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RecruitingLast updated: 3 March 2025

A Study evaluating a targeted drug (called Axatilimab) in combination with corticosteroids for people with graft-versus-host disease.A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Axatilimab and Corticosteroids as Initial Treatment for Chronic Graft-Versus-Host Disease

Trial purpose

Medical clipboardCancer treatment

Tumor type

Blood Cancers Haematological

Age

People12+

Clinical summary

Summary

This study aims to evaluate the efficacy of axatilimab in combination with a corticosteroid as initial treatment for moderate or severe chronic graft-versus-host disease (cGVHD). 

Eligible participants will be randomly allocated one of two treatment arms. One arm will recieve axatilimab + corticosteroids while the arm will recive a placebo + corticosteroids. 

Conditions

This trial is treating people with New-onset moderate or severe graft-versus-host disease (cGVHD)

Eligibility

Inclusion

  • ≥ 12 years of age at the time of informed consent.
  • New-onset moderate or severe cGVHD, as defined by the 2014 NIH Consensus Development Project Criteria for Clinical Trials in cGVHD, requiring systemic therapy.
  • History of allo-HCT from any donor HLA type (related or unrelated donor with any degree of HLA matching) using any graft source (bone marrow, peripheral blood stem cells, or cord blood). Recipients of myeloablative, nonmyeloablative, or reduced-intensity conditioning are eligible.
  • Adequate hematologic function with ANC ≥ 0.5 × 109/L independent of growth factors for at least 7 days prior to study entry.
  • Willingness to avoid pregnancy or fathering children.

Exclusion

  • Received more than 1 prior allo-HCT. Prior autologous HCT is allowed.
  • Has overlap cGVHD, defined as simultaneous presence of features or characteristics of aGVHD in a patient with cGVHD.
  • Received more than 7 days of systemic corticosteroid treatment for cGVHD or unable to begin a prednisone dose ≥ 1.0 mg/kg per day (or methylprednisolone equivalent) for cGVHD.
  • Received previous systemic treatment for cGVHD, including extracorporeal photopheresis.
  • Systemic treatment with CNIs or mTOR inhibitors started within 2 weeks prior to C1D1.
  • Prior treatment with CSF-1R targeted therapies.
  • Active, uncontrolled bacterial, fungal, parasitic, or viral infection.
  • Evidence of relapse of the primary hematologic disease or treatment for relapse after the allo-HCT was performed, including DLIs for the treatment of molecular relapse.
  • History of acute or chronic pancreatitis.
  • Active symptomatic myositis.
  • History or current diagnosis of cardiac disease indicating significant risk of safety for participation in the study, such as uncontrolled or significant cardiac disease.
  • Severe renal impairment, that is, estimated CrCl < 30 mL/min measured or calculated by Cockcroft-Gault equation in adults and Schwartz formula in pediatric participants, or endstage renal disease on dialysis.
  • Impaired liver function, defined as total bilirubin > 1.5 × ULN and/or ALT and AST > 3 × ULN in participants with no evidence of liver cGVHD.
  • Pregnant or breastfeeding.

Inclusion

  • You have had a certain type of treatment or surgical procedure.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

Incyte Corporation

Scientific Title

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Axatilimab and Corticosteroids as Initial Treatment for Chronic Graft-Versus-Host Disease

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