NCT07070674

Brief Summary

The study was an open-label, single-arm, dose-escalation, Phase Ib, multi-center study to investigate safety, pharmacokinetics, pharmacodynamics and preliminary efficacy of AC-003 in patients with grade II-IV SR-aGVHD.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
24

participants targeted

Target at P25-P50 for phase_1

Timeline
5mo left

Started Jul 2024

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress82%
Jul 2024Sep 2026

Study Start

First participant enrolled

July 25, 2024

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

June 30, 2025

Completed
17 days until next milestone

First Posted

Study publicly available on registry

July 17, 2025

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2026

Last Updated

March 16, 2026

Status Verified

July 1, 2025

Enrollment Period

2.2 years

First QC Date

June 30, 2025

Last Update Submit

March 13, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Incidence and severity of Adverse Events

    An Adverse Event (AE) is defined as any new untoward medical condition or worsening of a pre-existing medical condition following or during exposure to an investigation product, whether or not considered causally related to the product.

    Up to Day 35

Secondary Outcomes (2)

  • Overall Response Rate (ORR)

    Day 14 and Day 28

  • Complete Response Rate

    Day 14 and Day 28

Study Arms (4)

AC-003 cohort 1

EXPERIMENTAL

Specified dose of AC-003 will be administered orally twice daily (BID) for 28 days.

Drug: AC-003

AC-003 cohort 2

EXPERIMENTAL

Specified dose of AC-003 will be administered orally once daily (QD) for 28 days.

Drug: AC-003

AC-003 cohort 3

EXPERIMENTAL

Specified dose of AC-003 will be administered orally twice daily (BID) for 28 days.

Drug: AC-003

AC-003 cohort 4

EXPERIMENTAL

Specified dose of AC-003 will be administered orally twice daily (BID) for 28 days.

Drug: AC-003

Interventions

AC-003DRUG

AC-003 capsules will be administered orally.

AC-003 cohort 1AC-003 cohort 2AC-003 cohort 3AC-003 cohort 4

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female patients age ≥ 18 years.
  • Patients who have undergone allogeneic hematopoietic stem cell transplantation (HSCT) from any donor source (including matched unrelated donor, haplo-identical).
  • Diagnosis of grade II-IV aGVHD as per MAGIC criteria within 100 days after HSCT.
  • Diagnosis of steroid-refractory or steroid-dependent aGVHD in at least one of the following criteria:
  • Progressive Disease, defined as any target organ worsening, after 3 days of initial treatment with methylprednisolone 1\~2 mg/kg/day (or equivalent corticosteroid)
  • Not partial response after 7 days of initial treatment with methylprednisolone 1\~2 mg/kg/day (or equivalent corticosteroid)
  • Not complete response after 14 days of initial treatment with methylprednisolone 1\~2 mg/kg/day (or equivalent corticosteroid)
  • Relapse of aGVHD when corticosteroid tapering.

You may not qualify if:

  • Evidence of aGVHD relapsed.
  • Evidence of chronic GVHD or overlap syndrome
  • Receipt of more than one allogeneic HSCT
  • Receipt of more than one systemic treatment for aGVHD in addition to corticosteroid
  • Any corticosteroid therapy for indications other than aGvHD at doses \>= 1 mg/kg/day methylprednisolone (or equivalent corticosteroid) within 7 days prior to enrolment
  • Severe organ dysfunction unrelated to aGVHD
  • Uncontrolled active infection (i.e., bacterial, fungal, or viral)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hematology Hospital of Chinese Academy of Medical Sciences (Institute of Hematology, Chinese Academy of Medical Sciences)

Tianjin, Tianjin Municipality, China

RECRUITING

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 30, 2025

First Posted

July 17, 2025

Study Start

July 25, 2024

Primary Completion (Estimated)

September 30, 2026

Study Completion (Estimated)

September 30, 2026

Last Updated

March 16, 2026

Record last verified: 2025-07

Locations