Active ongoing studies for systemic treatment in up-front or steroid-refractory chronic GVHD
Phase . | Treatment . | Drug mechanism/target . | Indication . | Enrollment . | Primary end point . | NCT number . |
---|---|---|---|---|---|---|
Pilot | Itacitinib | JAK inhibitor | Steroid refractory | 40 | ORR at 6 months | NCT04200365 |
Phase 2 | Itacitinib and ECP | JAK inhibitor, Treg | Up-front | 58 | ORR at 24 weeks; dose-limiting toxicity | NCT0446182 |
Phase 1 | SHR0302 | JAK inhibitor | Up-front | 30 | Adverse events | NCT04146207 |
Phase 1 | Abatacept | T-cell costim blockade | Steroid refractory | 22 | Maximum tolerated dose | NCT01954979 |
Phase 2/3 | Itacitinib | JAK inhibitor | Up-front | 431 | Dose determination; ORR at 6 months | NCT03584516 |
Phase 2 | Mesenchymal stem cells | Immunomodulatory | Up-front | 152 | ORR at 12 weeks | NCT04692376 |
Phase 2 | IL-2 and ECP | Treg | Steroid refractory | 24 | ORR at 4 weeks | NCT03007238 |
Phase 1/2 | Ofatumumab | CD20 B-cell antibody | Up-front | 44 | ORR at 6 months; maximum tolerated dose | NCT010680965 |
Phase 2 | KD025 (belumosudil) | ROCK inhibitor | Steroid refractory | 166 | ORR at 6 months | NCT03640481 |
Phase 2 | Acalabrutinib | BTK inhibitor | Recurrent/progressive | 50 | Best response at 6 months | NCT04198922 |
Phase 1/2 | Glasdegib | Hedgehog signaling inhibitor | Sclerosis/steroid-refractory | 21 | Maximum tolerated dose | NCT03415867 |
Phase 2 | Ibrutinib/rituximab | BTK inhibitor/CD20 B-cell antibody | Up-front | 35 | Off immunosuppression at 8 weeks | NCT04235036 |
Phase 1 | Leflunomide | Immunomodulatory | Steroid dependent | 24 | Dose-limiting toxicity | NCT04212416 |
Phase 2 | Axalitimab | CSF-1 inhibitor | Steroid refractory | 210 | ORR at 6 months | NCT04710576 |
Phase 2 | Ibrutinib | BTK inhibitor | Up-front | 40 | ORR at 6 months | NCT04294641 |
Phase 1/2 | Baricitinib | JAK inhibitor | Steroid refractory | 31 | Safety and efficacy | NCT02759731 |
Phase 3 | Ruxolitinib | JAK inhibitor | Steroid refractory | 330 | ORR at day 168 | NCT03112603 |
Phase . | Treatment . | Drug mechanism/target . | Indication . | Enrollment . | Primary end point . | NCT number . |
---|---|---|---|---|---|---|
Pilot | Itacitinib | JAK inhibitor | Steroid refractory | 40 | ORR at 6 months | NCT04200365 |
Phase 2 | Itacitinib and ECP | JAK inhibitor, Treg | Up-front | 58 | ORR at 24 weeks; dose-limiting toxicity | NCT0446182 |
Phase 1 | SHR0302 | JAK inhibitor | Up-front | 30 | Adverse events | NCT04146207 |
Phase 1 | Abatacept | T-cell costim blockade | Steroid refractory | 22 | Maximum tolerated dose | NCT01954979 |
Phase 2/3 | Itacitinib | JAK inhibitor | Up-front | 431 | Dose determination; ORR at 6 months | NCT03584516 |
Phase 2 | Mesenchymal stem cells | Immunomodulatory | Up-front | 152 | ORR at 12 weeks | NCT04692376 |
Phase 2 | IL-2 and ECP | Treg | Steroid refractory | 24 | ORR at 4 weeks | NCT03007238 |
Phase 1/2 | Ofatumumab | CD20 B-cell antibody | Up-front | 44 | ORR at 6 months; maximum tolerated dose | NCT010680965 |
Phase 2 | KD025 (belumosudil) | ROCK inhibitor | Steroid refractory | 166 | ORR at 6 months | NCT03640481 |
Phase 2 | Acalabrutinib | BTK inhibitor | Recurrent/progressive | 50 | Best response at 6 months | NCT04198922 |
Phase 1/2 | Glasdegib | Hedgehog signaling inhibitor | Sclerosis/steroid-refractory | 21 | Maximum tolerated dose | NCT03415867 |
Phase 2 | Ibrutinib/rituximab | BTK inhibitor/CD20 B-cell antibody | Up-front | 35 | Off immunosuppression at 8 weeks | NCT04235036 |
Phase 1 | Leflunomide | Immunomodulatory | Steroid dependent | 24 | Dose-limiting toxicity | NCT04212416 |
Phase 2 | Axalitimab | CSF-1 inhibitor | Steroid refractory | 210 | ORR at 6 months | NCT04710576 |
Phase 2 | Ibrutinib | BTK inhibitor | Up-front | 40 | ORR at 6 months | NCT04294641 |
Phase 1/2 | Baricitinib | JAK inhibitor | Steroid refractory | 31 | Safety and efficacy | NCT02759731 |
Phase 3 | Ruxolitinib | JAK inhibitor | Steroid refractory | 330 | ORR at day 168 | NCT03112603 |
ECP, extracorporeal photopheresis; ORR, overall response rate; ROCK, rho-associated coiled-coil kinase.