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NCT01665677

Atorvastatin as GVHD Prophylaxis for Allogeneic Hematopoietic Cell Transplantation

Completed Phase 2 Results posted Last updated 15 May 2023
What this trial tests

Phase 2 trial testing Atorvastatin calcium in Graft vs Host Disease in 69 participants. Completed in 9 July 2021.

Timeline
20 January 2014
Primary endpoint
9 July 2021
9 July 2021

Quick facts

Lead sponsorMehdi Hamadani
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment69
Start date20 January 2014
Primary completion9 July 2021
Estimated completion9 July 2021
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mehdi Hamadani — full company profile →

Who can join

Adults 18 to 75, any sex, with Graft vs Host Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Matched Related Transplants Who Develop Grade II-IV Acute Graft Versus Host Disease (GVHD). Primary · Day 100

The number of subjects in the matched sibling cohort who develop grades II-IV acute GVHD will be assessed by consensus criteria and graded on Bone Marrow Transplant Clinical Trials Network Manual of Procedures suggested grading sheets. Grade I is mild GVHD involving up to 25% of the subject's skin; Grade II is moderate GVHD. involving 25 to 50% of the subject's skin and can include mild changes in liver and/or mild diarrhea; Grade III is severe GVHD involving over 50% of the subject's skin. Liver involvement is likely as are stomach cramps and diarrhea; and Grade 4 is very severe GvHD. Skin ma

GroupValue95% CI
Matched Related Donor3
Matched Unrelated Donors Transplants Who Develop Grade II-IV Acute GVHD. Primary · Day 100

The number of subjects in the matched unrelated donor cohort who develop grade II-IV acute GVHD. Acute GVHD will be assessed by consensus criteria and graded on Bone Marrow Transplant Clinical Trials Network Manual of Procedures suggested grading sheets. Grade I is mild GVHD involving up to 25% of the subject's skin; Grade II is moderate GVHD. involving 25 to 50% of the subject's skin and can include mild changes in liver and/or mild diarrhea; Grade III is severe GVHD involving over 50% of the subject's skin. Liver involvement is likely as are stomach cramps and diarrhea; and Grade 4 is very s

GroupValue95% CI
Matched Unrelated Donor12
Matched Related Transplants Who Develop Grade II-IV Chronic GVHD. Secondary · 1 year

The number of subjects who develop grade II-IV chronic GVHD. Chronic GVHD diagnosis and grading I to IV will be according to National Institutes of Health (NIH) Criteria rating progressively intense symptoms involving: skin (asymptomatic to deep sclerosis, impaired mobility, ulceration, or pruritus), oral cavity (asymptomatic to symptoms limiting oral intake), eyes (asymptomatic to severe dry eye, inability to work, or loss of vision due to keratoconjunctivitis), gastrointestinal tract (asymptomatic to significant weight loss \[\>15%\] or esophageal dilation), liver (normal function to bilirub

GroupValue95% CI
Matched Related Donor9
Matched Unrelated Donors Transplants Who Develop Grade II-IV Chronic GVHD. Secondary · 1 year

The number of subjects who develop grade II-IV chronic GVHD. Chronic GVHD diagnosis and grading I to IV will be according to National Institutes of Health (NIH) Criteria rating progressively intense symptoms involving: skin (asymptomatic to deep sclerosis, impaired mobility, ulceration, or pruritus), oral cavity (asymptomatic to symptoms limiting oral intake), eyes (asymptomatic to severe dry eye, inability to work, or loss of vision due to keratoconjunctivitis), gastrointestinal tract (asymptomatic to significant weight loss \[\>15%\] or esophageal dilation), liver (normal function to bilirub

GroupValue95% CI
Matched Unrelated Donor15

Adverse events — posted to ClinicalTrials.gov

Time frame: 1 year. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Atorvastatin Calcium (Lipitor)
Serious: 10/30 (33%)
Deaths: 0/30
Unrelated Donor
Serious: 12/39 (31%)
Deaths: 0/39

Serious adverse events (14 terms)

ReactionSystemAtorvastatin Calcium (Lipi…Unrelated Donor
DiarrheaGastrointestinal disorders
SepsisInfections and infestations
Myocardial infarctionCardiac disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Lung infectionInfections and infestations
Bilirubin increasedInvestigations
Neutrophil count decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
Bone painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DeliriumPsychiatric disorders
Acute kidney injuryRenal and urinary disorders
HypotensionVascular disorders
Other adverse events (140 terms — click to expand)

ReactionSystemAtorvastatin Calcium (Lipi…Unrelated Donor
AnemiaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
Platelet count decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
Red blood cell count decreasedInvestigations
HypertensionVascular disorders
Febrile neutropeniaBlood and lymphatic system disorders
SepsisInfections and infestations
DiarrheaGastrointestinal disorders
Lung infectionInfections and infestations
Lactate dehydrogenase increasedInvestigations
Mucositis oralGastrointestinal disorders
Total protein decreasedInvestigations
HyperuricemiaMetabolism and nutrition disorders
ObesityMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
Alkaline phosphatase increasedInvestigations
Chloride increasedInvestigations
DepressionPsychiatric disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Thromboembolic eventVascular disorders
Large intestine infectionInfections and infestations
Ferritin increasedInvestigations
HyponatremiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
Acute kidney injuryRenal and urinary disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Creatinine increasedInvestigations
Lactate dehydrogenase decreasedInvestigations
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Kidney infectionInfections and infestations
Respiratory failureRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Cardiac disorders - Other, specifyCardiac disorders

Most-reported serious reactions: Diarrhea, Sepsis, Myocardial infarction, Nausea, Vomiting, Lung infection, Bilirubin increased, Neutrophil count decreased.

Data from ClinicalTrials.gov NCT01665677 adverse events section.

Sponsor's own description

Hematopoietic stem cell transplantation is a procedure in which a person receives blood forming stem cells from a person called a "donor." The stem cells can be obtained from the hollow part of the hip bone or from blood. A serious problem with this treatment is graft-versus-host disease (GVHD). This happens when stem cells from the donor attack normal cells of the recipient. Currently, there is no universal standard of care in the United States to prevent GVHD. This study is being done to see if a medicine that is used to lower cholesterol can also help in reducing GVHD. Patients will receive atorvastatin daily by mouth starting 14 days before stem cell transplant. They will continue to take atorvastatin until 180 days after transplant. This medicine may be stopped earlier if there is a bad side effect or a severe GVHD. Patients will also receive standard treatment to prevent GVHD. Patients will undergo many tests that are standard for their treatment at West Virginia University (WVU), including blood tests to check blood counts, kidney function and HIV status; blood test to check for pregnancy; Multi Gated Acquisition Scan (MUGA scan)or echocardiogram to test heart function; lung function testing; and bone marrow aspirate or biopsy. Patients will also have the option to provide blood samples for optional research related to the study.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Acute graft-versus-host disease: a bench-to-bedside update.
    Holtan SG, Pasquini M, Weisdorf DJ. · · 2014 · cited 152× · PMID 24914140 · DOI 10.1182/blood-2014-01-514786
  2. Approaches for the prevention of graft-versus-host disease following hematopoietic cell transplantation.
    Gatza E, Choi SW. · · 2015 · cited 12× · PMID 27182433 · DOI 10.2217/ijh.15.13
  3. Physicians Abstracts.
    · 2016 · cited 1× · PMID 26999536 · DOI 10.1038/bmt.2016.46

Verify or expand the search:

Other trials of Atorvastatin calcium

Trials testing the same drug.

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Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01665677.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing