Treatment of GVHD in Hematopoietic Stem Cell Transplant (HSCT) Recipients Using AAT Plus Corticosteroids (CS) Compared With Corticosteroids Alone
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|ClinicalTrials.gov Identifier: NCT04167514|
Recruitment Status : Active, not recruiting
First Posted : November 19, 2019
Last Update Posted : April 3, 2020
|Condition or disease||Intervention/treatment||Phase|
|Graft Versus Host Disease (GVHD)||Biological: Alpha-1 antitrypsin (AAT) Drug: Placebo||Phase 3|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||122 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Investigator)|
|Official Title:||A Randomized, Double-Blind, Placebo-Controlled Multicenter Phase III Trial of Alpha 1 - Antitrypsin (AAT) Combined With Corticosteroids vs Corticosteroids Alone for the Treatment of High Risk Acute Graft-versus-Host Disease (GVHD) Following Allogeneic Hematopoietic Stem Cell Transplant|
|Actual Study Start Date :||January 9, 2020|
|Estimated Primary Completion Date :||November 2023|
|Estimated Study Completion Date :||November 2023|
Alpha-1 antitrypsin (AAT) is a lyophilized powder for intravenous administration
Biological: Alpha-1 antitrypsin (AAT)
AAT is a lyophilized product for intravenous administration
Other Name: Alpha-1 proteinase inhibitor (A1-P1)
Placebo Comparator: Placebo
Albumin solution administered intravenously
Albumin solution administered intravenously
- Percent of participants with complete or partial response to acute Graft-versus-Host Disease (GVHD) treatment [ Time Frame: 28 days post-randomization ]
Acute GVHD will be graded and assessed for response based on Harris criteria (stage 0, 1, 2, 3, 4) for skin, liver, upper gastrointestinal (GI) tract, and lower GI tract. Complete response (CR) is defined as a score of 0 for the GVHD staging in all evaluable organs.
Partial response (PR) is defined as improvement in one or more organs involved with GVHD symptoms without progression in others.
- Duration of response (DOR) [ Time Frame: up to 12 months post-randomization ]DOR is defined as time from the Day 28 response (CR or PR) to any of the following events: relapse/progression of acute GVHD, new systemic salvage therapy for acute GVHD, re-escalation of steroids to greater or equal to 2.5 mg/kg prednisone or equivalent, or death from any cause.
- Percent of participants with non-relapse mortality (NRM) [ Time Frame: up to 12 months post-randomization ]An event of NRM is death without prior evidence of relapse/progression of the primary disease, where relapse/progression is treated as a competing risk.
- Percent of participants with overall survival and progression-free survival [ Time Frame: up to 12 months post-randomization ]An event for overall survival is death from any cause, while an event for progression-free survival is death from any cause or relapse/progression of the primary disease.
- Percent of participants with GVHD-free survival [ Time Frame: Day 56 post-randomization ]Patients alive, free of active acute or chronic GVHD, and without other systemic agents or escalation of steroids added for treatment of GVHD will be considered successes for this endpoint.
- Percent of participants with response [ Time Frame: At Day 7, 14, 21, 28, 56, and 86 post-randomization ]The proportion of patients with CR, PR (including subset with VGPR), and treatment failure (TF). The designation of TF will consist of patients with no response (NR), mixed response (MR), progression or initiation of additional systemic (second-line) GVHD therapies or escalation of steroids. Death from any cause will also be considered a TF.
- Percent of participants with Grade 2 to 3 systemic infections [ Time Frame: up to 30 days after the last dose of study drug ]The incidence of Grade 2 to 3 systemic infections. Grade 2 to 3 systemic infections will be defined according to BMT CTN Manual of Procedures.
- Percent of participants with Grade 3 to 5 treatment-emergent adverse events (TEAEs) [ Time Frame: up to 30 days after the last dose of study drug ]The incidence of Grade 3 to 5 TEAEs (per Common Terminology Criteria for Adverse Events [CTCAE] Version 5.0)
- Percent of participants with chronic GVHD [ Time Frame: up to 12 months post-randomization ]Chronic GVHD is defined per National Institutes of Health (NIH) Consensus Criteria. Diagnosis of chronic GVHD of any severity (mild, moderate, or severe) is considered an event for this endpoint.
- Percent of participants with disease relapse [ Time Frame: up to 12 months post-randomization ]The cumulative incidence of relapse/progression of the primary disease, with death prior to relapse/progression treated as a competing risk.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04167514
|United States, Georgia|
|Atlanta, Georgia, United States, 30342|
|United States, Michigan|
|U-M Medical Center|
|Ann Arbor, Michigan, United States, 48109-0312|
|Study Director:||Study Director||CSL Behring|