🔎 Trials Near Me

Home › Bronchiolitis Obliterans Syndrome › NCT06585774

A Study to Evaluate Axatilimab and Corticosteroids as Initial Treatment for Chronic Graft-Versus-Host Disease

RecruitingPhase 3

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Axatilimab and Corticosteroids as Initial Treatment for Chronic Graft-Versus-Host Disease (AXemplify-357)

Who can join

Ages 12 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* ≥ 12 years of age at the time of informed consent.
* New-onset moderate or severe cGVHD, as defined by the 2014 NIH Consensus Development Project Criteria for Clinical Trials in cGVHD, requiring systemic therapy.
* History of allo-HCT from any donor HLA type (related or unrelated donor with any degree of HLA matching) using any graft source (bone marrow, peripheral blood stem cells, or cord blood). Recipients of myeloablative, nonmyeloablative, or reduced-intensity conditioning are eligible.
* Adequate hematologic function with ANC ≥ 0.5 × 109/L independent of growth factors for at least 7 days prior to study entry.
* Willingness to avoid pregnancy or fathering children.

Exclusion Criteria:

* Received more than 1 prior allo-HCT. Prior autologous HCT is allowed.
* Has overlap cGVHD, defined as simultaneous presence of features or characteristics of aGVHD in a patient with cGVHD.
* Received more than 7 days of systemic corticosteroid treatment for cGVHD or unable to begin a prednisone dose ≥ 1.0 mg/kg per day (or methylprednisolone equivalent) for cGVHD.
* Received previous systemic treatment for cGVHD, including extracorporeal photopheresis.
* Systemic treatment with CNIs or mTOR inhibitors started within 2 weeks prior to C1D1.
* Prior treatment with CSF-1R targeted therapies.
* Active, uncontrolled bacterial, fungal, parasitic, or viral infection.
* Evidence of relapse of the primary hematologic disease or treatment for relapse after the allo-HCT was performed, including DLIs for the treatment of molecular relapse.
* History of acute or chronic pancreatitis.
* Active symptomatic myositis.
* History or current diagnosis of cardiac disease indicating significant risk of safety for participation in the study, such as uncontrolled or significant cardiac disease.
* Severe renal impairment, that is, estimated CrCl \< 30 mL/min measured or calculated by Cockcroft-Gault equation in adults and Schwartz formula in pediatric participants, or endstage renal disease on dialysis.
* Impaired liver function, defined as total bilirubin \> 1.5 × ULN and/or ALT and AST \> 3 × ULN in participants with no evidence of liver cGVHD.
* Pregnant or breastfeeding.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

About the study

This study will be conducted to compare the efficacy of axatilimab versus placebo in combination with corticosteroids as initial treatment for moderate or severe chronic graft-versus-host disease (cGVHD).

What is being tested

Sponsor: Incyte Corporation · Participants: 240 · Started: Jan 21, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06585774

Locations in the U.S.

AlabamaUniversity of Alabama Birmingham, Birmingham
ArizonaUniversity of Arizona Cancer Center-Out Pt., Tucson
CaliforniaCity of Hope Medical Center, Duarte
University of California San Diego Medical Center, Moores Cancer Center, La Jolla
University of Southern California, Los Angeles
UCSF, San Francisco
ColoradoColorado Blood Cancer Institute, Denver
District of ColumbiaChildrens National Hospital, Washington D.C.
FloridaMiami Cancer Institute, Miami
Orlando Health Cancer Institute Downtown Orlando, Orlando
Memorial Cancer Institute, Pembroke Pines
GeorgiaEmory University-Winship Cancer Institute, Atlanta
IllinoisNorthwestern Memorial Hospital, Chicago
University of Illinois, Chicago
KansasThe University of Kansas Cancer Center, Kansas City
MarylandJohn Hopkins Hospital, Baltimore
MassachusettsDana Farber Cancer Institute, Boston
Massachusetts General Hospital, Boston
MichiganUniversity of Michigan, Ann Arbor
Henry Ford Hospital, Detroit
Corewell Health Hematology Oncology, Grand Rapids
New JerseyHackensack University Medical Center, Hackensack
Rutgers Cancer Institute of Nj, New Brunswick
New YorkUniversity of Rochester Medical Center, Rochester
Stony Brook University Medical Center, Stony Brook
North CarolinaWake Forest Baptist Medical Center, Winston-Salem
OregonOregon Health and Science University, Portland
PennsylvaniaJefferson University Hospitals, Philadelphia
Upmc Hillman Cancer Center, Pittsburgh
South CarolinaMedical University of South Carolina, Charleston
Prisma Health Upstate, Greenville
TennesseeBaptist Cancer Center, Memphis
TexasSt David'S South Austin Medical Center, Austin
Texas Transplant Institute, San Antonio
UtahIntermountain Blood and Marrow Transplant, Salt Lake City
VirginiaVirginia Commonwealth University Massey Cancer Center, Richmond
West VirginiaWest Virginia University Cancer Institute, Morgantown

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.