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Clinical Trials/EUCTR2010-023630-24-DE
EUCTR2010-023630-24-DEActive, not recruitingPhase 1

Phase II open-label pilot study evaluating the safety and efficacy of Certican ® (everolimus) in the prevention of chronic graft-versus-host disease and late pulmonary complications after allogeneic hematopoietic stem cell transplantation blood - GMIHO-004/2006

GMIHO mbH0 sites25 target enrollmentStarted: January 3, 2011Last updated:
Conditions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Active, not recruiting
Sponsor
Enrollment
25

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional clinical trial of medicinal product

Eligibility Criteria

Sex
All

Inclusion Criteria

  • patients after allogeneic blood stem cell transplantation at the age = 18 years
  • GvHD prophylaxis with calcineurin inhibitors (cyclosporine A, tacrolimus) and MTX or MMF
  • (Prior therapy of acute GvHD with additional prednisolone is allowed)
  • Increased risk of chronic GvHD, at least one of the following conditions is met:
  • Male with female donor
  • HLA class I or II mismatch in the GvHD direction
  • Continued active acute GvHD on day +50 after transplantation, despite treatment with high dose steroids and cyclosporine A
  • Functional one-second-forced vital capacity (FEV1) or diffusion capacity (DLCO) on day +50 after transplantation at least. 25% below the last measured value before transplantation (up to 50 days before transplantation)
  • New-onset of acute GvHD between day +50 and +100 after allogeneic blood stem cell transplantation
  • Written informed consent
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

Exclusion Criteria

  • use (prophylactic or therapeutic) of mTOR inhibitors after SCT
  • Overlap of acute / chronic GvHD
  • Total cholesterol = 3 times the upper limit of normal (ULN) or triglycerides = 3 X ULN
  • GOT, GPT, bilirubin = 3 times ULN (unless attributable to GvHD)
  • creatinine = 3 times ULN
  • evidence of active hepatitis B or C
  • All of the circumstances in which wound healing may pose a risk, including: surgery in recent weeks, ulcers on the skin or mucous membrane
  • Known intolerance to everolimus, sirolimus, or other components of Certican ®
  • Lactose intolerance
  • Pregnancy or breastfeeding
  • Women of childbearing potential except women who meet the following criteria:
  • Post-menopausal (12 months natural amenorrhea)
  • After surgery (= 6 weeks after bilateral ovariectomy with or without hysterectomy)
  • during and at least 6 months after the last dose of everolimus regular and correct use of highly effective contraception (defined as Pearl Index <1) such as birth control pills, hormone IUD, hormonal implants, transdermal patch , a combination of two barrier methods (condom and diaphragm), sexual abstinence
  • Men who do not use one of the following options for contraception during at least 6 months after the last dose of everolimus :
  • Sexual abstinence
  • Condition after vasectomy
  • restrictions or conditions that affect the ability of a written Informed Consent
  • Participation in another interventional study (e.g., for prophylactic immunosuppression in the context of stem cell therapy) within the last 60 days prior to study enrolment

Investigators

Sponsor
GMIHO mbH

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