Study of orBec® as Monotherapy in the Treatment of Patients With Upper GI Symptoms Caused by Chronic Graft Versus Host Disease (GVHD)
- Conditions
- Chronic Gastrointestinal Graft vs Host Disease
- Interventions
- Drug: orBecDrug: 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
- 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
- >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
Group Intervention Description orBec orBec Investigational drug Placebo Placebo Control
- Primary Outcome Measures
Name Time Method Gastrointestinal (GI) Graft-vs-Host Disease (GVHD) Symptoms 16 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
Name Time Method
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