Could a cheap arthritis drug replace steroids for transplant complications?
NCT ID NCT04932564
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested leflunomide, a drug used for rheumatoid arthritis, as a first-line treatment for musculoskeletal graft-versus-host disease (GVHD), a complication of bone marrow transplants where donor cells attack the patient's muscles and joints. The goal was to see if leflunomide could be a safer alternative to steroids, which often cause severe side effects. Only 1 person enrolled before the study was terminated, so no firm conclusions can be drawn.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Leflunomide
- What this could lead to
- If successful, leflunomide could offer a safer, steroid-free treatment option for musculoskeletal GVHD, reducing side effects and costs.
- What could go wrong
- This was a very small pilot study with only 1 participant and was terminated early, so results are not reliable. The drug may not work as well in larger trials.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
1 person
The number who actually took part.
- Started
-
Sep 2023
- Finished
-
Jun 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
0 to 65 years
- Sex
-
Anyone
- Healthy volunteers
-
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: 1. Willing to give written informed consent 2. Patients diagnosed with musculoskeletal mGvHD based on 2014 NIH consensus criteria (with diagnosis confirmed by biopsy only if clinically required). 3. Willing and able to comply with all study requirements, including treatment, and periodic assessments. Exclusion Criteria: 1. Patients with known hypersensitivity to leflunomide especially previous Steven Johnson syndrome, toxic epidermal necrolysis after leflunomide. 2. Pregnant females 3. Patients with musculoskeletal manifestations explained by other potential causes ( (drugs, trauma, etc). 4. Patients with calculated glomerular filtration rate (GFR) \<30ml/min at the time of screening.
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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
-
Tata Memorial Centre, Advanced Centre for Treatment, Research and Education in Cancer
Navi Mumbai, Maharashtra, 410210, India
More trials for these conditions
Other studies related to the condition(s) this trial covers.