Trial Outcomes & Findings for Study of US-ATG-F to Prevent Chronic Graft Versus Host Disease (GVHD) (NCT NCT01295710)

NCT ID: NCT01295710

Last Updated: 2019-04-09

Results Overview

Participants with first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee or death from any cause after allogeneic stem cell transplantation, with a target of 124 total events of moderate or severe chronic GVHD, or death from any cause

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

260 participants

Primary outcome timeframe

Time from first study drug administration until the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, or death from any cause, assessed up to 48 months

Results posted on

2019-04-09

Participant Flow

The Enrollment number of 260 participants in the Protocol Section represents the number of patients who were randomized. The number of 254 participants who Started in the Participant Flow module represents the number of patients who were randomized and were treated.

Participant milestones

Participant milestones
Measure
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
Placebo
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Overall Study
STARTED
126
128
Overall Study
COMPLETED
48
78
Overall Study
NOT COMPLETED
78
50

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Analysis of patients who received a specific conditioning regimen

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Total
n=254 Participants
Total of all reporting groups
Age, Customized
18 years to ≤40 years
42 Participants
n=126 Participants
43 Participants
n=128 Participants
85 Participants
n=254 Participants
Age, Customized
>40 years to 65 years
84 Participants
n=126 Participants
85 Participants
n=128 Participants
169 Participants
n=254 Participants
Sex: Female, Male
Female
66 Participants
n=126 Participants
49 Participants
n=128 Participants
115 Participants
n=254 Participants
Sex: Female, Male
Male
60 Participants
n=126 Participants
79 Participants
n=128 Participants
139 Participants
n=254 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=126 Participants
6 Participants
n=128 Participants
11 Participants
n=254 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
119 Participants
n=126 Participants
117 Participants
n=128 Participants
236 Participants
n=254 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=126 Participants
5 Participants
n=128 Participants
7 Participants
n=254 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=126 Participants
1 Participants
n=128 Participants
1 Participants
n=254 Participants
Race (NIH/OMB)
Asian
2 Participants
n=126 Participants
1 Participants
n=128 Participants
3 Participants
n=254 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=126 Participants
0 Participants
n=128 Participants
0 Participants
n=254 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=126 Participants
4 Participants
n=128 Participants
4 Participants
n=254 Participants
Race (NIH/OMB)
White
117 Participants
n=126 Participants
117 Participants
n=128 Participants
234 Participants
n=254 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=126 Participants
1 Participants
n=128 Participants
1 Participants
n=254 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=126 Participants
4 Participants
n=128 Participants
11 Participants
n=254 Participants
Region of Enrollment
United States
124 Participants
n=126 Participants
125 Participants
n=128 Participants
249 Participants
n=254 Participants
Region of Enrollment
Australia
2 Participants
n=126 Participants
3 Participants
n=128 Participants
5 Participants
n=254 Participants
Disease
Acute lymphoid leukemia (ALL)
23 Participants
n=126 Participants
34 Participants
n=128 Participants
57 Participants
n=254 Participants
Disease
Myelodysplastic syndrome (MDS)
19 Participants
n=126 Participants
14 Participants
n=128 Participants
33 Participants
n=254 Participants
Disease
Acute myeloid leukemia (AML)
83 Participants
n=126 Participants
80 Participants
n=128 Participants
163 Participants
n=254 Participants
Disease
Biphenotypic AML/ALL
1 Participants
n=126 Participants
0 Participants
n=128 Participants
1 Participants
n=254 Participants
Source of stem cells
Bone marrow
22 Participants
n=126 Participants
27 Participants
n=128 Participants
49 Participants
n=254 Participants
Source of stem cells
Peripheral blood
95 Participants
n=126 Participants
101 Participants
n=128 Participants
196 Participants
n=254 Participants
Source of stem cells
No stem cell transplantation
9 Participants
n=126 Participants
0 Participants
n=128 Participants
9 Participants
n=254 Participants
Conditioning regimen
Cyclophosphamide & total body irradiation (CY-TBI)
31 Participants
n=126 Participants
37 Participants
n=128 Participants
68 Participants
n=254 Participants
Conditioning regimen
Busulfan & cyclophosphamide (BU-CY)
47 Participants
n=126 Participants
37 Participants
n=128 Participants
84 Participants
n=254 Participants
Conditioning regimen
Fludarabine & busulfan (FLU-BU)
48 Participants
n=126 Participants
54 Participants
n=128 Participants
102 Participants
n=254 Participants
ALC at Study Day -3 Overall Study
ALC ≤ 0.1 x 10^9 lymphocytes/L
51 Participants
n=126 Participants
41 Participants
n=128 Participants
92 Participants
n=254 Participants
ALC at Study Day -3 Overall Study
ALC > 0.1 x 10^9 lymphocytes/L
64 Participants
n=126 Participants
74 Participants
n=128 Participants
138 Participants
n=254 Participants
ALC at Study Day -3 Overall Study
Not tested
11 Participants
n=126 Participants
13 Participants
n=128 Participants
24 Participants
n=254 Participants
ALC at Study Day -3 by Conditioning Regimen
Regimen: CY-TBI · ALC ≤ 0.1 x 10^9 lymphocytes/L
22 Participants
n=31 Participants • Analysis of patients who received a specific conditioning regimen
24 Participants
n=37 Participants • Analysis of patients who received a specific conditioning regimen
46 Participants
n=68 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: CY-TBI · ALC > 0.1 x 10^9 lymphocytes/L
7 Participants
n=31 Participants • Analysis of patients who received a specific conditioning regimen
11 Participants
n=37 Participants • Analysis of patients who received a specific conditioning regimen
18 Participants
n=68 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: CY-TBI · Not tested
2 Participants
n=31 Participants • Analysis of patients who received a specific conditioning regimen
2 Participants
n=37 Participants • Analysis of patients who received a specific conditioning regimen
4 Participants
n=68 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: BU-CY · ALC ≤ 0.1 x 10^9 lymphocytes/L
6 Participants
n=47 Participants • Analysis of patients who received a specific conditioning regimen
2 Participants
n=37 Participants • Analysis of patients who received a specific conditioning regimen
8 Participants
n=84 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: BU-CY · ALC > 0.1 x 10^9 lymphocytes/L
39 Participants
n=47 Participants • Analysis of patients who received a specific conditioning regimen
31 Participants
n=37 Participants • Analysis of patients who received a specific conditioning regimen
70 Participants
n=84 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: BU-CY · Not tested
2 Participants
n=47 Participants • Analysis of patients who received a specific conditioning regimen
4 Participants
n=37 Participants • Analysis of patients who received a specific conditioning regimen
6 Participants
n=84 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: FLU-BU · ALC ≤ 0.1 x 10^9 lymphocytes/L
23 Participants
n=48 Participants • Analysis of patients who received a specific conditioning regimen
15 Participants
n=54 Participants • Analysis of patients who received a specific conditioning regimen
38 Participants
n=102 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: FLU-BU · ALC > 0.1 x 10^9 lymphocytes/L
18 Participants
n=48 Participants • Analysis of patients who received a specific conditioning regimen
32 Participants
n=54 Participants • Analysis of patients who received a specific conditioning regimen
50 Participants
n=102 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimen: FLU-BU · Not tested
7 Participants
n=48 Participants • Analysis of patients who received a specific conditioning regimen
7 Participants
n=54 Participants • Analysis of patients who received a specific conditioning regimen
14 Participants
n=102 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimens: BU-CY + FLU-BU · ALC ≤ 0.1 x 10^9 lymphocytes/L
29 Participants
n=95 Participants • Analysis of patients who received a specific conditioning regimen
17 Participants
n=91 Participants • Analysis of patients who received a specific conditioning regimen
46 Participants
n=186 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimens: BU-CY + FLU-BU · ALC > 0.1 x 10^9 lymphocytes/L
57 Participants
n=95 Participants • Analysis of patients who received a specific conditioning regimen
63 Participants
n=91 Participants • Analysis of patients who received a specific conditioning regimen
120 Participants
n=186 Participants • Analysis of patients who received a specific conditioning regimen
ALC at Study Day -3 by Conditioning Regimen
Regimens: BU-CY + FLU-BU · Not tested
9 Participants
n=95 Participants • Analysis of patients who received a specific conditioning regimen
11 Participants
n=91 Participants • Analysis of patients who received a specific conditioning regimen
20 Participants
n=186 Participants • Analysis of patients who received a specific conditioning regimen

PRIMARY outcome

Timeframe: Time from first study drug administration until the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, or death from any cause, assessed up to 48 months

Participants with first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee or death from any cause after allogeneic stem cell transplantation, with a target of 124 total events of moderate or severe chronic GVHD, or death from any cause

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD According to 2005 NIH Criteria as Determined by the Independent Endpoint Committee or Death From Any Cause After Allogeneic Stem Cell Transplantation
60 Participants
72 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the occurrence of death from any cause, assessed up to 48 months

Incidence of death from any cause

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Overall Survival
49 Participants
36 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the first occurrence of mild to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Participants with the first occurrence of mild to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Chronic GVHD Mild to Severe
18 Participants
50 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Participants with the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Chronic GVHD Moderate to Severe
13 Participants
45 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the first occurrence of severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Participants with the first occurrence of severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Chronic GVHD Severe
3 Participants
16 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the first occurrence of acute GVHD grade I-IV as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Participants with the first occurrence of acute GVHD grade I-IV as determined by the Investigators, with death and re transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Acute GVHD Grade I-IV
48 Participants
71 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the first occurrence of acute GVHD grade II-IV as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Participants with the first occurrence of acute GVHD grade II-IV as determined by the Investigators, with death and re transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Acute GVHD Grade II-IV
28 Participants
53 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the first occurrence of acute GVHD grade III-IV as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Participants with the first occurrence of acute GVHD grade III-IV as determined by the Investigators, with death and re transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Acute GVHD Grade III-IV
8 Participants
17 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the occurrence of relapse, with death as competing risk, assessed up to 48 months

Participants with relapse or disease recurrence, with death as competing risk

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Relapse
37 Participants
26 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the occurrence of relapse or death, assessed up to 48 months

Incidence of relapse or death

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Disease-free Survival
61 Participants
49 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until the occurrence of transplant related mortality, assessed up to 48 months

Participants with transplant related mortality

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With Transplant Related Mortality
24 Participants
23 Participants

SECONDARY outcome

Timeframe: Time from first study drug administration until start of systemic immunosuppressive medicine for treatment of moderate to severe chronic GVHD as determined by the Investigator, with death and re-transplantation as competing risks, assessed up to 48 months

Participants who started on systemic immunosuppressive medicine for treatment of moderate to severe chronic GVHD as determined by the Investigator, with death and re-transplantation as competing risks

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Systemic Immunosuppressive Medication for Treatment of Moderate to Severe Chronic GVHD
8 Participants
33 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators or death from any cause, assessed up to 48 months

Participants with first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators or death from any cause after allogeneic stem cell transplantation, with a target of 124 total events of moderate or severe chronic GVHD or death

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With First Occurrence of Moderate or Severe Chronic GVHD According to 2005 NIH Criteria as Determined by Principal Investigator or Death From Any Cause After Allogeneic Stem Cell Transplantation
63 Participants
86 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death from any cause, assessed up to 48 months

Participants with moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death from any cause

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Moderate to Severe Chronic GVHD-free, Relapse-free Survival (GRFS)
70 Participants
81 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of grade III-IV acute GVHD, moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death, assessed up to 48 months

Participants with grade III-IV acute GVHD as determined by the Investigator, moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death from any cause

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Grade III-IV Acute GVHD-free, GRFS
72 Participants
85 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, or death from any cause, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee or death from any cause after allogeneic stem cell transplantation, with a target of 124 total events of moderate or severe chronic GVHD, or death from any cause. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD or Death From Any Cause by Conditioning Regimen
Regimen: CY-TBI
20 Participants
16 Participants
Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD or Death From Any Cause by Conditioning Regimen
Regimen: BU-CY
18 Participants
21 Participants
Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD or Death From Any Cause by Conditioning Regimen
Regimen: FLU-BU
22 Participants
35 Participants
Number of Participants With First Occurrence of Moderate to Severe Chronic GVHD or Death From Any Cause by Conditioning Regimen
Regimens: BU-CY + FLU-BU
40 Participants
56 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death from any cause, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death from any cause. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Moderate to Severe Chronic GVHD-free, Relapse-free Survival (GRFS) by Conditioning Regimen
Regimen: CY-TBI
23 Participants
20 Participants
Moderate to Severe Chronic GVHD-free, Relapse-free Survival (GRFS) by Conditioning Regimen
Regimen: BU-CY
21 Participants
22 Participants
Moderate to Severe Chronic GVHD-free, Relapse-free Survival (GRFS) by Conditioning Regimen
Regimen: FLU-BU
26 Participants
39 Participants
Moderate to Severe Chronic GVHD-free, Relapse-free Survival (GRFS) by Conditioning Regimen
Regimens: BU-CY + FLU-BU
47 Participants
61 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of grade III-IV acute GVHD, moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with grade III-IV acute GVHD as determined by the Investigator, moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Independent Endpoint Committee, relapse or death from any cause. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Grade III-IV Acute GVHD-free GRFS by Conditioning Regimen
Regimen: CY-TBI
23 Participants
21 Participants
Grade III-IV Acute GVHD-free GRFS by Conditioning Regimen
Regimen: BU-CY
23 Participants
22 Participants
Grade III-IV Acute GVHD-free GRFS by Conditioning Regimen
Regimen: FLU-BU
26 Participants
42 Participants
Grade III-IV Acute GVHD-free GRFS by Conditioning Regimen
Regimens: BU-CY + FLU-BU
49 Participants
64 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of death from any cause, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Incidence of death from any cause. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Overall Survival by Conditioning Regimen
Regimen: CY-TBI
17 Participants
8 Participants
Overall Survival by Conditioning Regimen
Regimen: BU-CY
12 Participants
8 Participants
Overall Survival by Conditioning Regimen
Regimen: FLU-BU
20 Participants
20 Participants
Overall Survival by Conditioning Regimen
Regimens: BU-CY + FLU-BU
32 Participants
28 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of mild to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with the first occurrence of mild to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Chronic GVHD Mild to Severe by Conditioning Regimen
Regimen: CY-TBI
7 Participants
16 Participants
Chronic GVHD Mild to Severe by Conditioning Regimen
Regimen: BU-CY
6 Participants
14 Participants
Chronic GVHD Mild to Severe by Conditioning Regimen
Regimen: FLU-BU
5 Participants
20 Participants
Chronic GVHD Mild to Severe by Conditioning Regimen
Regimens: BU-CY + FLU-BU
11 Participants
34 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with the first occurrence of moderate to severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Chronic GVHD Moderate to Severe by Conditioning Regimen
Regimen: CY-TBI
5 Participants
13 Participants
Chronic GVHD Moderate to Severe by Conditioning Regimen
Regimen: BU-CY
6 Participants
13 Participants
Chronic GVHD Moderate to Severe by Conditioning Regimen
Regimen: FLU-BU
2 Participants
19 Participants
Chronic GVHD Moderate to Severe by Conditioning Regimen
Regimens: BU-CY + FLU-BU
8 Participants
32 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with the first occurrence of severe chronic GVHD according to 2005 NIH criteria as determined by the Investigators, with death and re transplantation as competing risks. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Chronic GVHD Severe by Conditioning Regimen
Regimen: CY-TBI
1 Participants
5 Participants
Chronic GVHD Severe by Conditioning Regimen
Regimen: BU-CY
1 Participants
4 Participants
Chronic GVHD Severe by Conditioning Regimen
Regimen: FLU-BU
1 Participants
7 Participants
Chronic GVHD Severe by Conditioning Regimen
Regimens: BU-CY + FLU-BU
2 Participants
11 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of acute GVHD grade I-IV, with death and re transplantation as competing risks, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with the first occurrence of acute GVHD grade I-IV as determined by the Investigators, with death and re transplantation as competing risks. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Acute GVHD Grade I-IV by Conditioning Regimen
Regimen: BU-CY
19 Participants
23 Participants
Acute GVHD Grade I-IV by Conditioning Regimen
Regimen: FLU-BU
16 Participants
30 Participants
Acute GVHD Grade I-IV by Conditioning Regimen
Regimens: BU-CY + FLU-BU
35 Participants
53 Participants
Acute GVHD Grade I-IV by Conditioning Regimen
Regimen: CY-TBI
13 Participants
18 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of acute GVHD grade II-IV, with death and re transplantation as competing risks, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with the first occurrence of acute GVHD grade II-IV as determined by the Investigators, with death and re transplantation as competing risks. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Acute GVHD Grade II-IV by Conditioning Regimen
Regimen: CY-TBI
8 Participants
14 Participants
Acute GVHD Grade II-IV by Conditioning Regimen
Regimen: BU-CY
12 Participants
17 Participants
Acute GVHD Grade II-IV by Conditioning Regimen
Regimen: FLU-BU
8 Participants
22 Participants
Acute GVHD Grade II-IV by Conditioning Regimen
Regimens: BU-CY + FLU-BU
20 Participants
39 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the first occurrence of acute GVHD grade III-IV, with death and re transplantation as competing risks, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with the first occurrence of acute GVHD grade III-IV as determined by the Investigators, with death and re transplantation as competing risks. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Acute GVHD Grade III-IV by Conditioning Regimen
Regimen: CY-TBI
3 Participants
2 Participants
Acute GVHD Grade III-IV by Conditioning Regimen
Regimen: BU-CY
4 Participants
5 Participants
Acute GVHD Grade III-IV by Conditioning Regimen
Regimen: FLU-BU
1 Participants
10 Participants
Acute GVHD Grade III-IV by Conditioning Regimen
Regimens: BU-CY + FLU-BU
5 Participants
15 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of relapse with death as competing risk, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with relapse or disease recurrence, with death as competing risk. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Relapse by Conditioning Regimen
Regimen: CY-TBI
11 Participants
6 Participants
Relapse by Conditioning Regimen
Regimen: BU-CY
8 Participants
7 Participants
Relapse by Conditioning Regimen
Regimen: FLU-BU
18 Participants
13 Participants
Relapse by Conditioning Regimen
Regimens: BU-CY + FLU-BU
26 Participants
20 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of relapse or death, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Incidence of relapse or death. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Disease-free Survival by Conditioning Regimen
Regimen: CY-TBI
21 Participants
13 Participants
Disease-free Survival by Conditioning Regimen
Regimen: BU-CY
15 Participants
11 Participants
Disease-free Survival by Conditioning Regimen
Regimen: FLU-BU
25 Participants
25 Participants
Disease-free Survival by Conditioning Regimen
Regimens: BU-CY + FLU-BU
40 Participants
36 Participants

POST_HOC outcome

Timeframe: Time from first study drug administration until the occurrence of transplant related mortality, assessed up to 48 months

Population: Analysis of patients who received a specific conditioning regimen

Participants with transplant related mortality. Analysis was conducted by conditioning regimen.

Outcome measures

Outcome measures
Measure
US-ATG-F
n=126 Participants
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
n=128 Participants
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Transplant-related Mortality by Conditioning Regimen
Regimen: CY-TBI
10 Participants
7 Participants
Transplant-related Mortality by Conditioning Regimen
Regimen: BU-CY
7 Participants
4 Participants
Transplant-related Mortality by Conditioning Regimen
Regimen: FLU-BU
7 Participants
12 Participants
Transplant-related Mortality by Conditioning Regimen
Regimens: BU-CY + FLU-BU
14 Participants
16 Participants

Adverse Events

US-ATG-F

Serious events: 98 serious events
Other events: 125 other events
Deaths: 0 deaths

Placebo

Serious events: 90 serious events
Other events: 126 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
US-ATG-F
n=126 participants at risk
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
n=128 participants at risk
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Blood and lymphatic system disorders
Anaemia
1.6%
2/126 • Number of events 2
0.00%
0/128
Blood and lymphatic system disorders
Anaemia haemolytic autoimmune
0.79%
1/126 • Number of events 1
0.00%
0/128
Blood and lymphatic system disorders
Aplasia pure red cell
0.00%
0/126
0.78%
1/128 • Number of events 1
Blood and lymphatic system disorders
Disseminated intravascular coagulation
0.79%
1/126 • Number of events 1
0.00%
0/128
Blood and lymphatic system disorders
Febrile neutropenia
8.7%
11/126 • Number of events 11
4.7%
6/128 • Number of events 6
Blood and lymphatic system disorders
Haemolysis
1.6%
2/126 • Number of events 2
0.00%
0/128
Blood and lymphatic system disorders
Haemolytic anaemia
0.79%
1/126 • Number of events 1
0.00%
0/128
Blood and lymphatic system disorders
Idiopathic thrombocytopenic purpura
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Blood and lymphatic system disorders
Leukocytosis
0.79%
1/126 • Number of events 1
0.00%
0/128
Blood and lymphatic system disorders
Microangiopathic haemolytic anaemia
0.00%
0/126
0.78%
1/128 • Number of events 1
Blood and lymphatic system disorders
Neutropenia
0.00%
0/126
0.78%
1/128 • Number of events 1
Blood and lymphatic system disorders
Pancytopenia
4.8%
6/126 • Number of events 6
2.3%
3/128 • Number of events 4
Blood and lymphatic system disorders
Thrombocytopenia
3.2%
4/126 • Number of events 4
0.00%
0/128
Blood and lymphatic system disorders
Thrombotic microangiopathy
0.79%
1/126 • Number of events 1
0.00%
0/128
Cardiac disorders
Acute myocardial infarction
1.6%
2/126 • Number of events 2
0.00%
0/128
Cardiac disorders
Angina pectoris
0.79%
1/126 • Number of events 1
0.00%
0/128
Cardiac disorders
Atrial fibrillation
0.79%
1/126 • Number of events 1
0.00%
0/128
Cardiac disorders
Cardiac arrest
0.00%
0/126
0.78%
1/128 • Number of events 1
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/126
1.6%
2/128 • Number of events 2
Cardiac disorders
Cardiopulmonary failure
0.00%
0/126
0.78%
1/128 • Number of events 1
Cardiac disorders
Myocardial infarction
0.00%
0/126
0.78%
1/128 • Number of events 1
Cardiac disorders
Myocardial ischaemia
0.79%
1/126 • Number of events 1
0.00%
0/128
Cardiac disorders
Myopericarditis
0.00%
0/126
0.78%
1/128 • Number of events 1
Cardiac disorders
Postural orthostatic tachycardia syndrome
0.00%
0/126
0.78%
1/128 • Number of events 1
Cardiac disorders
Pulseless electrical activity
0.00%
0/126
0.78%
1/128 • Number of events 1
Cardiac disorders
Tachycardia
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Eye disorders
Pupils unequal
0.00%
0/126
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Abdominal discomfort
0.79%
1/126 • Number of events 1
0.00%
0/128
Gastrointestinal disorders
Abdominal pain
1.6%
2/126 • Number of events 3
1.6%
2/128 • Number of events 2
Gastrointestinal disorders
Constipation
0.79%
1/126 • Number of events 1
0.00%
0/128
Gastrointestinal disorders
Diarrhoea
5.6%
7/126 • Number of events 9
5.5%
7/128 • Number of events 8
Gastrointestinal disorders
Gastrointestinal haemorrhage
4.8%
6/126 • Number of events 6
0.00%
0/128
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.79%
1/126 • Number of events 1
0.00%
0/128
Gastrointestinal disorders
Gastropleural fistula
0.00%
0/126
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Haematemesis
0.79%
1/126 • Number of events 1
0.00%
0/128
Gastrointestinal disorders
Impaired gastric emptying
0.79%
1/126 • Number of events 1
0.00%
0/128
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.00%
0/126
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Nausea
6.3%
8/126 • Number of events 10
5.5%
7/128 • Number of events 7
Gastrointestinal disorders
Oral pain
0.79%
1/126 • Number of events 1
0.00%
0/128
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/126
1.6%
2/128 • Number of events 2
Gastrointestinal disorders
Peritonitis
0.00%
0/126
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Retroperitoneal haematoma
0.00%
0/126
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Small intestinal haemorrhage
0.00%
0/126
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Stomatitis
1.6%
2/126 • Number of events 2
0.78%
1/128 • Number of events 1
Gastrointestinal disorders
Vomiting
6.3%
8/126 • Number of events 8
6.2%
8/128 • Number of events 8
General disorders
Asthenia
0.00%
0/126
0.78%
1/128 • Number of events 1
General disorders
Chills
0.79%
1/126 • Number of events 1
0.00%
0/128
General disorders
Fatigue
1.6%
2/126 • Number of events 4
0.78%
1/128 • Number of events 1
General disorders
Mucosal haemorrhage
0.79%
1/126 • Number of events 1
0.00%
0/128
General disorders
Mucosal inflammation
3.2%
4/126 • Number of events 4
3.9%
5/128 • Number of events 5
General disorders
Multi-organ failure
4.0%
5/126 • Number of events 5
0.78%
1/128 • Number of events 1
General disorders
Oedema
0.00%
0/126
0.78%
1/128 • Number of events 1
General disorders
Pain
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
General disorders
Pyrexia
10.3%
13/126 • Number of events 14
11.7%
15/128 • Number of events 20
Hepatobiliary disorders
Cholecystitis
0.00%
0/126
0.78%
1/128 • Number of events 1
Hepatobiliary disorders
Cholecystitis acute
0.79%
1/126 • Number of events 1
0.00%
0/128
Hepatobiliary disorders
Cholecystitis chronic
0.79%
1/126 • Number of events 1
0.00%
0/128
Hepatobiliary disorders
Cholelithiasis
0.79%
1/126 • Number of events 1
0.00%
0/128
Hepatobiliary disorders
Cholestasis
1.6%
2/126 • Number of events 2
0.00%
0/128
Hepatobiliary disorders
Hepatic failure
0.00%
0/126
0.78%
1/128 • Number of events 1
Hepatobiliary disorders
Hyperbilirubinaemia
0.79%
1/126 • Number of events 1
0.00%
0/128
Hepatobiliary disorders
Portal hypertension
0.00%
0/126
0.78%
1/128 • Number of events 1
Hepatobiliary disorders
Venoocclusive liver disease
4.8%
6/126 • Number of events 6
0.78%
1/128 • Number of events 1
Immune system disorders
Acute graft versus host disease
0.79%
1/126 • Number of events 1
0.00%
0/128
Immune system disorders
Acute graft versus host disease in intestine
0.79%
1/126 • Number of events 2
2.3%
3/128 • Number of events 3
Immune system disorders
Chronic graft versus host disease
0.00%
0/126
2.3%
3/128 • Number of events 3
Immune system disorders
Cytokine release syndrome
1.6%
2/126 • Number of events 2
0.00%
0/128
Immune system disorders
Engraftment syndrome
0.00%
0/126
1.6%
2/128 • Number of events 2
Immune system disorders
Graft versus host disease
1.6%
2/126 • Number of events 2
3.9%
5/128 • Number of events 5
Immune system disorders
Graft versus host disease in lung
0.79%
1/126 • Number of events 1
0.00%
0/128
Immune system disorders
Serum sickness
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Adenovirus infection
1.6%
2/126 • Number of events 2
0.00%
0/128
Infections and infestations
Appendicitis
1.6%
2/126 • Number of events 2
0.00%
0/128
Infections and infestations
Arthritis bacterial
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Bacteraemia
2.4%
3/126 • Number of events 4
3.1%
4/128 • Number of events 4
Infections and infestations
Bacterial infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Bacterial sepsis
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Bronchitis
1.6%
2/126 • Number of events 3
0.00%
0/128
Infections and infestations
Candidiasis
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Cellulitis
2.4%
3/126 • Number of events 4
3.1%
4/128 • Number of events 4
Infections and infestations
Clostridial infection
1.6%
2/126 • Number of events 2
3.9%
5/128 • Number of events 5
Infections and infestations
Clostridium difficile colitis
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 3
Infections and infestations
Corona virus infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Cystitis viral
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Cytomegalovirus chorioretinitis
1.6%
2/126 • Number of events 2
0.00%
0/128
Infections and infestations
Cytomegalovirus colitis
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 2
Infections and infestations
Cytomegalovirus infection
3.2%
4/126 • Number of events 4
0.00%
0/128
Infections and infestations
Cytomegalovirus viraemia
0.79%
1/126 • Number of events 1
3.1%
4/128 • Number of events 4
Infections and infestations
Encephalitis fungal
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Encephalitis herpes
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Enterobacter bacteraemia
1.6%
2/126 • Number of events 3
0.00%
0/128
Infections and infestations
Enterococcal bacteraemia
2.4%
3/126 • Number of events 3
0.78%
1/128 • Number of events 1
Infections and infestations
Enterococcal infection
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Enterocolitis infectious
2.4%
3/126 • Number of events 4
0.78%
1/128 • Number of events 1
Infections and infestations
Epstein-Barr virus infection
1.6%
2/126 • Number of events 2
0.00%
0/128
Infections and infestations
Escherichia bacteraemia
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Escherichia sepsis
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Fungal abscess central nervous system
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Fungal infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Fusobacterium infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Gastroenteritis
1.6%
2/126 • Number of events 3
0.78%
1/128 • Number of events 1
Infections and infestations
H1N1 influenza
0.00%
0/126
1.6%
2/128 • Number of events 2
Infections and infestations
Herpes zoster
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Infection
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Influenza
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Klebsiella infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Lobar pneumonia
0.00%
0/126
0.78%
1/128 • Number of events 2
Infections and infestations
Lung infection
0.79%
1/126 • Number of events 1
2.3%
3/128 • Number of events 3
Infections and infestations
Lung infection pseudomonal
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Oral herpes
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Parainfluenzae virus infection
1.6%
2/126 • Number of events 2
0.00%
0/128
Infections and infestations
Pneumocystis jiroveci pneumonia
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Pneumonia
6.3%
8/126 • Number of events 9
10.9%
14/128 • Number of events 22
Infections and infestations
Pneumonia bacterial
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Pneumonia cytomegaloviral
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Pneumonia haemophilus
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Pneumonia legionella
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Pneumonia respiratory syncytial viral
1.6%
2/126 • Number of events 2
3.1%
4/128 • Number of events 4
Infections and infestations
Pneumonia staphylococcal
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Pneumonia streptococcal
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Pneumonia viral
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Pseudomonal bacteraemia
0.00%
0/126
1.6%
2/128 • Number of events 2
Infections and infestations
Pyothorax
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Respiratory syncytial virus infection
1.6%
2/126 • Number of events 2
0.78%
1/128 • Number of events 1
Infections and infestations
Rhinovirus infection
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Sepsis
4.0%
5/126 • Number of events 6
10.2%
13/128 • Number of events 13
Infections and infestations
Septic shock
0.79%
1/126 • Number of events 1
3.1%
4/128 • Number of events 4
Infections and infestations
Sinusitis
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 2
Infections and infestations
Sinusitis bacterial
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Skin infection
0.00%
0/126
1.6%
2/128 • Number of events 2
Infections and infestations
Staphylococcal bacteraemia
4.0%
5/126 • Number of events 5
0.00%
0/128
Infections and infestations
Staphylococcal infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Staphylococcal sepsis
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Streptococcal bacteraemia
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Infections and infestations
Systemic candida
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Systemic mycosis
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Upper respiratory fungal infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Urinary tract infection
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Urinary tract infection bacterial
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Urinary tract infection viral
0.79%
1/126 • Number of events 1
0.00%
0/128
Infections and infestations
Viraemia
0.00%
0/126
0.78%
1/128 • Number of events 1
Infections and infestations
Viral haemorrhagic cystitis
2.4%
3/126 • Number of events 4
0.00%
0/128
Infections and infestations
Zygomycosis
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Delayed engraftment
1.6%
2/126 • Number of events 2
0.00%
0/128
Injury, poisoning and procedural complications
Femoral neck fracture
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/126
0.78%
1/128 • Number of events 1
Injury, poisoning and procedural complications
Hepatic haematoma
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/126
0.78%
1/128 • Number of events 1
Injury, poisoning and procedural complications
Infusion related reaction
4.8%
6/126 • Number of events 6
0.00%
0/128
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Pubis fracture
0.00%
0/126
0.78%
1/128 • Number of events 1
Injury, poisoning and procedural complications
Splenic rupture
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Subdural haematoma
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Transfusion related complication
0.79%
1/126 • Number of events 1
0.00%
0/128
Injury, poisoning and procedural complications
Transplant failure
0.79%
1/126 • Number of events 1
0.00%
0/128
Investigations
Alanine aminotransferase increased
0.79%
1/126 • Number of events 1
0.00%
0/128
Investigations
Aspartate aminotransferase increased
0.79%
1/126 • Number of events 1
0.00%
0/128
Investigations
Blood bilirubin increased
0.79%
1/126 • Number of events 1
0.00%
0/128
Investigations
Clostridium test positive
0.00%
0/126
2.3%
3/128 • Number of events 3
Investigations
Hepatic enzyme abnormal
0.00%
0/126
0.78%
1/128 • Number of events 1
Investigations
Hepatic enzyme increased
0.00%
0/126
0.78%
1/128 • Number of events 1
Investigations
Human rhinovirus test positive
0.79%
1/126 • Number of events 1
0.00%
0/128
Investigations
Legionella test positive
0.00%
0/126
0.78%
1/128 • Number of events 1
Investigations
Liver function test abnormal
1.6%
2/126 • Number of events 2
0.00%
0/128
Investigations
Polyomavirus test positive
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Investigations
Respiratory rate increased
0.79%
1/126 • Number of events 1
0.00%
0/128
Investigations
Respiratory syncytial virus test positive
0.00%
0/126
0.78%
1/128 • Number of events 1
Investigations
Weight decreased
1.6%
2/126 • Number of events 3
0.00%
0/128
Metabolism and nutrition disorders
Decreased appetite
0.79%
1/126 • Number of events 1
0.00%
0/128
Metabolism and nutrition disorders
Dehydration
1.6%
2/126 • Number of events 2
1.6%
2/128 • Number of events 2
Metabolism and nutrition disorders
Diabetes mellitus
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Metabolism and nutrition disorders
Failure to thrive
0.00%
0/126
0.78%
1/128 • Number of events 1
Metabolism and nutrition disorders
Fluid overload
0.79%
1/126 • Number of events 1
0.00%
0/128
Metabolism and nutrition disorders
Hyperglycaemia
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 2
Metabolism and nutrition disorders
Hyperkalaemia
0.79%
1/126 • Number of events 1
0.00%
0/128
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/126
0.78%
1/128 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
0.79%
1/126 • Number of events 1
0.00%
0/128
Musculoskeletal and connective tissue disorders
Back pain
1.6%
2/126 • Number of events 2
0.00%
0/128
Musculoskeletal and connective tissue disorders
Chondrocalcinosis pyrophosphate
0.00%
0/126
0.78%
1/128 • Number of events 1
Musculoskeletal and connective tissue disorders
Groin pain
0.79%
1/126 • Number of events 1
0.00%
0/128
Musculoskeletal and connective tissue disorders
Muscular weakness
2.4%
3/126 • Number of events 3
0.78%
1/128 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/126
0.78%
1/128 • Number of events 1
Musculoskeletal and connective tissue disorders
Myositis
0.00%
0/126
1.6%
2/128 • Number of events 2
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.00%
0/126
0.78%
1/128 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute lymphocytic leukaemia recurrent
3.2%
4/126 • Number of events 4
0.78%
1/128 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia
1.6%
2/126 • Number of events 2
0.78%
1/128 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukemia, recurrent
11.1%
14/126 • Number of events 14
3.9%
5/128 • Number of events 5
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer metastatic
0.00%
0/126
0.78%
1/128 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer
0.00%
0/126
0.78%
1/128 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Epstein-Barr virus associated lymphoproliferative disorder
3.2%
4/126 • Number of events 4
0.00%
0/128
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Leukaemia
0.79%
1/126 • Number of events 1
0.00%
0/128
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Leukaemia recurrent
1.6%
2/126 • Number of events 2
1.6%
2/128 • Number of events 2
Nervous system disorders
Somnolence
0.79%
1/126 • Number of events 1
0.00%
0/128
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Nervous system disorders
Acute disseminated encephalomyelitis
0.00%
0/126
0.78%
1/128 • Number of events 1
Nervous system disorders
Aphasia
0.79%
1/126 • Number of events 1
0.00%
0/128
Nervous system disorders
Cerebral haemorrhage
0.79%
1/126 • Number of events 1
0.00%
0/128
Nervous system disorders
Cerebral infarction
0.00%
0/126
0.78%
1/128 • Number of events 1
Nervous system disorders
Cerebrovascular accident
0.79%
1/126 • Number of events 1
0.00%
0/128
Nervous system disorders
Coma
0.00%
0/126
0.78%
1/128 • Number of events 1
Nervous system disorders
Convulsion
0.00%
0/126
0.78%
1/128 • Number of events 1
Nervous system disorders
Dizziness
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Nervous system disorders
Encephalitis
0.79%
1/126 • Number of events 1
0.00%
0/128
Nervous system disorders
Headache
1.6%
2/126 • Number of events 3
0.78%
1/128 • Number of events 1
Nervous system disorders
Myelitis transverse
0.79%
1/126 • Number of events 1
0.00%
0/128
Nervous system disorders
Optic neuritis
0.00%
0/126
0.78%
1/128 • Number of events 1
Nervous system disorders
Syncope
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Psychiatric disorders
Completed suicide
0.00%
0/126
0.78%
1/128 • Number of events 1
Psychiatric disorders
Confusional state
3.2%
4/126 • Number of events 4
0.78%
1/128 • Number of events 1
Psychiatric disorders
Delirium
0.00%
0/126
0.78%
1/128 • Number of events 1
Psychiatric disorders
Depression
0.00%
0/126
0.78%
1/128 • Number of events 1
Psychiatric disorders
Mental status changes
0.00%
0/126
3.9%
5/128 • Number of events 6
Psychiatric disorders
Psychotic disorder
0.00%
0/126
0.78%
1/128 • Number of events 1
Renal and urinary disorders
Cystitis haemorrhagic
0.79%
1/126 • Number of events 1
0.00%
0/128
Renal and urinary disorders
Haematuria
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 2
Renal and urinary disorders
Hydronephrosis
0.79%
1/126 • Number of events 1
0.00%
0/128
Renal and urinary disorders
Renal failure
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 2
Renal and urinary disorders
Renal failure acute
4.8%
6/126 • Number of events 6
3.1%
4/128 • Number of events 4
Renal and urinary disorders
Renal tubular necrosis
0.00%
0/126
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.00%
0/126
2.3%
3/128 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Chronic respiratory failure
0.00%
0/126
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea
2.4%
3/126 • Number of events 3
3.9%
5/128 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Hydropneumothorax
0.00%
0/126
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Idiopathic pneumonia syndrome
0.79%
1/126 • Number of events 1
2.3%
3/128 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Obliterative bronchiolitis
0.00%
0/126
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Organising pneumonia
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngeal haemorrhage
0.00%
0/126
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.79%
1/126 • Number of events 1
1.6%
2/128 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.79%
1/126 • Number of events 1
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary alveolar haemorrhage
0.79%
1/126 • Number of events 1
0.00%
0/128
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
1.6%
2/126 • Number of events 2
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage
1.6%
2/126 • Number of events 2
0.00%
0/128
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.79%
1/126 • Number of events 1
0.00%
0/128
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.00%
0/126
1.6%
2/128 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.00%
0/126
0.78%
1/128 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory failure
4.0%
5/126 • Number of events 5
2.3%
3/128 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Wheezing
0.79%
1/126 • Number of events 1
0.00%
0/128
Skin and subcutaneous tissue disorders
Angioedema
0.00%
0/126
0.78%
1/128 • Number of events 1
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.79%
1/126 • Number of events 1
0.00%
0/128
Skin and subcutaneous tissue disorders
Rash
0.79%
1/126 • Number of events 1
0.00%
0/128
Vascular disorders
Deep vein thrombosis
0.00%
0/126
0.78%
1/128 • Number of events 1
Vascular disorders
Embolism
0.00%
0/126
0.78%
1/128 • Number of events 1
Vascular disorders
Hypotension
5.6%
7/126 • Number of events 7
1.6%
2/128 • Number of events 2
Vascular disorders
Jugular vein thrombosis
0.00%
0/126
0.78%
1/128 • Number of events 1
Vascular disorders
Orthostatic hypotension
0.00%
0/126
0.78%
1/128 • Number of events 1

Other adverse events

Other adverse events
Measure
US-ATG-F
n=126 participants at risk
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
n=128 participants at risk
250 mL normal saline, IV infusion over 6-16 hours 3 days prior to transplantation
Gastrointestinal disorders
Nausea
42.9%
54/126 • Number of events 63
36.7%
47/128 • Number of events 56
Gastrointestinal disorders
Vomiting
30.2%
38/126 • Number of events 43
18.8%
24/128 • Number of events 27
Gastrointestinal disorders
Diarrhoea
28.6%
36/126 • Number of events 45
17.2%
22/128 • Number of events 28
Gastrointestinal disorders
Stomatitis
19.8%
25/126 • Number of events 26
20.3%
26/128 • Number of events 26
Gastrointestinal disorders
Abdominal pain
8.7%
11/126 • Number of events 11
3.1%
4/128 • Number of events 4
Gastrointestinal disorders
Dyspepsia
2.4%
3/126 • Number of events 3
8.6%
11/128 • Number of events 11
Gastrointestinal disorders
Constipation
1.6%
2/126 • Number of events 2
6.2%
8/128 • Number of events 8
General disorders
Mucosal inflammation
32.5%
41/126 • Number of events 44
32.0%
41/128 • Number of events 47
General disorders
Pyrexia
45.2%
57/126 • Number of events 71
0.78%
1/128 • Number of events 2
General disorders
Fatigue
26.2%
33/126 • Number of events 36
26.6%
34/128 • Number of events 34
General disorders
Chills
39.7%
50/126 • Number of events 54
5.5%
7/128 • Number of events 7
General disorders
Oedema peripheral
8.7%
11/126 • Number of events 11
2.3%
3/128 • Number of events 3
General disorders
Pain
7.9%
10/126 • Number of events 10
1.6%
2/128 • Number of events 6
Infections and infestations
Cytomegalovirus infection
9.5%
12/126 • Number of events 16
14.1%
18/128 • Number of events 20
Infections and infestations
Cytomegalovirus viraemia
10.3%
13/126 • Number of events 19
7.8%
10/128 • Number of events 12
Infections and infestations
Epstein-Barr virus infection
11.1%
14/126 • Number of events 16
4.7%
6/128 • Number of events 7
Infections and infestations
Clostridial infection
4.0%
5/126 • Number of events 7
5.5%
7/128 • Number of events 8
Infections and infestations
Clostridium difficile colitis
8.7%
11/126 • Number of events 13
1.6%
2/128 • Number of events 3
Infections and infestations
Staphylococcal bacteraemia
7.1%
9/126 • Number of events 13
0.78%
1/128 • Number of events 1
Infections and infestations
Urinary tract infection
7.1%
9/126 • Number of events 9
2.3%
3/128 • Number of events 3
Infections and infestations
Epstein-Barr viraemia
6.3%
8/126 • Number of events 8
0.78%
1/128 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
27.0%
34/126 • Number of events 44
36.7%
47/128 • Number of events 48
Blood and lymphatic system disorders
Thrombocytopenia
17.5%
22/126 • Number of events 42
9.4%
12/128 • Number of events 29
Blood and lymphatic system disorders
Anaemia
11.1%
14/126 • Number of events 27
8.6%
11/128 • Number of events 21
Blood and lymphatic system disorders
Neutropenia
9.5%
12/126 • Number of events 22
6.2%
8/128 • Number of events 10
Respiratory, thoracic and mediastinal disorders
Dyspnoea
17.5%
22/126 • Number of events 22
3.9%
5/128 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.7%
11/126 • Number of events 12
0.78%
1/128 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Cough
5.6%
7/126 • Number of events 7
0.00%
0/128
Investigations
White blood cell count decreased
7.1%
9/126 • Number of events 15
3.9%
5/128 • Number of events 9
Investigations
Blood bilirubin increased
7.1%
9/126 • Number of events 14
1.6%
2/128 • Number of events 3
Investigations
Epstein-Barr virus test positive
5.6%
7/126 • Number of events 7
0.78%
1/128 • Number of events 3
Nervous system disorders
Headache
30.2%
38/126 • Number of events 44
14.8%
19/128 • Number of events 22
Nervous system disorders
Dizziness
6.3%
8/126 • Number of events 10
1.6%
2/128 • Number of events 2
Skin and subcutaneous tissue disorders
Rash
24.6%
31/126 • Number of events 35
5.5%
7/128 • Number of events 7
Skin and subcutaneous tissue disorders
Rash maculo-papular
5.6%
7/126 • Number of events 7
0.78%
1/128 • Number of events 1
Vascular disorders
Hypotension
25.4%
32/126 • Number of events 36
4.7%
6/128 • Number of events 7
Vascular disorders
Hypertension
12.7%
16/126 • Number of events 17
4.7%
6/128 • Number of events 6
Vascular disorders
Flushing
7.1%
9/126 • Number of events 9
1.6%
2/128 • Number of events 2
Cardiac disorders
Tachycardia
18.3%
23/126 • Number of events 24
2.3%
3/128 • Number of events 3
Cardiac disorders
Sinus tachycardia
15.1%
19/126 • Number of events 19
3.9%
5/128 • Number of events 8
Metabolism and nutrition disorders
Hyperglycaemia
7.9%
10/126 • Number of events 10
5.5%
7/128 • Number of events 9
Metabolism and nutrition disorders
Decreased appetite
5.6%
7/126 • Number of events 7
4.7%
6/128 • Number of events 6
Metabolism and nutrition disorders
Hypomagnesaemia
6.3%
8/126 • Number of events 8
0.78%
1/128 • Number of events 1
Psychiatric disorders
Anxiety
10.3%
13/126 • Number of events 13
4.7%
6/128 • Number of events 6
Injury, poisoning and procedural complications
Infusion related reaction
12.7%
16/126 • Number of events 30
3.1%
4/128 • Number of events 6

Additional Information

Anne Kuan

Neovii

Phone: 781 966 3832

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place