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临床试验/EUCTR2014-005659-19-GB
EUCTR2014-005659-19-GB进行中(未招募)不适用

A phase II study of the use of azacitidine for the treatment of patients with chronic graft-versus-host-disease who have failed therapy with corticosteroids - AZTEC

niversity of Birmingham0 个研究点开始时间: 2016年3月9日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Patients with moderate or severe cGvHD OR progressive, recurrent or delayed-onset acute GvHD as defined by the NIH Consensus Conference Diagnostic Criteria who have failed therapy with corticosteroids (+/- calcineurin inhibitors).
  • Failure of corticosteroid is defined as either:
  • o progression of cGvHD on 1mg/kg/day prednisolone over 2 weeks
  • o stable cGvHD on =0.5mg/kg/day prednisolone over 4 weeks
  • o inability to taper prednisolone below 0.5mg/kg/day without recurrence of clinical manifestations
  • o inability to tolerate first line therapy* (eg steroid myopathy, calcineurin inhibitor-induced renal toxicity)
  • *Patients must have proven steroid toxicity to meet this criterion for having failed corticosteroid therapy. These cases must be discussed with the Chief Investigator prior to trial entry.
  • Patients must be unable to receive treatment with extracorporeal photophoresis (ECP) therapy (either refractory/intolerant to ECP, lack of ECP availability at local institution or patient/physician preference)
  • Age =16 years of age
  • Life expectancy of at least 3 months with no imminent relapse expected
  • Women of childbearing potential and all men must be using adequate birth control measures throughout the study and for a minimum of 3 months following the end of trial treatment
  • Able to provide written informed consent
  • Patients must be able to comply with all study procedures
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 29
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 6

排除标准

  • Uncontrolled infection = grade 3 requiring treatment at study entry
  • Neutrophil count <1x109/L (support with GCSF permitted)
  • Platelet count <30 x109/L
  • Known HIV infection
  • Known hepatitis B or C
  • ECOG = 3
  • Patients with ocular GvHD only
  • Pulmonary GvHD
  • Patients receiving active therapy for cGvHD within 14 days of study entry (with the exception of corticosteroids and calcineurin inhibitors)
  • Any investigational agents within 14 days of study entry
  • Treatment with ECP within 6 months of study entry
  • Known hypersensitivity to azacitidine
  • Women who are pregnant or breastfeeding
  • Any other condition that in the Investigator's opinion will affect the patient's participation in this trial

研究者

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