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New hope for stem cell transplant patients with severe immune complication
NCT ID NCT06824103
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called ruxolitinib in Chinese patients aged 12 and older who have chronic graft-versus-host disease (cGvHD) that did not improve with steroids. cGvHD is a condition where donor immune cells attack the patient's body after a stem cell transplant. The goal is to see if ruxolitinib can help control the disease without needing additional treatments. About 50 participants will take the drug and be monitored for response and safety.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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May 2031
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 to 100 years
- 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: * Signed informed consent must be obtained prior to participation in the study. * Male or female Chinese participants aged 12 or older at the time of informed consent * Able to swallow tablets.- Have undergone alloSCT from any donor source (matched unrelated donor, sibling, haplo-identical) using bone marrow, peripheral blood stem cells, or cord blood. Recipients of non-myeloablative, myeloablative, and reduced intensity conditioning are eligible. * Evident myeloid and platelet engraftment: * Absolute neutrophil count (ANC) \>1,000/mm3 AND * Platelet count ≥25,000/mm3 Note: Use of growth factor supplementation and transfusion support is allowed during the trial, however, transfusion to reach a minimum platelet count for inclusion is not allowed during screening and at baseline. * Participants with clinically diagnosed cGvHD staging of moderate to severe according to NIH Consensus Criteria (Jagasia et al 2015) prior to Cycle 1 Day 1. * Moderate cGvHD: at least one organ (not lung) with a score of 2, 3 or more organs involved with a score of 1 in each organ, or lung score of 1. * Severe cGvHD: at least 1 organ with a score of 3, or lung score of 2 or 3. * Participants currently receiving systemic corticosteroids for the treatment of cGvHD for a duration of \< 12 months prior to Cycle 1 Day 1, and have a confirmed diagnosis of corticosteroid refractory cGvHD defined per 2014 NIH consensus criteria (Martin et al 2015) irrespective of the concomitant use of a calcineurin inhibitor, as follows: * A lack of response or disease progression after administration of minimum prednisone 1 mg/kg/day for at least 1 week (or equivalent) OR * Disease persistence without improvement despite continued treatment with prednisone at \>0.5 mg/kg/day or 1 mg/kg/every other day for at least 4 weeks (or equivalent) OR * Increase to prednisone dose to \>0.25 mg/kg/day after two unsuccessful attempts to taper the dose (or equivalent) * Participants has Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 Exclusion Criteria: For a full list of exclusion criteria, refer to Section 5.2. Key exclusion criteria include * Participants who have received two or more systemic treatments for cGvHD in addition to corticosteroids ± CNI for cGvHD. * Participants who have received ROCK2 inhibitors for cGvHD. * Participants that transition from active aGvHD to cGvHD without tapering off corticosteroids ± CNI and any systemic treatment Note: Participants receiving up to 30 mg by mouth once a day of hydrocortisone (i.e., physiologic replacement dose) of corticosteroids are allowed. * Participants who were treated with prior JAK inhibitors for aGvHD; except when the participant achieved complete or partial response and has been off JAK inhibitor treatment for at least 8 weeks prior to Cycle 1 Day 1. * Failed prior alloSCT within the past 6 months from Cycle 1 Day 1. * Participants with relapsed primary malignancy, or who have been treated for relapse after the alloSCT was performed. * SR-cGvHD occurring after a non-scheduled donor lymphocyte infusion (DLI) administered for pre-emptive treatment of malignancy recurrence. Participants who have received a scheduled DLI as part of their transplant procedure and not for management of malignancy relapse are eligible. Other protocol-defined inclusion/exclusion 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Novartis Investigative Site
RECRUITINGHefei, Anhui, 230001, China
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Novartis Investigative Site
RECRUITINGGuangzhou, Guangdong, 510000, China
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Novartis Investigative Site
RECRUITINGGuangzhou, Guangdong, 510515, China
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Novartis Investigative Site
RECRUITINGNanning, Guangxi, 530021, China
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Novartis Investigative Site
RECRUITINGGuiyang, Guizhou, 550004, China
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Novartis Investigative Site
RECRUITINGShijiazhuang, Hebei, 050000, China
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Novartis Investigative Site
RECRUITINGZhengzhou, Henan, 450003, China
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Novartis Investigative Site
RECRUITINGWuhan, Hubei, 430030, China
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Novartis Investigative Site
RECRUITINGNanjing, Jiangsu, 210029, China
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Novartis Investigative Site
RECRUITINGXuzhou, Jiangsu, 221003, China
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Novartis Investigative Site
RECRUITINGNanchang, Jiangxi, 330006, China
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Novartis Investigative Site
RECRUITINGXian, Shanxi, 710061, China
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Novartis Investigative Site
RECRUITINGChengdu, Sichuan, 610041, China
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Novartis Investigative Site
RECRUITINGHangzhou, Zhejiang, 310003, China
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Novartis Investigative Site
RECRUITINGNingbo, Zhejiang, 315016, China
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Novartis Investigative Site
RECRUITINGWenzhou, Zhejiang, 325000, China
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Novartis Investigative Site
RECRUITINGBeijing, 100034, China
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Novartis Investigative Site
RECRUITINGBeijing, 100070, China
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Novartis Investigative Site
RECRUITINGChangsha, 410000, China
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Novartis Investigative Site
RECRUITINGChongqing, 400016, China
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Novartis Investigative Site
RECRUITINGShanghai, 200025, China
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Novartis Investigative Site
RECRUITINGWujiang Nongchang, 065201, China
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 a new drug regimen beat the standard for stem cell transplant complications?
- One vitamin a pill before transplant: a new shield against a deadly complication?
- A gentler transplant may cure sickle cell and thalassemia — can the body accept donor cells?
- Can a skin biopsy reveal how axatilimab fights scarring in chronic GVHD?
- Can a safer dose of an old drug shield vulnerable children from deadly fungal infections?