NCT04203108

Brief Summary

The protocols including ciclosporin A (CsA)+methotrexate (MTX) +mycophenolate Mofetil(MMF) have been widely used for graft-versus-host disease (GVHD) prophylaxis in allogeneic hematopoietic stem cell transplantation from HLA-matched sibling donor (MSD). Nevertheless, severe chronic graft-versus-host disease (cGVHD) remains an obstacle for MSD HSCT. A growing body of studies have suggested antithymocyte globulin (ATG) could reduce the incidence of cGVHD. This study is aim to evaluate the efficacy of a protocol that includes CsA, MTX, MMF and ATG in recipients of MSD HSCT.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
266

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Sep 2019

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2019

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

December 16, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 18, 2019

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2021

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

December 18, 2019

Status Verified

December 1, 2019

Enrollment Period

2 years

First QC Date

December 16, 2019

Last Update Submit

December 16, 2019

Conditions

Keywords

Hematopoietic Stem Cell Transplantationantithymocyte globulingraft-versus-host disease

Outcome Measures

Primary Outcomes (1)

  • the incidence of cGVHD

    cGVHD was graded as limited or extensive.

    2 year posttransplantation

Secondary Outcomes (3)

  • overall survival

    2 year posttransplantation

  • disease-free survival

    2 year posttransplantation

  • the incidence of aGVHD

    100 days 1 year posttransplantation

Study Arms (2)

ATG group

EXPERIMENTAL

ATG group refers to treatment with a protocol including low-dose ATG, CsA, short-term MTX and MMF as GVHD prophylaxis.

Drug: ATGDrug: CsADrug: MTXDrug: MMF

non-ATG group

ACTIVE COMPARATOR

Non-ATG group refers to treatment with a protocol including CsA, short-term MTX and MMF as GVHD prophylaxis.

Drug: CsADrug: MTXDrug: MMF

Interventions

ATGDRUG

In ATG group, ATG will be intravenously infused via a central venous catheter in day -1 at a dose of 2.5mg/kg.

ATG group
CsADRUG

In both groups, CsA will be intravenously infused from day -9 and the dose was adjusted based on the concentration.

ATG groupnon-ATG group
MTXDRUG

In both groups, MTX will be intravenously on days +1(15mg), +3(10mg) and +6(10mg).

ATG groupnon-ATG group
MMFDRUG

In both groups, MMF will be administrated at a dose of 1.0g/d.

ATG groupnon-ATG group

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • A patient age of 18-65 years
  • MSD transplant recipient
  • Subjects (or their legally acceptable representatives) must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study

You may not qualify if:

  • Any abnormality in a vital sign (e.g., heart rate, respiratory rate, or blood pressure)
  • Patients with any conditions not suitable for the trial (investigators' decision)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nanfang Hospital of Southern Medical University

Guangzhou, Guangdong, China

RECRUITING

MeSH Terms

Conditions

Graft vs Host Disease

Condition Hierarchy (Ancestors)

Immune System Diseases

Study Officials

  • Qifa Liu

    Nanfang Hospital, Southern Medical University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

December 16, 2019

First Posted

December 18, 2019

Study Start

September 1, 2019

Primary Completion

August 31, 2021

Study Completion

December 31, 2022

Last Updated

December 18, 2019

Record last verified: 2019-12

Locations