A Phase Ib Clinical Study of AC-003 Capsules in Subjects With aGVHD.
A Phase Ib Clinical Trial to Investigate the Safety, Tolerability, Preliminary Efficacy, and Pharmacokinetic Profile of AC-003 Capsules in Patients With Acute GraftVersus-Host Disease (aGVHD)
1 other identifier
interventional
24
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Jul 2024
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 25, 2024
CompletedFirst Submitted
Initial submission to the registry
June 30, 2025
CompletedFirst Posted
Study publicly available on registry
July 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
March 16, 2026
July 1, 2025
2.2 years
June 30, 2025
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
EXPERIMENTALSpecified dose of AC-003 will be administered orally twice daily (BID) for 28 days.
AC-003 cohort 2
EXPERIMENTALSpecified dose of AC-003 will be administered orally once daily (QD) for 28 days.
AC-003 cohort 3
EXPERIMENTALSpecified dose of AC-003 will be administered orally twice daily (BID) for 28 days.
AC-003 cohort 4
EXPERIMENTALSpecified dose of AC-003 will be administered orally twice daily (BID) for 28 days.
Interventions
AC-003 capsules will be administered orally.
Eligibility Criteria
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
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