To evaluate the safety, tolerability, PK, PD, and clinical activity of Itolizumab in subjects with Newly diagnosed Acute Graft Versus Host Disease(aGVHD).
The study will enroll approximately 44 subjects in three parts: Part 1 is an open label 3+3 single dose escalation phase and will enroll approximately 30 subjects with aGVHD across 4 cohorts, where subjects will receive Itolizumab administered intravenously for 1 dose. Part 2 is an open label phase and subjects from part 1 will receive Itolizumab administered intravenously every two weeks for a total of 4 doses. Part 3 is a randomized phase and will enroll approximately 14 additional subjects, randomized in a 1:1 ratio to one of the 2 recommended doses provided by Part 1 and Part 2. Subjects will receive Itolizumab administered intravenously every two weeks for a total of 5 doses.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
44
Subjects will receive Itolizumab concomitant within 72 hours of systematic Corticosteroids.
Methylprednisolone will be taperred as required
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Tianjin, China
RECRUITINGIncidence of Treatment Emergent Adverse Events
Number of subjects with treatment-related adverse events as assessed by the Common Terminology Criteria for Adverse Events (CTCAE) V5.0
Time frame: Study Day 85
Time to maximum Itolizumab serum concentration, Tmax
Time to maximum Itolizumab serum concentration
Time frame: Study Day 85
Maximum Itolizumab serum drug concentration, Cmax
Maximum Itolizumab serum drug concentration
Time frame: Study Day 85
Minimum Itolizumab serum drug concentration, Cmin
Minimum Itolizumab serum drug concentration
Time frame: Study Day 85
Total Itolizumab exposure across time, AUC
Total Itolizumab exposure across time, AUC
Time frame: Study Day 85
Half life of Itolizumab, t1/2
Half life of Itolizumab
Time frame: Study Day 85
Volume of distribution of Itolizumab, Vd
Volume of distribution of Itolizumab
Time frame: Study Day 85
Clearance, Cl
Clearance
Time frame: Study Day 85
CD6 receptor expression levels on T cells
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CD6 receptor expression levels
Time frame: Study Day 85
T cell subsets
T cell subsets
Time frame: Study Day 85
Inflammatory Markers
Including but not limited to:IL-2, IL-6, IL-8, IL-17, IFN-γ, TNF-α, CRP, TNFR1, ST2, REG3α, Elafin
Time frame: Study Day 85
Overall Response Rate (ORR)
Percentage of subjects demonstrating a CR or PR.
Time frame: Study Day 337
Nonrelapse Mortality(NRM) Rate
Proportion of subjects who died due to causes other than malignancy relapse
Time frame: Study Day 337
cGVHD rate
Percentage of subjects demonstrating of cGVHD
Time frame: Study Day 337
Dose Reduction in Systemic Steroid Use
Change from Baselinein Dose of Systemic Steroid Use
Time frame: Study Day 337
Incidence of ADA
Precentage of subjects presenting anti-drug antibody
Time frame: Study Day 85