Trial Outcomes & Findings for Front Line Ibrutinib Without Corticosteroids for Newly Diagnosed Chronic Graft-versus-Host Disease (NCT NCT04294641)

NCT ID: NCT04294641

Last Updated: 2026-01-23

Results Overview

To evaluate the efficacy of Ibrutinib as a first-line treatment for persons with newly diagnosed chronic graft-versus-host disease (GvHD) overall response rate was measured using the 2014 National Institutes of Health (NIH) consensus criteria and reported with an 80% confidence interval. CR is defined as complete resolution in all of signs and symptoms at all affected organs or tissues. PR is defined as improvement in ≥1 organ or tissue with no progression in any other affected organ or tissue.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

At 6 months

Results posted on

2026-01-23

Participant Flow

Participant milestones

Participant milestones
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Cohort 1: Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Overall Study
STARTED
10
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Cohort 1: Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Overall Study
Screen failure
4

Baseline Characteristics

Front Line Ibrutinib Without Corticosteroids for Newly Diagnosed Chronic Graft-versus-Host Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=10 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Age, Categorical
<=18 years
0 Participants
n=270 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=270 Participants
Age, Categorical
>=65 years
1 Participants
n=270 Participants
Age, Continuous
51.2 years
STANDARD_DEVIATION 12.87 • n=270 Participants
Sex: Female, Male
Female
9 Participants
n=270 Participants
Sex: Female, Male
Male
1 Participants
n=270 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=270 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=270 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=270 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=270 Participants
Race (NIH/OMB)
Asian
1 Participants
n=270 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=270 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=270 Participants
Race (NIH/OMB)
White
7 Participants
n=270 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=270 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=270 Participants
Region of Enrollment
United States
10 participants
n=270 Participants
Baseline Global Scoring
Mild
0 Participants
n=270 Participants
Baseline Global Scoring
Moderate
3 Participants
n=270 Participants
Baseline Global Scoring
Severe
3 Participants
n=270 Participants

PRIMARY outcome

Timeframe: At 6 months

Population: Six out of ten participants were analyzed because 4 participants were screen failures.

To evaluate the efficacy of Ibrutinib as a first-line treatment for persons with newly diagnosed chronic graft-versus-host disease (GvHD) overall response rate was measured using the 2014 National Institutes of Health (NIH) consensus criteria and reported with an 80% confidence interval. CR is defined as complete resolution in all of signs and symptoms at all affected organs or tissues. PR is defined as improvement in ≥1 organ or tissue with no progression in any other affected organ or tissue.

Outcome measures

Outcome measures
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Fraction of Participants With an Overall Response Rate (Complete Response [CR] + Partial Response [PR]) Reported With an 80% Confidence Interval at 6 Months
Complete Response
0 proportion of participants
Interval 0.0 to 0.319
Fraction of Participants With an Overall Response Rate (Complete Response [CR] + Partial Response [PR]) Reported With an 80% Confidence Interval at 6 Months
Partial Response
0.1667 proportion of participants
Interval 0.0174 to 0.5103

PRIMARY outcome

Timeframe: At 6 months

Population: Six out of ten participants were analyzed because 4 participants were screen failures.

To evaluate the efficacy of Ibrutinib as a first-line treatment for persons with newly diagnosed chronic graft-versus-host disease (GvHD) overall response rate was measured using the 2014 National Institutes of Health (NIH) consensus criteria and reported with a 95% confidence interval. CR is defined as complete resolution in all of signs and symptoms at all affected organs or tissues. PR is defined as improvement in ≥1 organ or tissue with no progression in any other affected organ or tissue.

Outcome measures

Outcome measures
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Fraction of Participants With an Overall Response Rate (Complete Response [CR] + Partial Response [PR]) Reported With an 95% Confidence Interval at 6 Months
Complete Response
0 proportion of participants
Interval 0.0 to 0.459
Fraction of Participants With an Overall Response Rate (Complete Response [CR] + Partial Response [PR]) Reported With an 95% Confidence Interval at 6 Months
Partial Response
0.167 proportion of participants
Interval 0.004 to 0.641

SECONDARY outcome

Timeframe: Adverse events are captured from the first study intervention, Study Day 1 of Cycle 1 through 30 days after the participant received the last study drug administration.

Population: Six out of ten participants were analyzed because 4 participants were screen failures.

Safety of the agent will be determined by the fraction of grade of 3 and 4 serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 3 is severe, and Grade 4 is life-threatening.

Outcome measures

Outcome measures
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Fraction of Grade 3 and Grade 4 Serious and/or Non-serious Adverse Events in Participants With Newly Diagnosed Chronic Graft-versus-host Disease (GvHD)
Grade 3
0.667 proportion of adverse events
Interval 0.223 to 0.957
Fraction of Grade 3 and Grade 4 Serious and/or Non-serious Adverse Events in Participants With Newly Diagnosed Chronic Graft-versus-host Disease (GvHD)
Grade 4
0 proportion of adverse events
Interval 0.0 to -0.459

SECONDARY outcome

Timeframe: Participants were followed from enrollment without death, relapse or new GVHD treatment up to 14 months

Population: Six out of ten participants were analyzed because 4 participants were screen failures.

Time to event endpoint failure free survival will be determined using a Kaplan-Meier curve and confidence intervals is calculated using the Brookmeyer-Crowley method. Failure-free survival (FFS) is defined as survival (from enrollment) without death, relapse of the underlying malignancy, or the addition of a new systemic chronic graft-versus-host-disease (GVHD) treatment.

Outcome measures

Outcome measures
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Failure-free Survival (FFS)
3.9 Months
Interval 2.5 to
The upper confidence interval was not reached because limits are calculated using the Brookmeyer-Crowley method, and if the upper limit of the interval does not intersect the median, then it is recorded as not able to be estimated.

SECONDARY outcome

Timeframe: 24 months

Survival will be determined using a Kaplan-Meier curve at 24 months.

Outcome measures

Outcome measures
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Fraction of Participants Alive at 24 Months Follow-up Post-treatment
NA proportion of participants
FFS at 24 months is reported as NA since no one's time from post treatment to death or last follow-up equals or exceeds 24 months.

OTHER_PRE_SPECIFIED outcome

Timeframe: Adverse events are collected from the first study intervention, Study Day 1 of Cycle 1 through 30 days after the participant received the last study drug administration.

Population: Six out of ten participants were analyzed because 3 participants were screen failures, and one participant was ineligible.

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcome measures

Outcome measures
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 Participants
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)
6 Participants

Adverse Events

Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily

Serious events: 3 serious events
Other events: 6 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 participants at risk
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Cardiac disorders
Atrial fibrillation
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Musculoskeletal and connective tissue disorders
Myalgia
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Infections and infestations
Upper respiratory infection
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.

Other adverse events

Other adverse events
Measure
Dose Level 1 Ibrutinib Dose of 420 mg (3 x 140 mg Capsules) Daily
n=6 participants at risk
Ibrutinib Dose of 420 mg (3 x 140 mg capsules) daily by mouth for up to 12 months. Participants with newly diagnosed moderate or severe chronic graft-versus-host disease) GvHD requiring systemic immunosuppression.
Investigations
Activated partial thromboplastin time prolonged
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Nervous system disorders
Amnesia
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Eye disorders
Blurred vision
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Injury, poisoning and procedural complications
Bruising
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Diarrhea
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Nervous system disorders
Dizziness
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Nervous system disorders
Dysgeusia
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Dyspepsia
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Dysphagia
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Respiratory, thoracic and mediastinal disorders
Dyspnea
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Respiratory, thoracic and mediastinal disorders
Epistaxis
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Injury, poisoning and procedural complications
Fall
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
General disorders
Fatigue
50.0%
3/6 • Number of events 4 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
General disorders
Fever
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Musculoskeletal and connective tissue disorders
Fibrosis deep connective tissue
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Gastrointestinal disorders - Other, Soft stool
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Nervous system disorders
Headache
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Metabolism and nutrition disorders
Hyperkalemia
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Metabolism and nutrition disorders
Hypomagnesemia
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Vascular disorders
Hypotension
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other, Tooth fracture
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Infections and infestations
Lung infection
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Investigations
Lymphocyte count increased
16.7%
1/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
General disorders
Malaise
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Musculoskeletal and connective tissue disorders
Muscle cramp
50.0%
3/6 • Number of events 4 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Nausea
33.3%
2/6 • Number of events 3 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Investigations
Neutrophil count decreased
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Oral hemorrhage
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Cardiac disorders
Palpitations
50.0%
3/6 • Number of events 3 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Respiratory, thoracic and mediastinal disorders
Productive cough
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Musculoskeletal and connective tissue disorders
Superficial soft tissue fibrosis
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Infections and infestations
Upper respiratory infection
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Gastrointestinal disorders
Vomiting
33.3%
2/6 • Number of events 2 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.
Investigations
Weight loss
16.7%
1/6 • Number of events 1 • Beyond 30 days after the last intervention, only adverse events which are serious and related to the study intervention need to be recorded, up to 25 months.
Six out of ten participants were analyzed because 4 participants were screen failures.

Additional Information

Dr. James Gulley

National Cancer Institute

Phone: 301-480-8870

Results disclosure agreements

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