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Active not recruitingPHASE2INTERVENTIONAL

A Study to Evaluate the Safety and Efficacy of Axatilimab in Combination With Ruxolitinib in Participants With Newly Diagnosed Chronic Graft-Versus-Host Disease

This study is investigating a new treatment for chronic graft-versus-host disease (cGVHD), a complication that can happen after a stem cell transplant. It combines a new medication called axatilimab with ruxolitinib, a drug already used for cGVHD. The main goal is to find out if this new combination is safe and works well. Researchers also want to understand how much the new drug, axatilimab, adds to the treatment's effectiveness. This is a Phase 2 study, meaning it's still in the earlier stages of testing new treatments in people, after initial safety checks have been done.

At a glance

Status
Active not recruiting
Phase
PHASE2
Sponsor
Incyte Corporation
Enrolment target
130
Start
11 Oct 2024
Estimated completion
01 Dec 2029

What is this study about?

Imagine you've had a successful stem cell transplant, which can be a life-saving treatment for certain blood conditions. Sometimes, after a transplant, the new healthy cells from the donor start to see your body as 'foreign' and attack it. This is called graft-versus-host disease (GVHD). When it lasts for a long time or starts later, it's called chronic GVHD (cGVHD).

This study is looking into a new way to treat cGVHD. It's testing a new drug called axatilimab, which is given alongside ruxolitinib. Ruxolitinib is a medication that's already approved and used to treat cGVHD. The researchers want to see if adding axatilimab can make the treatment even better or more effective for people living with cGVHD.

The main purpose is to understand if this new combination of medicines is safe for patients and how well it works to control cGVHD. They are also keen to figure out how much the new medicine (axatilimab) contributes to the overall treatment effect, helping them decide if it could be a valuable new option for patients in the future.

Key takeaways

  • This study evaluates a new combination treatment for chronic GVHD.
  • It combines a new drug (axatilimab) with an existing one (ruxolitinib).
  • The main goals are to check safety and how well the treatment works.
  • Participation requires you to be at least 12 years old and have newly diagnosed moderate/severe cGVHD.
  • You cannot have received prior systemic treatment for cGVHD or have certain other medical conditions.
  • Taking part is voluntary, and you can withdraw at any time.

Who may be eligible?

To be part of this study, you need to be at least 12 years old and have been recently diagnosed with moderate or severe chronic graft-versus-host disease (cGVHD) that needs a general treatment for your whole body (not just one area). You must have had one stem cell transplant in the past. Your blood counts also need to be at a certain healthy level.

There are several reasons why you might not be able to join. For example, if you've had more than one stem cell transplant, or if you've already received treatment specifically for your cGVHD (like steroids or a special blood filtering treatment). You also can't have certain other health problems like a recent blood clot, active muscle inflammation, or severe kidney problems. If you've recently taken certain medications, like particular types of immune-suppressing drugs or another drug called a JAK inhibitor, you might also not be able to participate, unless you met specific conditions.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 12 years old or older?
  2. Do you have new or recently diagnosed moderate to severe chronic GVHD?
  3. Have you had only one stem cell transplant?
  4. Do you have generally healthy blood counts?
  5. Have you NOT had any previous treatments specifically for your cGVHD?
  6. Do you NOT have certain other serious health issues like severe kidney problems or recent blood clots?
Answer every question to see your result.

What does participation involve?

If you decide to participate, you'll be given the study medications, axatilimab and ruxolitinib, over a period of time. You'll have regular hospital visits for check-ups, blood tests, and other assessments to monitor your health and how well the treatment is working. The study team will guide you through all the necessary steps and appointments. The total duration of your participation will depend on the study design and your response to treatment, including follow-up care after you stop taking the study drugs. You'll receive detailed information about the schedule of visits and procedures if you are considering joining.

Potential risks and benefits

Participating in this study might offer a potential benefit if the new combination treatment proves to be more effective for your chronic GVHD than standard options. However, as with any new treatment, there are potential risks and side effects from the medications. The researchers will closely monitor you for any unwanted effects, and they will explain all known risks to you in detail. Remember, choosing to participate is completely voluntary, and you have the right to withdraw from the study at any time, for any reason, without it affecting your medical care.

Locations (68)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Mayo Clinic Hospital
    Verified postcode
    Phoenix, United States
  • City of Hope Medical Center
    Verified postcode
    Duarte, United States
  • University of California-Los Angeles Medl Cntr-Oncology Center Bowyer Clinic
    Verified postcode
    Los Angeles, United States
  • Stanford Cancer Center
    Verified postcode
    Stanford, United States
  • University of Colorado Cancer Center
    Verified postcode
    Aurora, United States
  • Colorado Blood Cancer Institute
    Verified postcode
    Denver, United States
  • Smilow Cancer Center-Yale
    Verified postcode
    New Haven, United States
  • Mayo Clinic Jacksonville
    Verified postcode
    Jacksonville, United States
  • Northwestern University
    Verified postcode
    Chicago, United States
  • The University of Chicago Medicine
    Verified postcode
    Chicago, United States
  • University of Maryland-Greenebaum Cancer Center
    Verified postcode
    Baltimore, United States
  • Washington University
    Verified postcode
    St Louis, United States

Common questions

What is chronic graft-versus-host disease (cGVHD)?

It's a condition that can happen after a stem cell transplant where the donor's immune cells attack the patient's body.

What are axatilimab and ruxolitinib?

Axatilimab is a new experimental drug, and ruxolitinib is an existing drug used to treat cGVHD, both being tested together in this study.

Why is this study important?

It aims to find out if this new combination treatment is a safe and effective way to manage and improve cGVHD for patients.

Will I receive a placebo?

This study tests two active drugs in combination, so you would receive the study medications if you participate.

How long does the study last?

The exact duration can vary, but it includes treatment periods and follow-up visits. The study team will provide a detailed timeline.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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