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Study of orBec® as Monotherapy in the Treatment of Patients With Upper GI Symptoms Caused by Chronic Graft Versus Host Disease (GVHD)

Phase 2
Terminated
Conditions
Chronic Gastrointestinal Graft vs Host Disease
Interventions
Drug: orBec
Drug: Placebo
Registration Number
NCT01925950
Lead Sponsor
Soligenix
Brief Summary

Use of an oral topically-active glucocorticoid with limited side effects may control the gastrointestinal inflammatory process of GVHD and minimize glucocorticoid exposure.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
2
Inclusion Criteria
  • Receipt of allogeneic hematopoietic cell transplant >100 days prior to consent
  • Documented cGVHD as defined by the NIH consensus criteria in at least one organ system other than the GI tract (for example, cGVHD of the oral cavity would qualify as a criterion)
  • Endoscopic findings consistent with GI GVHD
  • Must be able to swallow tablets
  • Must be able to read and understand informed consent
  • Adequate birth control methods for the duration of the study
Exclusion Criteria
  • >500 mL/day of diarrhea on any 1 day within 3 days prior to the first dose of study drug
  • GI infection
  • Multi-organ failure or other condition that, in the opinion of the investigator, would compromise the patient's ability to complete the study.
  • HIV seropositivity
  • Pregnant or nursing female
  • Use of any investigational drug to treat chronic GVHD within 28 days of the first dose of study drug
  • Evidence of recurrent or progressing malignant disorder that was the indication for HCT

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
orBecorBecInvestigational drug
PlaceboPlaceboControl
Primary Outcome Measures
NameTimeMethod
Gastrointestinal (GI) Graft-vs-Host Disease (GVHD) Symptoms16 weeks

Patients who achieved a Complete Response (CR) of their GI GVHD Symptoms during the Part 1, 16 week treatment period and who remained a CR at the end of the 16 week treatment period were to be eligible to continue into Part 2 of the study. All others were to discontinue.

GI GVHD was assessed using a composite score based on the symptoms of satiety, nausea/vomiting, and anorexia. Each symptom was scored on a scale of 0-3, such that the minimum score = 0 and the maximum score = 9. At entry, all subjects must have a score of ≥ 3. A CR will be defined as a composite score of 0.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

John Theurer Cancer Center

🇺🇸

Hackensack, New Jersey, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

Roswell Park Cancer Institute

🇺🇸

Buffalo, New York, United States

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