Table 2.

Active ongoing studies for systemic treatment in up-front or steroid-refractory chronic GVHD

PhaseTreatmentDrug mechanism/targetIndicationEnrollmentPrimary end pointNCT 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 
PhaseTreatmentDrug mechanism/targetIndicationEnrollmentPrimary end pointNCT 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.

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