New hope for chinese patients with severe transplant complication: ruxolitinib trial launches
NCT ID NCT06462469
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 9 times
Summary
This study tests the drug ruxolitinib in 36 Chinese adults and teens (12+) who have severe graft-versus-host disease after a stem cell transplant and did not improve with steroids. Participants take ruxolitinib pills daily for up to 56 days. The main goal is to see how many patients have a complete or partial response by day 28.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ruxolitinib (oral drug)
- What this could lead to
- If successful, this could provide a treatment option for Chinese patients with severe graft-versus-host disease that does not respond to steroids.
- What could go wrong
- This is a small, single-arm Phase 4 study with no placebo group, so results may be less reliable. The drug may not work for all patients and could have side effects like infections or blood cell changes.
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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36 people
The number who actually took part.
- Started
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Jul 2024
- Expected to finish
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Jul 2027
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.
Key Inclusion criteria * Male or female Chinese participants aged 12 or older at the time of informed consent. Written informed consent from participant, parent or legal guardian. * 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. * Clinically diagnosed Grades II to IV acute GvHD as per standard criteria occurring after alloSCT requiring systemic immune suppressive therapy. * Evident myeloid and platelet engraftment (confirmed within 48 hours prior to study treatment (ruxolitinib) start): * Confirmed diagnosis of steroid refractory aGvHD defined as participants administered systemic corticosteroids (methylprednisolone at least 1 mg/kg/day \[or equivalent prednisone dose at least 1.25 mg/kg/day\]), given alone or combined with calcineurin inhibitors (CNI) and either: 1. Progression based on organ assessment after at least 3 days compared to organ stage at the time of initiation of systemic corticosteroid +/- CNI for the treatment of Grade II to IV aGvHD. OR 2. Failure to achieve at a minimum partial response based on organ assessment after 7 days compared to organ stage at the time of initiation of systemic corticosteroid +/-CNI for the treatment of Grade II to IV. OR 3. Participants who fail corticosteroid taper defined as fulfilling either one of the following criteria: * Requirement for an increase in the corticosteroid dose to methylprednisolone ≥ 1 mg/kg/day (or equivalent prednisone dose ≥ 1.25 mg/kg/day). OR * Failure to taper the methylprednisolone dose to \< 0.5 mg/kg/day (or equivalent prednisone dose \<0.6 mg/kg/day) for a minimum of 7 days. Key Exclusion criteria * Has received more than one systemic treatment for steroid refractory aGvHD. Participants who received JAK inhibitor therapy for any indication after initiation of current alloSCT conditioning. * Clinical presentation resembling de novo chronic GvHD or GvHD overlap syndrome with both acute and chronic GvHD features. * Failed prior alloSCT within the past 6 months. Presence of relapsed primary malignancy after the alloSCT was performed. * Presence of an active uncontrolled infection including significant bacterial, fungal, viral or parasitic infection requiring treatment. * SR-aGvHD occurring after non-scheduled donor lymphocyte infusion (DLI) administered for pre-emptive treatment of malignancy recurrence. Note: Participants who have received a scheduled DLI as part of their transplant procedure and not for management of malignancy relapse are eligible. * Presence of significant respiratory disease, severely impaired renal function, clinically significant or uncontrolled cardiac disease, unresolved cholestatic and liver disorders (not attributable to aGvHD). Disorders and/or current therapy with medications that interfere with coagulation or platelet function. 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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Novartis Investigative Site
Guangzhou, Guangdong, 510515, China
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Novartis Investigative Site
Zhengzhou, Henan, 450003, China
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Novartis Investigative Site
Wuhan, Hubei, 430030, China
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Novartis Investigative Site
Xian, Shanxi, 710061, China
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Novartis Investigative Site
Hangzhou, Zhejiang, 310003, China
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Novartis Investigative Site
Beijing, 100034, China
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Novartis Investigative Site
Beijing, 100070, China
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Novartis Investigative Site
Taian, 271000, China
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Novartis Investigative Site
Tianjin, 300020, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Ancient herb takes on transplant complication: Withaferin-A tested for Steroid-Resistant GVHD
- Stem cell combo shows promise for deadly transplant complication
- Ancient heat therapy tested for Life-Threatening transplant complication
- Cord blood cells aim to tame deadly transplant complication
- New cell therapy aims to tame deadly transplant complication in kids
- Cord blood cells join forces with drug to fight transplant complication