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NCT05305989

Extended Treatment and Follow-up of Subjects Treated With Belumosudil in Study KD025-208 or Study KD025-213

Completed Phase 2 Results posted Last updated 2 May 2025
What this trial tests

Phase 2 trial testing Belumosudil 200 mg QD in Chronic Graft-versus-host-disease in 23 participants. Completed in 6 June 2024.

Timeline
23 February 2022
Primary endpoint
6 June 2024
6 June 2024

Quick facts

Lead sponsorKadmon, a Sanofi Company
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment23
Start date23 February 2022
Primary completion6 June 2024
Estimated completion6 June 2024
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Kadmon, a Sanofi Company — 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.

Duration of Response (DOR) Primary · At Baseline (Day 1), Month 3 and every 3 months thereafter (+/-14 days), up to 23 months

DOR is defined as time from first documentation of response to time of first documentation of deterioration from best response (e.g., complete response \[CR\] to partial response \[PR\], or PR to Lack of response \[LR\]). As per the 2014 National Institutes of Health (NIH) Consensus Development Project for clinical trials in cGVHD criteria: CR was defined as resolution of all manifestations of cGVHD in each organ or site.PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site.LR included response status of mixed, unchanged, or progression.Mi

GroupValue95% CI
Belumosudil 200 mg QDNA5.55 – NA
Belumosudil 200 mg BIDNA5.78 – NA
Number of Participants With a >=7 Point Reduction (7PtR) From Baseline and >=7 Point Reduction From Baseline on 2 Consecutive Post-Baseline Assessments as Assessed by Lee Symptom Scale (LSS) Primary · Baseline (Day 1) up to 23 months

The questionnaire asked participants to indicate the degree of bother that they experienced due to symptoms in 7 domains potentially affected by cGVHD. It consists of 30 items of 7 domains: skin, eyes and mouth, breathing, eating and digestion, muscles and joints, energy, and mental and emotional. Each question was rated/scored as 0-not at all, 1-slightly, 2-moderately, 3-quite a bit, 4-extremely with lower values representing better outcome. A domain score was calculated for each domain by taking the mean of all items completed if more than 50% were answered and normalizing to a 0 to 100 scal

>=7PtR From Baseline
GroupValue95% CI
Belumosudil 200 mg QD8
Belumosudil 200 mg BID2
Belumosudil 400 mg QD0
>=7PtR From Baseline on 2 Consecutive Post-Baseline Assessment
GroupValue95% CI
Belumosudil 200 mg QD8
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
Duration of >=7 Point Reduction as Assessed by Lee Symptom Scale Primary · Baseline (Day 1) up to 23 months

The questionnaire asked participants to indicate the degree of bother that they experienced due to symptoms in 7 domains potentially affected by cGVHD. It consisted of 30 items of 7 domains: skin, eyes and mouth, breathing, eating and digestion, muscles and joints, energy, and mental and emotional. Each question was rated/scored as 0-not at all, 1-slightly, 2-moderately, 3-quite a bit, 4-extremely with lower values representing better outcome. A domain score was calculated for each domain by taking the mean of all items completed if more than 50% were answered and normalizing to a 0 to 100 sca

GroupValue95% CI
Belumosudil 200 mg QD67.2± 26.8
Belumosudil 200 mg BID49.5± 54.2
Time to Next Treatment (TTNT) Primary · At Baseline (Day 1), Month 3 and every 3 months thereafter (+/-14 days), up to 23 months

The TTNT was measured as the time from first treatment to the time of new systemic cGVHD treatment, censored by last response assessment or long term follow up assessment, whichever was the latest and available. TTNT was analyzed by the Kaplan-Meier survival method.

GroupValue95% CI
Belumosudil 200 mg QDNANA – NA
Belumosudil 200 mg BIDNA5.14 – NA
Belumosudil 400 mg QDNANA – NA
Failure-Free Survival (FFS) Primary · At Baseline (Day 1), Month 3 and every 3 months thereafter (+/-14 days), up to 23 months

FFS was defined as the absence of new cGVHD systemic therapy, non-relapse mortality and recurrent malignancy (i.e. underlying disease) and was censored by last response assessment or long term follow up assessment, whichever was the latest and available. Kaplan-Meier method was used for the analysis.

GroupValue95% CI
Belumosudil 200 mg QDNANA – NA
Belumosudil 200 mg BIDNA8.80 – NA
Belumosudil 400 mg QDNANA – NA
Overall Survival (OS) Primary · From first dose of study drug (Day 1) to the date of death due to any cause, up to approximately 24 months

OS was defined as time from first dose of belumosudil to the date of death due to any cause. CI was calculated using Kaplan-Meier method.

GroupValue95% CI
Belumosudil 200 mg QDNANA – NA
Belumosudil 200 mg BIDNANA – NA
Belumosudil 400 mg QDNANA – NA
Percentage of Participants With Complete Response (CR) and Partial Response (PR) Primary · At Baseline (Day 1), Month 3 and every 3 months thereafter (+/-14 days), up to 23 months

As per the 2014 NIH Consensus Development Project for clinical trials in cGVHD criteria: CR was defined as resolution of all manifestations of cGVHD in each organ or site. PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site.

CR
GroupValue95% CI
Belumosudil 200 mg QD30.8
Belumosudil 200 mg BID11.1
Belumosudil 400 mg QD0
PR
GroupValue95% CI
Belumosudil 200 mg QD30.8
Belumosudil 200 mg BID77.8
Belumosudil 400 mg QD0
Number of Participants With Best Response by Organ System Primary · At Baseline (Day 1), Month 3 and every 3 months thereafter (+/-14 days), up to 23 months

The best response (CR, PR) for individual organs (skin, eyes, mouth, esophagus, upper gastrointestinal \[GI\], lower GI, liver, lungs, joints and fascia) was summarized. As per the 2014 NIH Consensus Development Project for clinical trials in cGVHD criteria, CR was defined as resolution of all manifestations of cGVHD in each organ or site. PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site.

Skin
GroupValue95% CI
Belumosudil 200 mg QD6
Belumosudil 200 mg BID5
Belumosudil 400 mg QD0
Eyes
GroupValue95% CI
Belumosudil 200 mg QD6
Belumosudil 200 mg BID4
Belumosudil 400 mg QD0
Mouth
GroupValue95% CI
Belumosudil 200 mg QD4
Belumosudil 200 mg BID3
Belumosudil 400 mg QD0
Esophagus
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID2
Belumosudil 400 mg QD0
Upper GI
GroupValue95% CI
Belumosudil 200 mg QD0
Belumosudil 200 mg BID0
Belumosudil 400 mg QD0
Lower GI
GroupValue95% CI
Belumosudil 200 mg QD0
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
Liver
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID0
Belumosudil 400 mg QD0
Lungs
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID3
Belumosudil 400 mg QD0
Percent Change From Baseline in Corticosteroid Dose to Greatest Reduction Primary · Baseline (Day 1) and Month 23

Change in corticosteroid doses was analyzed by using prednisone dose equivalents. If participants were not using prednisone as the systemic corticosteroid, then the prednisone dose equivalent would be determined according to following conversion ratios: 1 mg prednisone is equivalent to: 4.0 mg Hydrocortisone; 0.8 mg Methylprednisolone; 0.15 mg Dexamethasone; 1.0 mg Prednisolone and 0.8 mg Triamcinolone. Baseline was defined as the valid and last non-missing value obtained within 28 days prior to participant receiving the first study drug in parent study (KD025-208 \[NCT02841995\] or KD025-213

GroupValue95% CI
Belumosudil 200 mg QD-50.00-100.00 – 0.0
Belumosudil 200 mg BID0.00.0 – 0.0
Number of Participants With Maximal Improvement From Baseline in Global Severity Rating (GSR) Based on Clinician-Reported Chronic Graft-Versus-Host-Disease Assessment Primary · From Baseline (Day 1) up to 23 months

The GSR assessment was performed by asking the participants to rate their disease severity of cGVHD symptoms on a 0 to 10-point numeric rating scale, where score 0 indicated 'not at all severe cGVHD symptoms' and score 10 indicated 'most severe cGVHD symptoms possible'. The response was defined using scores from 9 organs: skin, eyes, mouth, esophagus, upper GI track, lower GI tract, liver, lungs, and joints and fascia plus GSR. Baseline was defined as the valid and last non-missing value obtained within 28 days prior to participant receiving the first study drug in parent study (KD025-208 \[NC

-8
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
-7
GroupValue95% CI
Belumosudil 200 mg QD0
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
-6
GroupValue95% CI
Belumosudil 200 mg QD3
Belumosudil 200 mg BID0
Belumosudil 400 mg QD0
-5
GroupValue95% CI
Belumosudil 200 mg QD2
Belumosudil 200 mg BID2
Belumosudil 400 mg QD0
-4
GroupValue95% CI
Belumosudil 200 mg QD0
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
-3
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
-2
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
-1
GroupValue95% CI
Belumosudil 200 mg QD1
Belumosudil 200 mg BID1
Belumosudil 400 mg QD0
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Grade >=3 Treatment-Emergent Adverse Events and Deaths Primary · From the first dose of study drug (Day 1) up to 28 days after the last dose of study drug, approximately 24 months

An adverse event (AE) was defined as any untoward medical occurrence in a clinical trial participant associated with the use of a study drug, whether or not considered drug-related. Serious adverse event (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, was a congenital anomaly/birth defect or was an important medical event. The severity of ea

TEAEs
GroupValue95% CI
Belumosudil 200 mg QD8
Belumosudil 200 mg BID7
Belumosudil 400 mg QD0
TESAEs
GroupValue95% CI
Belumosudil 200 mg QD4
Belumosudil 200 mg BID2
Belumosudil 400 mg QD0
Grade >=3 TEAEs
GroupValue95% CI
Belumosudil 200 mg QD3
Belumosudil 200 mg BID4
Belumosudil 400 mg QD0
Deaths
GroupValue95% CI
Belumosudil 200 mg QD0
Belumosudil 200 mg BID0
Belumosudil 400 mg QD0

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of study drug (Day 1) up to 28 days after the last dose of study drug, approximately 24 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Belumosudil 200 mg QD
Serious: 4/13 (31%)
Deaths: 0/13
Belumosudil 200 mg BID
Serious: 2/9 (22%)
Deaths: 0/9
Belumosudil 400 mg QD
Serious: 0/1 (0%)
Deaths: 0/1

Serious adverse events (6 terms)

ReactionSystemBelumosudil 200 mg QDBelumosudil 200 mg BIDBelumosudil 400 mg QD
Covid-19Infections and infestations
Rhinovirus InfectionInfections and infestations
HyponatraemiaMetabolism and nutrition disorders
Dacryoadenitis AcquiredEye disorders
Superior Vena Cava SyndromeVascular disorders
Tongue DysplasiaGastrointestinal disorders
Other adverse events (70 terms — click to expand)

ReactionSystemBelumosudil 200 mg QDBelumosudil 200 mg BIDBelumosudil 400 mg QD
ConjunctivitisInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
HypertensionVascular disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Dry MouthGastrointestinal disorders
Influenza Like IllnessGeneral disorders
Aspartate Aminotransferase IncreasedInvestigations
Haemoglobin IncreasedInvestigations
Covid-19Infections and infestations
Ear InfectionInfections and infestations
Fungal InfectionInfections and infestations
GastroenteritisInfections and infestations
Haemophilus InfectionInfections and infestations
NasopharyngitisInfections and infestations
OnychomycosisInfections and infestations
Otitis ExternaInfections and infestations
Respiratory Tract InfectionInfections and infestations
Rhinovirus InfectionInfections and infestations
Upper Respiratory Tract InfectionInfections and infestations
Intraductal Papillary-Mucinous Carcinoma Of PancreasNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AnaemiaBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
Decreased AppetiteMetabolism and nutrition disorders
HypocalcaemiaMetabolism and nutrition disorders
PolydipsiaMetabolism and nutrition disorders
DepressionPsychiatric disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
HeadacheNervous system disorders
CataractEye disorders
Vision BlurredEye disorders
Bundle Branch Block RightCardiac disorders
HypotensionVascular disorders
Superior Vena Cava SyndromeVascular disorders
AtelectasisRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Nasal DisorderRespiratory, thoracic and mediastinal disorders
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Covid-19, Rhinovirus Infection, Hyponatraemia, Dacryoadenitis Acquired, Superior Vena Cava Syndrome, Tongue Dysplasia.

Data from ClinicalTrials.gov NCT05305989 adverse events section.

Sponsor's own description

Extended Treatment and Follow-up of Subjects Treated with Belumosudil in Study KD025-208 or Study KD025-213

Publications & conference data

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

  1. Belumosudil for Chronic Graft-Versus-Host Disease: Analysis of Long-Term Results from the KD025-208 and ROCKstar Studies.
    Lee SJ, Pavletic S, Blazar BR, Yao Y, et al · · 2025 · cited 2× · PMID 40318736 · DOI 10.1016/j.jtct.2025.04.020
  2. Chronic Graft-versus-host Disease, Part 1: How Preclinical Models Shape Our Understanding of Biology and Pave the Way for Future Therapeutic Interventions.
    Hartigan CR, McDonald-Hyman C, Pavletic SZ, Blazar BR. · · 2025 · PMID 40551306 · DOI 10.1097/tp.0000000000005444

Verify or expand the search:

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

Currently open trials in the same condition.

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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/NCT05305989.

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