Safety, PK, PD, Dosing, and Efficacy of RLS-0071for the Treatment of Hospitalized Patients With Steroid-Refractory Acute Graft-versus-Host Disease

NCT ID: NCT06343792

Last Updated: 2025-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-31

Study Completion Date

2026-12-31

Brief Summary

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This study is a Open Label Prospective Dose-Ranging Escalation and Expansion Trial to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, Dosing, and Efficacy of RLS-0071 for the secondary treatment of acute Graft-versus-Host Disease (aGvHD) in hospitalized patients who are steroid-refractory.

Detailed Description

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Conditions

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Steroid Refractory GVHD

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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RLS-0071Cohort 1

10 mg/kg Q8H RLS-0071 for 7 days

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

RLS-0071 Cohort 2

10 mg/kg Q8H RLS-0071 for 14 days with concurrent ruxolitinib

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

RLS-0071 Cohort 3

20 mg/kg Q8H RLS-0071 for 14 days with concurrent ruxolitinib

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

RLS-0071 Cohort 4

10 mg/kg Q8H RLS-0071 for 7 days and then 10 mg/kg QD RLS-0071 for 7 days with concurrent ruxolitinib

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

RLS-0071 Cohort 5

20 mg/kg Q8H RLS-0071 for 7 days and then 20 mg/kg QD RLS-0071 for 7 days with concurrent ruxolitinib

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

RLS-0071 Expansion Cohort 1

12 participants will receive 10 mg/kg Q8H RLS-0071 for 14 days

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

RLS-0071 Expansion Cohort 2

12 participants will receive 20 mg/kg Q8H RLS-0071 for 14 days

Group Type EXPERIMENTAL

RLS-0071

Intervention Type DRUG

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

Interventions

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RLS-0071

RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female adults or adolescents (\>12 years old).
* Hospitalized with steroid-refractory aGvHD (grade II-IV) after allo-HSCT
* Anticipated hospital length-of-stay of at least 1 week from the time of RLS-0071 initiation.
* No plans to add additional GvHD treatment medications or to add, dose-adjust, or discontinue GvHD prophylactic medications during the 7-days of RLS-0071 treatment.
* Neutrophil recovery following the stem-cell transplantation, defined as blood neutrophil count \>500/mL for at least 3 consecutive measurements and not supported by growth factor supplementation
* Weight ≥40 kg and ≤ 140 kg at screening.

Exclusion Criteria

* Has received more than 1 allo-HSCT
* Current, previous, or planned use of any systemic treatment in addition to or other than corticosteroids or ruxolitinib for aGvHD
* Previous failure of ruxolitinib treatment
* Uncontrolled GI infection
* Endoscopic and biopsy testing (if performed) that definitively rules out lower GI aGvHD
* Chronic GvHD
* Participants with evidence of relapsed primary disease, or participants who have been treated for relapse after the allo-HSCT was performed.
* Unresolved toxicity or complications (other than aGvHD) due to the allo-HSCT
* Any corticosteroid therapy for indications other than aGvHD at doses of methylprednisolone or equivalent \>1 mg/kg per day within 7 days of enrollment.
* Severe organ dysfunction unrelated to underlying aGvHD
* Known hypersensitivity, allergy, or anaphylactic reaction to polyethylene glycol (PEG)
* Significant liver disease that is unrelated to GvHD
* Severe kidney disease
* Currently breast feeding.
* Known pregnancy, a positive pregnancy test at screening, or lactation for WOCBP.
* Active hepatitis B virus (HBV) or hepatitis C virus infection that requires treatment or human immunodeficiency virus (HIV)-1 or HIV-2.
* Active sepsis
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CTI Clinical Trial and Consulting Services

OTHER

Sponsor Role collaborator

ReAlta Life Sciences, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site 1091

Duarte, California, United States

Site Status ACTIVE_NOT_RECRUITING

Site 1343

Los Angeles, California, United States

Site Status ACTIVE_NOT_RECRUITING

Site 1318

Atlanta, Georgia, United States

Site Status ACTIVE_NOT_RECRUITING

Site 1068

St Louis, Missouri, United States

Site Status ACTIVE_NOT_RECRUITING

Site 1100

Cincinnati, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

Site 1382

Columbus, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

Site 3242

Freiburg im Breisgau, , Germany

Site Status RECRUITING

Site 3101

Seville, SE, Spain

Site Status RECRUITING

Site 3360

Madrid, , Spain

Site Status RECRUITING

Site 3227

Salamanca, , Spain

Site Status RECRUITING

Site 3101

Seville, , Spain

Site Status RECRUITING

Countries

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United States Germany Spain

Central Contacts

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Linda Dell, MBA

Role: CONTACT

201-675-4044

Other Identifiers

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RLS-0071-203

Identifier Type: -

Identifier Source: org_study_id

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