnosis of one of the primary diseases in early or intermediate disease status (i.e., acute myeloid leukemia, acute lymphoid leukemia, and myelodysplastic syndrome)
  • Patients with an unrelated HLA-A, -B, -C and -DRBI matched donor
  • Patients with a Karnofsky Performance Score ≥ 70%

Key Exclusion Criteria

  • Clinically significant concomitant diseases (i.e., cardiac, pulmonary, renal and CNS)
  • Bacterial, viral, or fungal infections
  • Known positive for Hepatitis B surfaces antigen, or Hepatitis C antibody, or who have been tested positive for HIV
  • Patients with any concurrent malignancy. Cancer treated with curative intent < 5 years previously will not be allowed except for patients with resected basal cell carcinoma or treated cervical carcinoma in situ
  • Known contraindications to the administration of rabbit immunoglobulin antibodies
  • Hypersensitivity to methylprednisolone, tacrolimus, methotrexate or any excipients contains in these products
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01295710). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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