New hope for GVHD patients: axatilimab faces best available therapy in phase 3 trial
NCT ID NCT06821542
First seen Jun 27, 2026 · Last updated Aug 26, 2026 · Updated 2 times
Summary
This study tests a new drug called axatilimab against the best current treatments for people with chronic graft-versus-host disease (cGVHD), a complication after a stem cell transplant. Participants must be at least 12 years old and have tried at least two prior treatments without success. The goal is to see if axatilimab can better control the disease and improve symptoms.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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9 people
The number who actually took part.
- Started
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Jun 2025
- Expected to finish
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Nov 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 12 years at the time of signing the ICF. * Active, moderate to severe cGVHD, requiring systemic immune suppression. * Participants with refractory or recurrent cGVHD who have received at least 2 lines of systemic therapy, including corticosteroids and ruxolitinib. * Concomitant use of systemic corticosteroids is allowed. Participants on systemic corticosteroids must be on a stable dose of corticosteroids for at least 2 weeks prior to C1D1. Topical and inhaled corticosteroid agents are allowed. * Participants must accept to be treated with one of the following BAT options on C1D1: CNI (cyclosporine or tacrolimus), ECP, MMF, an mTOR inhibitor (everolimus or sirolimus), rituximab, pentostatin, proteasome inhibitors, imatinib, or ibrutinib. * History of allo-HCT from any donor HLA type (related or unrelated donor with any degree of HLA matching) using any graft source (bone marrow, peripheral blood stem cells, or cord blood). Recipients of myeloablative, nonmyeloablative, or reduced-intensity conditioning are eligible. Exclusion Criteria: * Receipt of more than 1 prior allo-HCT. Prior autologous HCT is allowed. * Evidence of relapse of hematologic disease or treatment for relapse after the allo-SCT was performed, including DLI for the treatment of molecular relapse. Note: Participants who have received a scheduled DLI as part of their transplant procedure and not for management of malignancy relapse are eligible. * Systemic treatment with CNIs or mTOR inhibitors started within 2 weeks prior to C1D1. * Severe renal impairment, that is, estimated creatinine clearance \< 30 mL/min measured or calculated by Cockcroft-Gault equation in adults and Schwartz formula in pediatric participants, or end-stage renal disease on dialysis. * Impaired liver function, defined as total bilirubin \> 1.5 × ULN and/or ALT and AST \> 3 × ULN in participants with no evidence of liver cGVHD. * History of acute or chronic pancreatitis. * Active, symptomatic myositis. * Pregnant or breastfeeding. Other protocol-defined Inclusion/Exclusion Criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A. Gemelli University Hospital, Catholic University of the Sacred Heart
Roma, 00168, Italy
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A.O.U. Citta Della Salute E Della Scienza Di Torino
Torino, 10126, Italy
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Algemeen Ziekenhuis Delta
Roeselare, 08800, Belgium
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Amsterdam University Medical Center (Amsterdam Umc), Vrije University Medical Center (Vumc)
Amsterdam, 1081 HV, Netherlands
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Aou Policlinico Umberto I
Roma, 00161, Italy
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Asst Grande Ospedale Metropolitano Niguarda
Milan, 20162, Italy
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Attikon Hospital and Cutaneous Lymphoma Clinic-Athens University Medical School
Athens, 12462, Greece
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Az Sint-Jan Brugge Av
Bruges, 08000, Belgium
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Azienda Ospedale Universita Di Padova
Padova, 35128, Italy
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Azienda Ospedaliera Di Rilievo Nazionale (Aorn) 'Antonio Cardarelli'
Naples, 80131, Italy
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Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello
Palermo, 90146, Italy
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Azienda Ospedaliera Papa Giovanni Xxiii
Bergamo, 24127, Italy
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Azienda Ospedaliera San Gerardo Di Monza
Monza, 20900, Italy
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Azienda Ospedaliera Sant'Orsola Malpighi
Bologna, 40138, Italy
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Azienda Ospedaliero Universitaria Careggi-S.O.D. Patologia Medica
Florence, 50134, Italy
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Azienda Ospedaliero Universitaria Delle Marche Clinica Ematologica
Ancona, 60126, Italy
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Azienda Ospedaliero Universitaria Di Bologna - Policlinico S. Orsola-Malpighi - Istituto Di Ematolog
Bologna, 40138, Italy
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Azienda Ospedaliero Universitaria Federico Ii Di Napoli
Naples, 80131, Italy
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Azienda Policlinico Vittorio Emanuele, Presidio G Rodolico, Universita Di Catania
Catania, 95125, Italy
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CHU CAEN
Caen, 14000, France
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Cardiff and Vale Nhs Trust - University Hospital of Wales (Uhw)
Cardiff, CF14 4XW, United Kingdom
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Centre Henri Becquerel
Rouen, 76038, France
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Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495, France
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Centre Hospitalier Regional Universitaire (Chru) de Lille - Hopital Claude Huriez
Lille, 59037, France
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Centre Hospitalier Universitaire de Bordeaux - Hopital Haut-Leveque
Pessac, 33600, France
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Centre Hospitalier Universitaire de Nice,Hopital L Archet
Nice, 06200, France
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Centro Hospitalar Universitario Lisboa Norte Epe
Lisbon, 1649-028, Portugal
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Charite - Universitaetsmedizin Berlin
Berlin, 10117, Germany
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Chru Nancy
Vandœuvre-lès-Nancy, 54511, France
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Chu D'Amiens-Picardie - Hopital Sud
Amiens, 80054, France
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Chu Liege -Centre Hospitalier Universitaire Sart Tilman
Liège, 04000, Belgium
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Chu Ucl Namur Site Godinne
Godinne-mont, 05530, Belgium
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Chu de Nantes
Nantes, 44000, France
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Clinica Ematologica, Dism Azienda Ospedaliero Universitaria
Udine, 33100, Italy
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Erasmus Medisch Centrum 1
Rotterdam, 3015 GD, Netherlands
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Fakultni Nemocnice Hradec Kralove
Hradec Králové, 500 05, Czechia
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Fakultni Nemocnice Ostrava
Ostrava-poruba, 708 52, Czechia
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Fondazione Irccs Ca' Granda - Ospedale Maggiore Policlinico
Milan, 20122, Italy
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Fondazione Ircss Casa Sollievo Della Sofferenza
San Giovanni Rotondo, 71013, Italy
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Fondazione Ptv Policlinico Tor Vergata
Rome, 00133, Italy
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General Hospital of Athens Evangelismos - Eye Hospital
Athens, 10676, Greece
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General Hospital of Thessalonikis George Papanikolaou - Gene and Cell Therapy Center
Thessaloniki, 57010, Greece
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Gustave Roussy Cancer Campus Grand Paris- (Institut de Cancerologie Gustave-Roussy)
Villejuif, 94805, France
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Haukeland University Hospital
Bergen, 05021, Norway
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Helsinki University Central Hospital
Helsinki, 00029, Finland
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Hopital Universitaire Robert Debre
Paris, 75019, France
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Hopitaux Universitaires de Geneve (Hug) - Centre de Recherche Clinique (Crc)
Geneva, 01205, Switzerland
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Hospital Clinic de Barcelona (Hospital Clinic I Provincial)
Barcelona, 08036, Spain
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Hospital Clinico Universitario Virgen de La Arrixaca
El Palmar, 30120, Spain
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Hospital Clinico Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital Clinico Universitario de Valencia (Instituto de Investigacion Sanitaria Incliva)
Valencia, 46010, Spain
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Hospital General Universitario Gregorio Maranon (Hgugm)
Madrid, 28007, Spain
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Hospital Regional Universitario de Malaga
Málaga, 29010, Spain
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Hospital Saint-Louis - Aphp
Paris, 75010, France
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Hospital Sant Joan de Deu Barcelona - Children'S Hospital
Esplugues de Llobregat, 08950, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Infantil Nino Jesus
Madrid, 28009, Spain
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Hospital Universitario Marques de Valdecilla
Santander, 39008, Spain
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Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
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Hospital Universitario Ramon Y Cajal
Madrid, 28034, Spain
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Hospital Universitario Vall D'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Virgen Del Rocio
Seville, 41013, Spain
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Hospital Universitario Virgen de Las Nieves
Granada, 18014, Spain
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Hospital Universitario de Donostia
SAN Sebasttian, 20014, Spain
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Hospital Universitario de Gran Canaria Doctor Negrín
Las Palmas de Gran Canaria, 35010, Spain
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Hospital de La Santa Creu I Sant Pau
Barcelona, 08041, Spain
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Institut Catala D Oncologia
Barcelona, 08908, Spain
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Institut Catala D'Oncologia Badalona, Hospital Germans Trias I Pujol
Badalona, 08916, Spain
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Institut Claudius Regaud Cancer Comprehensive Center - Iuct Oncopole
Toulouse, 31059, France
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Institut Paoli Calmettes
Marseille, 13009, France
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Instituto Portugues de Oncologia Do Porto Francisco Gentil E.P.E
Porto, 4200-072, Portugal
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Ipo Lisboa Francisco Gentil
Lisbon, 1099-035, Portugal
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Irccs - Azienda Ospedaliera Universitaria - Ist San Martino
Genova, 16132, Italy
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Irccs Fondazione Policlinico San Matteo
Pavia, 27100, Italy
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Irccs Istituto Clinico Humanitas
Rozzano, 20089, Italy
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Irccs Ospedale Pediatrico Bambino Gesu
Rome, 00165, Italy
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Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs) - Ospedale San Raffaele (Hsr) (Istituto
Milan, 20132, Italy
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Karolinska Universitetssjukhuset, Centrum For Cellterapi Och Allogen Stamcellstransplantation
Stockholm, 14186, Sweden
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King'S College Hospital Nhs Foundation Trust
London, SE5 9RS, United Kingdom
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Klinikum Der Johann Wolfgang Goethe-Universitaet
Frankfurt am Main, 60590, Germany
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Krankenhaus Der Elisabethinen Linz Gmbh
Linz, 04020, Austria
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Leiden University Medical Center (Leids Universitair Medisch Centrum (Lumc))
Leiden, 2333 ZA, Netherlands
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Maastricht University Medical Center (Mumc)
Maastricht, 6229 HX, Netherlands
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Medical University of Graz
Graz, 08036, Austria
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Medizinische Universitaet Innsbruck - Universitaetsklinik Fuer Innere Medizin Iii
Innsbruck, 06020, Austria
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Medizinische Universitat Wien, Universitatsklinik Fur Innere Medizin I
Vienna, 01090, Austria
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Morelli Hospital
Reggio Calabria, 89133, Italy
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New Children'S Hospital, University of Helsinki and Helsinki University Hospital
Helsinki, 00290, Finland
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Ospedale Santa Maria Di Ca' Foncello
Treviso, 31100, Italy
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Pia Fondazione Cardinale Giovanni Panico Azienda Ospedaliera
Lecce, 73039, Italy
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Presidio Ospedaliero Spirito Santo Azienda U.S.L. Pescara
Pescara, 65124, Italy
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Queen Elizabeth University Hospital
Glasgow, G51 4TF, United Kingdom
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Rikshospitalet University Hospital
Oslo, 00027, Norway
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Sahlgrenska University Hospital
Gothenburg, 413 45, Sweden
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Skanes Universitetssjukhus - Universitetssjukhuset I Lund
Lund, 221 85, Sweden
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Ss Antonio & Biagio and C. Arrigo Hospital
Alessandria, 15121, Italy
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St James'S University Hospital - Leeds Teaching Hospitals Nhs Trust
Leeds, LS9 7TF, United Kingdom
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St. Anna Childrens Hospital
Vienna, 01090, Austria
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St. James Hospital
Dublin, D08 NHY1, Ireland
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Turku University Hospital
Turku, 20520, Finland
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Uniklinik Rwth Aachen Medizinische Klinik Iv
Aachen, 52074, Germany
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Universita Degli Studi Di Brescia - Azienda Ospedaliera Spedali Civili Di Brescia
Brescia, 25123, Italy
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Universitaetsklinikum Des Saarlandes
Homburg, 66421, Germany
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Universitaetsklinikum Freiburg
Freiburg im Breisgau, 79106, Germany
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Universitaetsklinikum Halle
Halle, 06120, Germany
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Universitaetsklinikum Koeln
Cologne, 50937, Germany
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Universitaetsklinikum Muenster
Münster, 48149, Germany
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Universitaetsklinikum Schleswig-Holstein, Uksh-Campus Kiel
Kiel, 24105, Germany
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Universitaetsmedizin Goettingen
Göttingen, 37075, Germany
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Universitair Medisch Centrum Utrecht (Umc Utrecht)
Utrecht, 3584 CX, Netherlands
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Universitair Ziekenhuis Leuven
Leuven, 03000, Belgium
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Universitat de Valencia - Hospital Universitari I Politecnic La Fe de Valencia
Valencia, 46026, Spain
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Universitats-Kinderspital Zurich Eleonorenstiftung
Zurich, CH-8032, Switzerland
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Universitatsklinikum Erlangen
Erlangen, 91054, Germany
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Universitatsmedizin Der Johannes Gutenberg-Universitat Mainz Iii
Mainz, 55131, Germany
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Universitatsspital Zurich
Zurich, 08091, Switzerland
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Universite Catholique de Louvain (Ucl) - Cliniques Universitaires Saint-Luc
Woluwe-Saint-Lambert, 01200, Belgium
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University Clinic Regensburg
Regensburg, 93053, Germany
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University Hospital Basel
Basel, 04031, Switzerland
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University Hospital Carl Gustav Carus
Dresden, 01307, Germany
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University Hospital Leipzig
Leipzig, 04103, Germany
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University Hospital of Patras
RIO Patras, 26504, Greece
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University Hospital of Ulm, Universitatsklinikum Ulm
Ulm, 89081, Germany
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University Hospitals of Leicester Nhs Trust-Leicester Royal Infirmary
Leicester, LE1 5WW, United Kingdom
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University Medical Center Groningen
Groningen, 9713 GZ, Netherlands
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University of Gothenburg and Queen Silvia Children S Hospital At Sahlgrenska University Hospital
Gothenburg, 41650, Sweden
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University of Wuerzburg
Würzburg, 97080, Germany
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Uoc Ematologia E Centro Trapianti Midollo Osseo Br, Ospedale Borgo Roma
Verona, 37134, Italy
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Uppsala University Hospital
Uppsala, 75185, Sweden
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Ustav Hematologie A Krevni Transfuze (Uhkt), the Institute of Hematology and Blood Transfusion (Ihbt
Prague, 12808, Czechia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Stem cell infusions put to the test against a tough transplant complication
- Can adding rituximab improve remission in chronic GVHD?
- Can a new pill tame the immune System's attack after stem cell transplants?
- Can a new pill outperform standard care for a tough transplant complication?
- Can meditation tame the Long-Term side effects of a stem cell transplant?
- Could a liquid form of a Graft-Versus-Host disease drug be as effective as the pill?