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Phase 3 Completed N=136 Randomized Double-blind Treatment

Treatment of GVHD in Hematopoietic Stem Cell Transplant (HSCT) Recipients Using AAT Plus Corticosteroids (CS) Compared With Corticosteroids Alone

Graft Versus Host Disease (GVHD)
Source: ClinicalTrials.gov NCT04167514 ↗
Enrolled (actual)
136
Serious AEs
25.8%
Results posted
Aug 2025
Primary outcomePrimary: Overall Response Rate (ORR) to Acute Graft-versus-Host Disease (GVHD) Treatment — 60.0; 45.1 percentage of participants — p=0.034
◆ Published Evidence
No publication linked

No peer-reviewed publication reporting this trial's results has been linked yet. This can indicate results are unpublished — a known publication-bias signal. We re-check periodically.

Summary

Study CSL964\_5001 will investigate the efficacy of AAT with corticosteroids compared with corticosteroids alone as first line therapy for patients with high-risk acute GVHD

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Response Rate (ORR) to Acute Graft-versus-Host Disease (GVHD) Treatment
60.0; 45.1 0.034 sig
SECONDARY
Duration of Response (DOR)
82; 154
SECONDARY
Number of Participants With Non-relapse Mortality (NRM) Event
12; 14; 13; 14
SECONDARY
Number of Overall and Progression-free Survival Events
16; 18; 20; 23; 25; 28
SECONDARY
Number of Participants With GVHD-free Survival
29; 25
SECONDARY
Percentage of Participants With Response
29.2; 33.8; 33.8; 25.4; 36.9; 40.8
SECONDARY
Percentage of Participants With Response Allowing for Approved Next-line Therapy
29.2; 33.8; 36.9; 31.0; 33.8; 35.2
SECONDARY
Incidence of Grade 2 to 3 Systemic Infections
20; 22
SECONDARY
Percentage of Participants With Grade 3 to 5 Treatment-emergent Adverse Events (TEAEs)
46.0; 65.2
SECONDARY
Cumulative Incidence of Chronic GVHD
13; 9; 20; 14
SECONDARY
Cumulative Incidence of Disease Relapse/ Progression of Primary Disease
14; 14; 15; 15

Eligibility Criteria

Inclusion Criteria

  • Patients 12 years of age or older
  • Initial presentation of acute GVHD after allogeneic hematopoietic cell transplantation for any indication
  • Any graft or donor source or conditioning intensity
  • Clinical diagnosis of acute GVHD requiring systemic therapy with corticosteroids

Exclusion Criteria

  • Prior exogenous AAT exposure for GVHD prophylaxis
  • Relapsed, progressing, or persistent malignancy
  • de novo chronic GVHD or overlap syndrome developing before or present at the time of enrollment
  • Receiving other drugs for the treatment of GVHD
  • Receiving systemic CS for any indication within 7 days before the onset of acute GVHD
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04167514). 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. Informational only — not medical advice.

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