Study of US-ATG-F to Prevent Chronic Graft Versus Host Disease (GVHD)

NCT ID: NCT01295710

Last Updated: 2019-04-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-10

Study Completion Date

2015-10-15

Brief Summary

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The study objective is to compare the efficacy and safety of US-ATG-F as a supplement to standard of care prophylaxis versus standard of care prophylaxis alone in moderate to severe chronic GVHD-free survival.

Detailed Description

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This study is randomized, prospective, double-blind, placebo-controlled, phase 3 study evaluating the prevention of moderate to severe chronic GVHD in patients undergoing bone marrow or peripheral blood stem cell transplantation from matched, unrelated donors for acute leukemia and myelodysplastic syndrome during the first year after transplant.

Patients meeting all the inclusion and none of the exclusion criteria will be randomized (1:1). All patients will receive premedication and study drug 3 days prior to transplantation.

Conditions

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GVHD Adult Acute Myeloid Leukemia Adult Acute Lymphoid Leukemia Myelodysplastic Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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US-ATG-F

20 mg/kg body weight per day, diluted in 250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation

Group Type ACTIVE_COMPARATOR

US-ATG-F

Intervention Type BIOLOGICAL

20 mg/kg body weight per day, diluted in 250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation

Placebo

250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation

Interventions

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US-ATG-F

20 mg/kg body weight per day, diluted in 250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation

Intervention Type BIOLOGICAL

Placebo

250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation

Intervention Type BIOLOGICAL

Other Intervention Names

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Anti-human-T-lymphocyte Immune Globulin, Rabbit

Eligibility Criteria

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Inclusion Criteria

* Patients designated to undergo allogeneic peripheral blood or bone marrow stem cell transplantation following the diagnosis of one of the primary diseases in early or intermediate disease status (i.e., acute myeloid leukemia, acute lymphoid leukemia, and myelodysplastic syndrome)
* Patients with an unrelated HLA-A,-B, -C and -DRBI matched donor
* Patients with a Karnofsky Performance Score ≥ 70%

Exclusion Criteria

* Clinically significant concomitant diseases (i.e., cardiac, pulmonary, renal and CNS)
* Bacterial, viral, or fungal infections
* Known positive for Hepatitis B surfaces antigen, or Hepatitis C antibody, or who have been tested positive for HIV
* Patients with any concurrent malignancy. Cancer treated with curative intent \< 5 years previously will not be allowed except for patients with resected basal cell carcinoma or treated cervical carcinoma in situ
* Known contraindications to the administration of rabbit immunoglobulin antibodies
* Hypersensitivity to methylprednisolone, tacrolimus, methotrexate or any excipients contains in these products
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Neovii Biotech

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anne Kuan

Role: STUDY_DIRECTOR

Neovii Biotech

Locations

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City of Hope

Duarte, California, United States

Site Status

Stanford University Medical Center, BMT

Stanford, California, United States

Site Status

University of Florida Shands Cancer Center

Gainesville, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

University of Kansas Medical Center

Westwood, Kansas, United States

Site Status

Tulane University Health Sciences Center

New Orleans, Louisiana, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Washington University Medical Center

St Louis, Missouri, United States

Site Status

Weill Cornell Medical Center

New York, New York, United States

Site Status

University of North Carolina Hospitals

Chapel Hill, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Penn State Hershey Cancer Institute

Hershey, Pennsylvania, United States

Site Status

Abramson Cancer Center of the University at Perlman Center for Advanced Medicine

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt University Medical Center, Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Texas Transplant Physician's Group

San Antonio, Texas, United States

Site Status

University of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status

VA Puget Sound Healthcare System

Seattle, Washington, United States

Site Status

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status

Countries

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United States Australia

References

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Chakupurakal G, Freudenberger P, Skoetz N, Ahr H, Theurich S. Polyclonal anti-thymocyte globulins for the prophylaxis of graft-versus-host disease after allogeneic stem cell or bone marrow transplantation in adults. Cochrane Database Syst Rev. 2023 Jun 21;6(6):CD009159. doi: 10.1002/14651858.CD009159.pub3.

Reference Type DERIVED
PMID: 37341189 (View on PubMed)

Other Identifiers

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IV-ATG-SCT-01

Identifier Type: -

Identifier Source: org_study_id

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