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ASC930 in Patients With Steroid-Refractory Acute Graft Versus Host Disease (SR-aGVHD)

Phase 2
Not yet recruiting
Conditions
Acute-graft-versus-host Disease
Registration Number
NCT04883918
Lead Sponsor
ASC Therapeutics
Brief Summary

Acute GVHD following allogeneic HCT is an immune-triggered process, leading to profound immune dysregulation and organ dysfunction. Despite pivotal advances, aGVHD is one of the leading causes of non-relapse mortality in patients undergoing HCT.

Placenta-derived DSCs, isolated from the fetal membrane of maternal origin, are a type of stromal cells with well-characterized immunosuppressive properties. The current study is designed to assess the safety and efficacy of 4 intravenous (IV) doses of ASC930 DSC cells in aGVHD patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Participants ≥ 2 months of age

  • Diagnosis of aGVHD grade II-IV following allogeneic HSCT according to standard criteria (Harris, 2016).

  • Diagnosis of SR-aGVHD according to Mohty (2020)

  • Meet one of the following criteria:

    • Participants who are Ruxolitinib-refractory, according to Mohty (2020)
    • Participants who are not eligible for SOC therapy
    • Participants who agree to receive ASC930 as a second-line therapy
  • Karnofsky/Lansky Performance Status of at least 30 at the time of study entry

  • Minor participants must be capable of giving written assent as appropriate per the applicable age (per local regulatory requirements).

Exclusion Criteria
  • Diagnosis of active Hepatic Sinusoidal Obstruction Syndrome (SOS)
  • Presence of an active uncontrolled infection
  • Active treatment for a hyprecoagulation disorder
  • Evidence of diffuse alveolar hemorrhage or other active pulmonary disease
  • Evidence of encephalopathy as defined by a change in mental status since the onset of aGVHD
  • Evidence of relapse of malignancy
  • Receival of agents other than steroids for primary treatment of aGVHD
  • Severe allergic history to cell-based products

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Overall Response Rate (ORR) at Day 2828 days post-infusion
Number of adverse events, and serious AEs30 days post-infusion
Secondary Outcome Measures
NameTimeMethod
Complete Response (CR) at Day 28 and Day 18028 and 180 days post-infusion
Duration of response (DOR) at DAY 180180 days post-infusion
Overall survival (OS) rate at DAY 180180 days post-infusion

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