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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Efficacy Study; Intervention Model: Parallel Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Conditions: |
Graft vs Host Disease Immune System Disorders |
| Interventions: |
Drug: Etanercept Drug: Mycophenolate Mofetil Drug: Denileukin Diftitox Drug: Pentostatin |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| Clinic patients were recruited from August 2005 through March 2008. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| No text entered. |
| Description | |
|---|---|
| Etanercept | Patients received 25 mg Etanercept subcutaneously twice weekly for up to 4 weeks; discontinue if in Complete Response (CR) by 4 weeks |
| Mycophenolate Mofetil | Patients received Mycophenolate Mofetil (MMF) 20 mg/kg (maximum 1 gm) per oral or intravenously twice daily; continue through prednisone taper, then taper MMF over 4 weeks |
| Denileukin Diftitox | Patients received Denileukin Diftitox 9 mcg/kg intravenously over 1 hour on days 1, 3, 5, 15, 17, 19. |
| Pentostatin | Patients received Pentostatin 1.5 mg/m2 intravenously daily on days 1-3 and 15-17. |
| Etanercept | Mycophenolate Mofetil | Denileukin Diftitox | Pentostatin | |
|---|---|---|---|---|
| STARTED | 46 | 45 | 47 | 42 |
| COMPLETED | 46 | 45 | 46 | 42 |
| NOT COMPLETED | 0 | 0 | 1 | 0 |
| Withdrawal by Subject | 0 | 0 | 1 | 0 |
Baseline Characteristics
| Description | |
|---|---|
| Etanercept | Patients received 25 mg Etanercept subcutaneously twice weekly for up to 4 weeks; discontinue if in Complete Response (CR) by 4 weeks |
| Mycophenolate Mofetil | Patients received Mycophenolate Mofetil (MMF) 20 mg/kg (maximum 1 gm) per oral or intravenously twice daily; continue through prednisone taper, then taper MMF over 4 weeks |
| Denileukin Diftitox | Patients received Denileukin Diftitox 9 mcg/kg intravenously over 1 hour on days 1, 3, 5, 15, 17, 19. |
| Pentostatin | Patients received Pentostatin 1.5 mg/m2 intravenously daily on days 1-3 and 15-17. |
| Etanercept | Mycophenolate Mofetil | Denileukin Diftitox | Pentostatin | Total | |
|---|---|---|---|---|---|
|
Number of Participants
[units: participants] |
46 | 45 | 47 | 42 | 180 |
|
Age
[units: years] Mean ± Standard Deviation |
45.9 ± 15.2 | 40.6 ± 14.6 | 47.4 ± 15.8 | 50.5 ± 12.1 | 46.0 ± 14.9 |
|
Gender
[units: participants] |
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| Female | 16 | 17 | 19 | 15 | 67 |
| Male | 30 | 28 | 28 | 27 | 113 |
|
Region of Enrollment
[units: participants] |
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| United States | 46 | 45 | 47 | 42 | 180 |
Outcome Measures
| 1. Primary: | Number of Complete Response (CR) at Day 28 of Therapy [ Time Frame: Measured at Day 28 ] |
| 2. Secondary: | Number of Partial Response (PR), Mixed Response (MR), and Progression [ Time Frame: Measured at Day 28 ] |
| 3. Secondary: | Number of Patients With Acute Graft-versus-host Disease (GVHD) Flares at Day 90 [ Time Frame: Measured at Day 90 ] |
| 4. Secondary: | Number of Patients Discontinuing Immune Suppression Without Flare [ Time Frame: Measured at Days 90, 180, and 270 post-treatment ] |
| 5. Secondary: | Number of Patients With Chronic Graft-versus-host Disease(GVHD) at 9 Months [ Time Frame: Measured at 9 months ] |
| 6. Secondary: | Number of Patients Surviving at 6 and 9 Months Post Randomization [ Time Frame: Measured at 6 and 9 months ] |
| 7. Secondary: | Proportion of Treatment Failure [ Time Frame: Measured at Day 14 ] |
| 8. Secondary: | Incidence of Systemic Infections Within 3 Months of Initiation of Therapy [ Time Frame: Measured at 3 months ] |
| 9. Secondary: | Incidence of EBV-associated Lymphoma [ Time Frame: Measured at 9 months ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. |
| There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. |
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
| Responsible Party: | National Heart, Lung, and Blood Institute (NHLBI) |
| ClinicalTrials.gov Identifier: | NCT00224874 History of Changes |
| Obsolete Identifiers: | NCT00253656 |
| Other Study ID Numbers: | 285, BMT CTN 0302, U01 HL069294-05 |
| Study First Received: | September 21, 2005 |
| Results First Received: | January 29, 2010 |
| Last Updated: | January 12, 2012 |
| Health Authority: | United States: Food and Drug Administration |