Last reviewed · How we verify

NCT04200365

A Study of Itacitinib for the Treatment of Chronic Graft Versus Host Disease (cGVHD)

Terminated Phase 2 Results posted Last updated 6 November 2024
What this trial tests

Phase 2 trial testing Itacitinib in Chronic Graft-versus-host-disease in 15 participants. Terminated before completion.

Timeline
5 June 2020
Primary endpoint
7 September 2023
7 September 2023

Quick facts

Lead sponsorSCRI Development Innovations, LLC
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment15
Start date5 June 2020
Primary completion7 September 2023
Estimated completion7 September 2023
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

SCRI Development Innovations, LLC — full company profile →

Who can join

18 and older, any sex, with Chronic Graft-versus-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.

cGVHD Overall Response Rate (ORR) at 6 Months on Treatment Primary · Response assessed Day 1 of every cycle up until the end of treatment, up to 24 months. This outcome measure is the ORR for all patients once they have been on treatment for 6 months.

Defined as the rate of participants with a cGVHD response of complete response (CR) or partial response (PR) after 6 months of treatment with Itacitinib as defined by 2014 National Institutes of Health Consensus Development Project on Clinical Trials in cGVHD. CR is defined as resolution of all manifestations of cGVHD in each organ or site. PR is defined as the improvement in at least one organ or site without progression in any other organ or site.

GroupValue95% CI
Itacitinib93
Number of Participants That Can Withdraw or Decrease Steroids Secondary · From first dose of itacitinib until end of study treatment, up to 24 months

Ability to withdraw or decrease steroids to ˂0.5 mg/kg of methylprednisolone or equivalent

GroupValue95% CI
Itacitinib9
Overall Survival Secondary · Every 3 months for 1 year after last dose of study treatment, up to 29 months.

Overall Survival (OS) is defined as the time from the first day of study drug administration (Day 1) to death on study. Patients who are alive will be censored at the date of last known date alive.

GroupValue95% CI
ItacitinibNA15.5 – NA
Number of Participants With Treatment-emergent Adverse Events as a Measure of Safety and Tolerability of Itacitinib Secondary · Safety will be assessed from the time that informed consent is signed until 30 days after the last dose of study treatment, up to 25 months.

Adverse events will be graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE Version 5.0)

GroupValue95% CI
Itacitinib15
Number of Participants With Improvement in Quality of Life Per the Lee Symptom Scale Secondary · Quality of life will be assessed prior during screening and end of treatment, up to 24 months of treatment. Participants showing improvement in LSS score from Screening to End of Treatment are shown here.

Changes in symptom burden will be measured using the Lee Symptom Scale. Subscale scores and the summary score range from 0 to 100, with a higher score indicating worse symptoms.

GroupValue95% CI
Itacitinib11
Number of Participants With Recurrence or Progression of cGVHD Secondary · cGVHD status will be assessed at cycle 1 day 1, day 1 of every cycle and at the end of treatment, up to 24 months

Participants will be assessed for severity of cGVHD using the Clinician-Reported Global cGVHD Activity Assessment Form and Patient-reported cGVHD Activity Assessment Form. Progression in at least one organ or site without a response in any other organ or site per NIH 2014 Consensus Development Project on Clinical Trials in cGVHD.

GroupValue95% CI
Itacitinib5
Relapse Rate of Underlying Malignancy Secondary · Relapse of underlying malignancy will be assessed on Day 1 of each cycle, at end of treatment and survival follow-up. Follow-up visits every 3 months for 1 year after last dose of study treatment, up to 29 months

Participants will be closely monitored for any evidence of underlying disease relapse or recurrence. Formal re-staging will be done at physician discretion.

GroupValue95% CI
Itacitinib2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were assessed from the time that informed consent is signed until 30 days after the last dose of study treatment, up to 25 months. All-Cause Mortality was assessed up to 29 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Itacitinib
Serious: 6/15 (40%)
Deaths: 2/15

Serious adverse events (13 terms)

ReactionSystemItacitinib
Brain contusionInjury, poisoning and procedural complications
CellulitisInfections and infestations
Device related infectionInfections and infestations
EmbolismVascular disorders
Eye contusionInjury, poisoning and procedural complications
PneumatosisGeneral disorders
PneumoniaInfections and infestations
PneumoperitoneumGastrointestinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Respiratory tract infection bacterialInfections and infestations
Small intestinal obstructionGastrointestinal disorders
Subarachnoid haemorrhageNervous system disorders
Subdural haematomaInjury, poisoning and procedural complications
Other adverse events (139 terms — click to expand)

ReactionSystemItacitinib
Blood creatinine increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
PyrexiaGeneral disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
Oedema peripheralGeneral disorders
COVID-19Infections and infestations
FallInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Blood alkaline phosphatase increasedInvestigations
Blood cholesterol increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
Blood triglycerides increasedInvestigations
HypocalcaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
InsomniaPsychiatric disorders
Urinary tract infectionRenal and urinary disorders
HypoxiaReproductive system and breast disorders
Balance disorderEar and labyrinth disorders
Cataract operationEye disorders
Vision blurredEye disorders
Dry mouthGastrointestinal disorders
Oropharyngeal painGastrointestinal disorders
ChillsGeneral disorders
Generalised oedemaGeneral disorders
ContusionInjury, poisoning and procedural complications
Skin woundInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
Neutrophil count increasedInvestigations
Platelet count decreasedInvestigations
White blood cell count decreasedInvestigations
White blood cell count increasedInvestigations
HypophosphataemiaMetabolism and nutrition disorders

Most-reported serious reactions: Brain contusion, Cellulitis, Device related infection, Embolism, Eye contusion, Pneumatosis, Pneumonia, Pneumoperitoneum.

Data from ClinicalTrials.gov NCT04200365 adverse events section.

Sponsor's own description

This study is being done in patients who have been receiving corticosteroids or other immunosuppressive therapies for the treatment of cGVHD for at least 6 months. The purpose of this study is to find out if itacitinib in combination with corticosteroids or other immunosuppressive therapies is safe and effective in people with cGVHD.

Publications & conference data

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

  1. STAT proteins: a kaleidoscope of canonical and non-canonical functions in immunity and cancer.
    Awasthi N, Liongue C, Ward AC. · · 2021 · cited 97× · PMID 34809691 · DOI 10.1186/s13045-021-01214-y
  2. JAK-STAT signaling in human disease: From genetic syndromes to clinical inhibition.
    Luo Y, Alexander M, Gadina M, O'Shea JJ, et al · · 2021 · cited 92× · PMID 34625141 · DOI 10.1016/j.jaci.2021.08.004
  3. Updates in chronic graft-versus-host disease.
    Hamilton BK. · · 2021 · cited 64× · PMID 34889364 · DOI 10.1182/hematology.2021000301
  4. New Approaches for the Treatment of Chronic Graft-Versus-Host Disease: Current Status and Future Directions.
    Saidu NEB, Bonini C, Dickinson A, Grce M, et al · · 2020 · cited 64× · PMID 33162993 · DOI 10.3389/fimmu.2020.578314
  5. A Decade of JAK Inhibitors: What Have We Learned and What May Be the Future?
    Liu C, Kieltyka J, Fleischmann R, Gadina M, et al · · 2021 · cited 49× · PMID 34180156 · DOI 10.1002/art.41906
  6. Kinase Inhibition as Treatment for Acute and Chronic Graft-<i>Versus</i>-Host Disease.
    Braun LM, Zeiser R. · · 2021 · cited 35× · PMID 34868001 · DOI 10.3389/fimmu.2021.760199
  7. Insights into the role of the JAK/STAT signaling pathway in graft-<i>versus</i>-host disease.
    Abboud R, Choi J, Ruminski P, Schroeder MA, et al · · 2020 · cited 33× · PMID 32537114 · DOI 10.1177/2040620720914489
  8. Established and Emerging Treatments of Skin GvHD.
    Link-Rachner CS, Sockel K, Schuetz C. · · 2022 · cited 10× · PMID 35185931 · DOI 10.3389/fimmu.2022.838494

Verify or expand the search:

Other trials of Itacitinib

Trials testing the same drug.

Other recruiting trials for Chronic Graft-versus-host-disease

Currently open trials in the same condition.

Other SCRI Development Innovations, LLC trials

Trials by the same sponsor.

Verify against primary sources

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/NCT04200365.

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