Trial Outcomes & Findings for Study of orBec® as Monotherapy in the Treatment of Patients With Upper GI Symptoms Caused by Chronic Graft Versus Host Disease (GVHD) (NCT NCT01925950)

NCT ID: NCT01925950

Last Updated: 2018-11-01

Results Overview

Patients who achieved a Complete Response (CR) of their GI GVHD Symptoms during the Part 1, 16 week treatment period and who remained a CR at the end of the 16 week treatment period were to be eligible to continue into Part 2 of the study. All others were to discontinue. GI GVHD was assessed using a composite score based on the symptoms of satiety, nausea/vomiting, and anorexia. Each symptom was scored on a scale of 0-3, such that the minimum score = 0 and the maximum score = 9. At entry, all subjects must have a score of ≥ 3. A CR will be defined as a composite score of 0.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

2 participants

Primary outcome timeframe

16 weeks

Results posted on

2018-11-01

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Matching placebo was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. Part 1: 2 mg of placebo 4 times per day for up to 16 weeks. Part 2: Patients who achieved a Complete Response (CR) on Part 1 were to taper study drug according to the following schedule: Weeks 17-24: 2 mg placebo 3 times per day, up to 8 weeks; Weeks 25-32: 2 mg placebo 2 times per day, up to 8 weeks; Weeks 33-48: 2 mg placebo daily, up to 16 weeks.
orBec
orBec, oral beclomethasone dipropionate, was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. Part 1: 2 mg of orBec 4 times per day for up to 16 weeks. Part 2: Patients who achieved a Complete Response (CR) on Part 1 were to taper study drug according to the following schedule: Weeks 17-24: 2 mg orBec 3 times per day, up to 8 weeks; Weeks 25-32: 2 mg orBec 2 times per day, up to 8 weeks; Weeks 33-48: 2 mg orBec daily, up to 16 weeks.
Part 1
STARTED
1
1
Part 1
COMPLETED
1
1
Part 1
NOT COMPLETED
0
0
Part 2
STARTED
1
0
Part 2
COMPLETED
0
0
Part 2
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Matching placebo was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. Part 1: 2 mg of placebo 4 times per day for up to 16 weeks. Part 2: Patients who achieved a Complete Response (CR) on Part 1 were to taper study drug according to the following schedule: Weeks 17-24: 2 mg placebo 3 times per day, up to 8 weeks; Weeks 25-32: 2 mg placebo 2 times per day, up to 8 weeks; Weeks 33-48: 2 mg placebo daily, up to 16 weeks.
orBec
orBec, oral beclomethasone dipropionate, was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. Part 1: 2 mg of orBec 4 times per day for up to 16 weeks. Part 2: Patients who achieved a Complete Response (CR) on Part 1 were to taper study drug according to the following schedule: Weeks 17-24: 2 mg orBec 3 times per day, up to 8 weeks; Weeks 25-32: 2 mg orBec 2 times per day, up to 8 weeks; Weeks 33-48: 2 mg orBec daily, up to 16 weeks.
Part 2
Withdrawal by Subject
1
0

Baseline Characteristics

Study of orBec® as Monotherapy in the Treatment of Patients With Upper GI Symptoms Caused by Chronic Graft Versus Host Disease (GVHD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=1 Participants
Control Placebo
orBec
n=1 Participants
Investigational drug orBec
Total
n=2 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: 16 weeks

Patients who achieved a Complete Response (CR) of their GI GVHD Symptoms during the Part 1, 16 week treatment period and who remained a CR at the end of the 16 week treatment period were to be eligible to continue into Part 2 of the study. All others were to discontinue. GI GVHD was assessed using a composite score based on the symptoms of satiety, nausea/vomiting, and anorexia. Each symptom was scored on a scale of 0-3, such that the minimum score = 0 and the maximum score = 9. At entry, all subjects must have a score of ≥ 3. A CR will be defined as a composite score of 0.

Outcome measures

Outcome measures
Measure
Placebo
n=1 Participants
Matching placebo was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. 2 mg of placebo 4 times per day for up to 16 weeks.
orBec
n=1 Participants
orBec, oral beclomethasone dipropionate, was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. 2 mg of orBec 4 times per day for up to 16 weeks.
Gastrointestinal (GI) Graft-vs-Host Disease (GVHD) Symptoms
1 Participants
0 Participants

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

orBec

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

Serious adverse events

Serious adverse events
Measure
Placebo
n=1 participants at risk
Matching placebo was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. Part 1: 2 mg of placebo 4 times per day for up to 16 weeks. Part 2: Patients who achieved a Complete Response (CR) on Part 1 were to taper study drug according to the following schedule: Weeks 17-24: 2 mg placebo 3 times per day, up to 8 weeks; Weeks 25-32: 2 mg placebo 2 times per day, up to 8 weeks; Weeks 33-48: 2 mg placebo daily, up to 16 weeks.
orBec
n=1 participants at risk
orBec, oral beclomethasone dipropionate, was formulated as 1 mg immediate release (IR) and 1 mg delayed release (DR) tablets, which comprised 1 dose of study drug. Part 1: 2 mg of orBec 4 times per day for up to 16 weeks. Part 2: Patients who achieved a Complete Response (CR) on Part 1 were to taper study drug according to the following schedule: Weeks 17-24: 2 mg orBec 3 times per day, up to 8 weeks; Weeks 25-32: 2 mg orBec 2 times per day, up to 8 weeks; Weeks 33-48: 2 mg orBec daily, up to 16 weeks.
Hepatobiliary disorders
biliary strictures
100.0%
1/1 • Number of events 1 • 48-week study period
0.00%
0/1 • 48-week study period
Infections and infestations
fungal pneumonia
100.0%
1/1 • Number of events 1 • 48-week study period
0.00%
0/1 • 48-week study period
Respiratory, thoracic and mediastinal disorders
shortness of breath
100.0%
1/1 • Number of events 1 • 48-week study period
0.00%
0/1 • 48-week study period
Vascular disorders
pulmonary emboli
100.0%
1/1 • Number of events 1 • 48-week study period
0.00%
0/1 • 48-week study period
General disorders
intractable pain
100.0%
1/1 • Number of events 1 • 48-week study period
0.00%
0/1 • 48-week study period

Other adverse events

Adverse event data not reported

Additional Information

Dr. Richard Straube

Soligenix, Inc.

Phone: 609-538-8200

Results disclosure agreements

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

Restriction type: GT60