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Study Results
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Treatment for Acute Graft-Versus-Host Disease (BMT CTN 0302)
This study is ongoing, but not recruiting participants.
Study NCT00224874   Information provided by National Heart, Lung, and Blood Institute (NHLBI)

First Received on September 21, 2005.   Last Updated on January 12, 2012   History of Changes
Results First Received: January 29, 2010  
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
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Clinic patients were recruited from August 2005 through March 2008.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  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.

Participant Flow:   Overall Study
    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
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Reporting Groups
  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.

Baseline Measures
    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]
         
Female     16     17     19     15     67  
Male     30     28     28     27     113  
Region of Enrollment  
[units: participants]
         
United States     46     45     47     42     180  



  Outcome Measures
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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 ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   No

8.  Secondary:   Incidence of Systemic Infections Within 3 Months of Initiation of Therapy   [ Time Frame: Measured at 3 months ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   Yes

9.  Secondary:   Incidence of EBV-associated Lymphoma   [ Time Frame: Measured at 9 months ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   Yes


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
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 and Caveats
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
No text entered.  


Results Point of Contact:  
Name/Title: Nancy DiFronzo, Ph.D
Organization: National Heart, Lung, and Blood Institute
phone: 301-435-0065
e-mail: difronzon@nhlbi.nig.gov


No publications provided by National Heart, Lung, and Blood Institute (NHLBI)

Publications automatically indexed to this study:

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