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Valproic Acid With Methylprenisonlone for the Treatment of Acute GVHD

Phase 2
Conditions
Peripheral Blood Stem Cell Transplantation
aGVHD
Interventions
Registration Number
NCT02848105
Lead Sponsor
Shanghai Jiao Tong University School of Medicine
Brief Summary

aGVHD remains as complication in patients after allogeneic stem cell transplantation. Methylprednisolone at 1\~2mg/kg is considered as standard first-line treatment. In recent lab study, we demonstrated that valproic acid (VPA) as histone deacetylase inhibitor can inhibit CD4+ Th1 and Th17 cells and control the aGVDH in mice model while preserve the GVL effects. In this study, we tested the hypothesis that adding VPA to standard dose steroid treatment may improve the outcome of aGVHD.

Detailed Description

To evaluate the complete response rate of VPA+Methylpednisolone in patients with Grade II-IV aGVHD after allogenetic stem cell transplantation.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
55
Inclusion Criteria
  • Grade II-IV aGVHD
  • No previous history of allergy to valproic acid
  • No active and severe infection
Exclusion Criteria
  • Inclusion in other clinical trial
  • GVHD Prophylaxis with valproic acid
  • severe organ dysfunction: heart, lung, liver and kidney

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
VPA+MethylVPAVPA added to standard methylpredisonlone treatment for aGVHD
Primary Outcome Measures
NameTimeMethod
complete response28 days after the treatment
Secondary Outcome Measures
NameTimeMethod
Overall response (complete + partial response)28 days after the treatment

Trial Locations

Locations (1)

Blood & Marrow Transplantation Center, RuiJin Hospital

🇨🇳

Shanghai, Shanghai, China

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