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NCT03945591

High-Dose Post-Transplant Cyclophosphamide and Bortezomib (CyBor) for the Prevention of Graft-versus-Host Disease Following Allogeneic Hematopoietic Stem Cell Transplantation (HSCT)

Completed Phase 2 Results posted Last updated 7 March 2024
What this trial tests

Phase 2 trial testing Bortezomib in GVHD in 23 participants. Completed in 4 January 2024.

Timeline
20 June 2019
Primary endpoint
29 December 2022
4 January 2024

Quick facts

Lead sponsorNYU Langone Health
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment23
Start date20 June 2019
Primary completion29 December 2022
Estimated completion4 January 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

NYU Langone Health — full company profile →

Who can join

18 and older, any sex, with GVHD. 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.

Percentage of Participants Who Experience Acute GvHD Primary · Day 120 Post-Transplant

Rate of acute GvHD post-transplant. All participants that received a transplant and received any prophylactic treatment will be included in the analysis.

GroupValue95% CI
Cyclophosphamide and Bortezomib38.4622 – 47
Percentage of Participants Who Experience Moderate to Severe Chronic GvHD Primary · Day 365 Post-Transplant

Rate of chronic GvHD post-transplant. All participants that received a transplant and received any prophylactic treatment will be included in the analysis.

GroupValue95% CI
Cyclophosphamide and Bortezomib36.3622 – 46

Adverse events — posted to ClinicalTrials.gov

Time frame: From the start of the conditioning regimen for a minimum of 30 days after the last treatment dose (41 days total).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cyclophosphamide and Bortezomib
Serious: 7/16 (44%)
Deaths: 1/16

Serious adverse events (18 terms)

ReactionSystemCyclophosphamide and Borte…
AnemiaBlood and lymphatic system disorders
FeverGeneral disorders
SyncopeNervous system disorders
Abdominal PainGastrointestinal disorders
Cytomegalovirus Infection ReactivationInfections and infestations
COVID InfectionInfections and infestations
Blood Bilirubin IncreasedInvestigations
FallInjury, poisoning and procedural complications
HyponatremiaMetabolism and nutrition disorders
HypotensionVascular disorders
AnorexiaMetabolism and nutrition disorders
AscitesGastrointestinal disorders
ConfusionPsychiatric disorders
DeathGeneral disorders
BK ViremiaInfections and infestations
AdenovirusInfections and infestations
MethemoglobinemiaBlood and lymphatic system disorders
SepsisInfections and infestations
Other adverse events (36 terms — click to expand)

ReactionSystemCyclophosphamide and Borte…
Platelet Count DecreasedInvestigations
HypokalemiaMetabolism and nutrition disorders
Urinary Tract InfectionInfections and infestations
ViremiaInfections and infestations
Alanine Aminotransferase IncreasedInvestigations
Aspartate Aminotransferase IncreasedInvestigations
ConstipationGastrointestinal disorders
HeadacheNervous system disorders
HypomagnesemiaMetabolism and nutrition disorders
Mucositis OralGastrointestinal disorders
NauseaGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AgitationPsychiatric disorders
Alkaline Phosphatase IncreasedInvestigations
Atrial FibrillationCardiac disorders
BacteremiaInfections and infestations
BloatingGastrointestinal disorders
DiarrheaGastrointestinal disorders
DizzinessNervous system disorders
DysphagiaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Epstein-Barr virus infection reactivationInfections and infestations
Febrile NeutropeniaBlood and lymphatic system disorders
Gastric HemorrhageGastrointestinal disorders
HematuriaRenal and urinary disorders
HypertensionVascular disorders
HypoxiaInfections and infestations
C. DifficileInfections and infestations
PainGeneral disorders
SecretionsRespiratory, thoracic and mediastinal disorders
Sinus TachycardiaCardiac disorders
Skin UlcerationSkin and subcutaneous tissue disorders
Sore ThroatRespiratory, thoracic and mediastinal disorders
Upper Gastrointestinal HemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Anemia, Fever, Syncope, Abdominal Pain, Cytomegalovirus Infection Reactivation, COVID Infection, Blood Bilirubin Increased, Fall.

Data from ClinicalTrials.gov NCT03945591 adverse events section.

Sponsor's own description

This is a single arm open label phase II clinical trial. Adult patients with hematological malignancies undergoing allogeneic HSCT from matched-related or unrelated donor are eligible for the study if they meet the standard criteria defined in the investigator's institutional standard operation procedures (SOPs), meet all inclusion criteria, and do not satisfy any exclusion criteria. Patients will receive reduced-intensity or myeloablative conditioning regimen of fludarabine, busulfan, and rabbit anti-thymocyte globulin (rATG). Patients will receive PTCyBor as GvHD prophylaxis.

Publications & conference data

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

  1. Post-transplantation Cyclophosphamide: From HLA-Haploidentical to Matched-Related and Matched-Unrelated Donor Blood and Marrow Transplantation.
    Williams L, Cirrone F, Cole K, Abdul-Hay M, et al · · 2020 · cited 32× · PMID 32373119 · DOI 10.3389/fimmu.2020.00636
  2. New therapeutic targets and biomarkers for acute graft-versus-host disease (GVHD).
    Choe H, Ferrara JLM. · · 2021 · cited 25× · PMID 34669521 · DOI 10.1080/14728222.2021.1992383
  3. Current Status and Future Directions in Graft-<i>Versus</i>-Host Disease Prevention Following Allogeneic Blood and Marrow Transplantation in Adults.
    Tegla C, Choi J, Abdul-Hay M, Cirrone F, et al · · 2020 · cited 18× · PMID 34595437 · DOI 10.2991/chi.d.200115.001
  4. How to Make an Immune System and a Foreign Host Quickly Cohabit in Peace? The Challenge of Acute Graft-<i>Versus</i>-Host Disease Prevention After Allogeneic Hematopoietic Cell Transplantation.
    Vandenhove B, Canti L, Schoemans H, Beguin Y, et al · · 2020 · cited 7× · PMID 33193397 · DOI 10.3389/fimmu.2020.583564

Verify or expand the search:

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Other NYU Langone Health trials

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/NCT03945591.

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