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NCT05348096

Efficacy and Safety of Low-dose Ibrutinib and Itraconazole in Chronic Graft Versus Host Disease

Status unknown Phase 2 Last updated 27 April 2022
What this trial tests

Phase 2 trial testing Low-dose ibrutinib in Chronic Graft-versus-host-disease in 13 participants. Status unknown.

Timeline
1 April 2022
Primary endpoint
1 April 2023
1 August 2023

Quick facts

Lead sponsorHospital Universitario Dr. Jose E. Gonzalez
PhasePhase 2
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment13
Start date1 April 2022
Primary completion1 April 2023
Estimated completion1 August 2023
Sites1 location across Mexico

Drugs / interventions tested

Conditions studied

Sponsor

Hospital Universitario Dr. Jose E. Gonzalez

Who can join

18 and older, any sex, with Chronic Graft-versus-host-disease. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Chronic graft-versus-host disease (cGVHD) affects 30 to 70% of Allogeneic Hematopoietic Cell Transplantation, decreases the quality of life, and increases mortality. First-line treatments for cGVHD are steroids, however, up to 50% of patients do not respond to treatment. There is no well-defined second-line treatment for cGVHD, but ibrutinib, a Bruton tyrosine kinase inhibitor, has been successfully used in phase 2 clinical trials for moderate to severe steroid-refractory cGVHD and has been shown to be safe, showing rates of response of 69% at a median follow-up of 26 months. Therefore, ibrutinib was approved by the FDA for the treatment of steroid-refractory cGVHD. Also, it is known that ibrutinib is metabolized by cytochrome isoenzyme 3A4 and that itraconazole is a potent inhibitor of this hepatic isoenzyme. Therefore, the investigators hypothesized that in subjects with newly diagnosed cGVHD and in patients with steroid-refractory cGVHD, low-dose ibrutinib in combination with itraconazole might be effective and safe.

Publications & conference data

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

  1. Pharmacokinetic Boosting of Kinase Inhibitors.
    Westra N, Touw D, Lub-de Hooge M, Kosterink J, et al · · 2023 · cited 17× · PMID 37111635 · DOI 10.3390/pharmaceutics15041149
  2. Metabolic Reprogramming and Potential Therapeutic Targets in Lymphoma.
    Pang Y, Lu T, Xu-Monette ZY, Young KH. · · 2023 · cited 16× · PMID 36982568 · DOI 10.3390/ijms24065493

Verify or expand the search:

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

Currently open trials in the same condition.

Other Hospital Universitario Dr. Jose E. Gonzalez trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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