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New treatment option for Chronic Graft-versus-host-disease
Official title A Ph1b/2 Study of Axatilimab Monotherapy in Chinese Participants With Recurrent or Refractory cGVHD
ClinicalTrials.gov ID: NCT06843408
What this study is testing
What is INCA034176?
INCA034176 is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for chronic graft-versus-host-disease.
Also referred to as Axatilimab.
Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- This study will be conducted to evaluate the safety, efficacy, and pharmacokinetics of axatilimab monotherapy in Chinese participants with recurrent or refractory active chronic graft-versus-host disease after systemic therapy.
- Phase 2: a mid-size study of how well it works
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 12 and older
You may be able to join if
- At least 12 years of age at the time of signing the ICF.
- Ability to comprehend and willingness to sign a written ICF for the study.
- For participants 12 to 17 years old: A parent/guardian must provide consent for pediatric participants; when applicable, pediatric participants...
- Chinese participants who are allo-HSCT recipients with active, refractory, or recurrent cGVHD requiring systemic immune suppression despite prior...
- Active cGVHD is defined as the presence of signs and symptoms of cGVHD per the 2014 NIH Consensus Development Project on Criteria for Clinical Trials...
You likely can't join if
- Has aGVHD without manifestations of cGVHD.
- Any evidence (histologic, cytogenetic, molecular, hematologic, or mixed) of relapse of the underlying cancer or post-transplant lymphoproliferative...
- History of acute or chronic pancreatitis.
- Active symptomatic myositis.
- History or other evidence of severe illness, uncontrolled infection, allergy to excipients (see formulation details in the IB), or any other...
- Positive HIV status.
See the full eligibility criteria
Who can join
- At least 12 years of age at the time of signing the ICF.
- Ability to comprehend and willingness to sign a written ICF for the study.
- For participants 12 to 17 years old: A parent/guardian must provide consent for pediatric participants; when applicable, pediatric participants should also sign an assent form.
- Chinese participants who are allo-HSCT recipients with active, refractory, or recurrent cGVHD requiring systemic immune suppression despite prior systemic therapy, including corticosteroids and at least 1 other...
- Active cGVHD is defined as the presence of signs and symptoms of cGVHD per the 2014 NIH Consensus Development Project on Criteria for Clinical Trials in cGVHD (Jagasia et al 2015).
- Refractory disease is defined as meeting any of the following criteria:
- The development of 1 or more new sites of disease while being treated for cGVHD.
- Progression of existing sites of disease despite at least 1 month of standard or investigational therapy for cGVHD.
- Participants who did not achieve a response within 3 months on prior therapy for cGVHD and for whom the treating physician believes a new systemic therapy is required.
- Recurrent cGVHD is defined as active, symptomatic disease (after an initial response to prior therapy) based on the NIH 2014 consensus criteria (Lee et al 2015) by organ-specific or global assessment or for which the...
- Participants may have persistent, active aGVHD and cGVHD manifestations (overlap syndrome), as defined by the 2014 NIH Consensus Development Project on Criteria for Clinical Trials in cGVHD.
- Karnofsky performance score of ≥ 60 (if aged 16 years or older); Lansky performance score of ≥ 60 (if aged younger than 16 years).
- Adequate organ and bone marrow functions evaluated during the 14 days prior to the start of study treatment as follows:
- Absolute neutrophil count ≥ 1.0 × 109/L (without growth factors within 1 week of study entry).
- Platelet count ≥ 50 × 109/L (without growth factor or transfusion within 2 weeks of study entry).
- ALT and AST ≤ 2.5 × ULN and total bilirubin ≤ 1.5 × ULN. Note: For participants with suspected or documented liver cGVHD: ALT and AST ≤ 5 × ULN and total bilirubin ≤ 1.5 × ULN.
- Creatinine clearance ≥ 30 mL/min/1.73 m2 based on the Cockcroft-Gault formula in adult participants and the Schwartz formula in pediatric participants.
- Concomitant use of a systemic corticosteroid is allowed but not required. Topical and inhaled corticosteroid agents are allowed. If a participant is taking a corticosteroid, it must be a stable dose for at least 2 weeks...
- Concomitant use of CNIs or mTOR inhibitors is allowed but not required (the inhibitor may have been started either for prophylaxis or for treatment of cGVHD; the reason for initiating treatment must be recorded in the...
- Must be a stable dose for at least 2 weeks prior to the start of study treatment.
- The dose must be within the therapeutic range.
- Willingness to avoid pregnancy or fathering children based on the criteria below.
- Male participants with reproductive potential must agree to take appropriate precautions to avoid fathering children from screening through 90 days (a spermatogenesis cycle) after the last dose of study treatment and...
- Female participants who are WOCBP must have a negative serum pregnancy test at screening and a negative urine pregnancy test before the first dose on Day 1 and must agree to take appropriate precautions to avoid...
- Female participants not considered to be of childbearing potential as defined in the protocol are eligible.
What rules you out
- Has aGVHD without manifestations of cGVHD.
- Any evidence (histologic, cytogenetic, molecular, hematologic, or mixed) of relapse of the underlying cancer or post-transplant lymphoproliferative disease at the time of screening.
- History of acute or chronic pancreatitis.
- Active symptomatic myositis.
- History or other evidence of severe illness, uncontrolled infection, allergy to excipients (see formulation details in the IB), or any other conditions that would make the participant, in the opinion of the...
- Positive HIV status.
- History of latent or active TB, including either one of following:
- Signs or symptoms suggestive of active TB upon medical history and/or physical examination.
- Recent close contact with a person with active TB.
- Positive QuantiFERON and/or T-spot TB test at screening.
- Active HBV or HCV infection that requires treatment, or at risk for HBV reactivation (ie, positive HBsAg). Participants with negative HBsAg and positive total HBcAb and/or HBsAb should be excluded if quantitative HBV...
- Diagnosed with another malignancy (other than malignancy for which transplant was performed) within 3 years before Cycle 1 Day 1 unless previously treated with curative intent (eg, completely resected basal cell or...
- Pregnant or breastfeeding.
- Previous exposure to CSF-1R targeted therapies.
- Use of any agent other than corticosteroids, CNIs, or mTOR inhibitors for the treatment of cGVHD within 2 weeks or 5 half-lives, whichever is shorter, prior to the start of study treatment.
- Has received an investigational treatment within 28 days prior to the start of study treatment.
- Currently participating in any other treatment study.
The study team makes the final eligibility decision.
Where it's taking place
- Beijing, China
- Chengdu, China
- Chongoing, China
- Guangzhou, China
- Hangzhou, China
- Shanghai, China
- Tianjin, China
- Wuhan, China
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 12 years and older. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Beijing, China; Chengdu, China; Chongoing, China; Guangzhou, China; Hangzhou, China; Shanghai, China and 2 more location(s). Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.