The aim of this study is to demonstrate that in subjects with moderate to severe chronic graft-versus-host disease in the third line and beyond, the use of rosuvastatin compared to the protocol chosen by the researchers can significantly improve the objective response rate of subjects at week 24.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
182
Rovadicitinib is an inhibitor of Janus associated kinases (JAK) family and Rho associated kinases (ROCK). It can inhibit the sustained abnormal activation of the Janus kinase (JAK) signal transducer and activator of transcription (JAK-STAT) pathway and also inhibit Rho associated kinase 2 (ROCK2). The JAK 1-JAK 2 signaling pathway is a key step in causing inflammation and tissue damage in acute and chronic graft-versus-host disease.
Imatinib tyrosine kinase inhibitor is a small molecule protein kinase inhibitor that has the ability to block one or more protein kinases. Clinically used for the treatment of chronic myeloid leukemia and malignant gastrointestinal stromal tumors.
Methotrexate is an organic compound, mainly used as an anti folate anti-tumor drug. It inhibits the synthesis of tumor cells by inhibiting dihydrofolate reductase, thereby inhibiting the growth and reproduction of tumor cells.
Metoprolol ester is an organic compound mainly used as an immunosuppressant
Rituximab activates antibody dependent cell-mediated phagocytosis and complement dependent cytotoxicity by binding to cluster of differentiation 20 (CD20) antigen, clearing malignant B cells expressing CD20 and achieving therapeutic goals.
The First Affiliated Hospital of USTC Anhui Provincial Hospital
Hefei, Anhui, China
NOT_YET_RECRUITINGPeking University First Hospital
Beijing, Beijing Municipality, China
NOT_YET_RECRUITINGPeking University People's Hospital
Beijing, Beijing Municipality, China
NOT_YET_RECRUITINGThe Southwest Hospital of AMU
Chongqing, Chongqing Municipality, China
Objective remission rate in the 24th week (ORR)
Researchers evaluated each organ according to the consensus criteria of the NIH 2014 conference, and at week 24, the percentage of subjects with complete response (CR) or partial response (PR) in all assessable organs was determined.
Time frame: Week 24
Best Objective Response Rate (BOR)
The best therapeutic effect among all therapeutic outcomes
Time frame: Week 24
Duration of Relief (DOR)
The duration of symptom relief for patients after receiving treatment
Time frame: Through study completion, an average of 2 year
Improvement in Lee cGVHD symptom score of subjects in week 24
The Lee cGVHD Symptom Score is a tool used to assess the severity of symptoms in chronic graft-versus-host disease (cGVHD), ranging from 0 to 4 points, with a maximum total score of 16 points. The higher the score, the more severe the cGVHD symptoms.
Time frame: Week 24
Failure free survival (FFS)
The time from the start of treatment to the occurrence of disease progression or death for any reason in the patient
Time frame: Weeks 2, 4, 8, 16, 36, 48, 60, 72, 84, 96
Primary disease recurrence rate (MR)
The probability of recurrence of the patient's disease within a certain period of time.
Time frame: Weeks 8, 16,24, 36, 48
Non-Relapse Mortality (NRM)
NRM was defined as death without recurrent or progressive disease
Time frame: Weeks 8, 16,24, 36, 48
Overall survival (OS)
From randomization to the time of death caused by any reason
Time frame: Through study completion, an average of 2 year
Percentage of subjects whose daily glucocorticoid dose decreased
Percentage of subjects whose daily glucocorticoid dose decreased by ≥ 50% in week 24, and percentage of subjects who discontinued all glucocorticoids
Time frame: Week 24
Changes in the Functional Assessment of Cancer Therapy - Bone Marrow Transplantation (FACT-BMT)
The FACT-BMT scale is a tool used to evaluate the quality of life (QOL) of patients after hematopoietic stem cell transplantation, the scale is filled out by the person closest to the patient, and each question has five possible answers on a scale of 0-4. Answer each question item based on the patient's actual situation in the past week, and mark the corresponding number with a "√"
Time frame: Through study completion, an average of 2 year
Changes in 5-level EQ-5D (EQ-5D-5L)
The scoring criteria of EQ-5D-5L scale include five dimensions: action ability, self-care ability, daily activity ability, pain or discomfort, anxiety or depression. After selecting a level for each dimension, a specific rating can be obtained. For example, if an individual chooses "slightly difficult" in terms of action ability, they will score 2 points on that dimension (from 0 to 5, where 0 indicates no difficulty and 5 indicates inability/very serious difficulty)
Time frame: Through study completion, an average of 2 year
Adverse events (AE)
The incidence and severity of adverse events (AE) and serious adverse events (SAE), as well as abnormal laboratory test indicators.
Time frame: Through study completion, an average of 2 year
Cmax
The maximum concentration of medication that enters the bloodstream after administration
Time frame: Day 1, day 8 on cycle 1: 0.5 hour pre-dose, 0.5 hour after dose, day 1 cycle 2: 0.5 hour pre-dose, 2 hours after dose, day 1 cycle 4: 0.5 hour pre-dose, 3 hours after dose, day 1 cycle 6: 0.5 hour pre-dose, 4 hours after dose (28 days as a cycle)
Ctrough
After multiple administrations, the blood drug concentration reaches a relatively stable state, which is called the steady-state concentration
Time frame: Day 1, day 8 on cycle 1: 0.5 hour pre-dose, 0.5 hour after dose, day 1 cycle 2: 0.5 hour pre-dose, 2 hours after dose, day 1 cycle 4: 0.5 hour pre-dose, 3 hours after dose, day 1 cycle 6: 0.5 hour pre-dose, 4 hours after dose (28 days as a cycle)
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Fujian Medical University Union Hospital
Fuzhou, Fujian, China
NOT_YET_RECRUITINGThe First Affiliated Hospital of Xiamen University
Xiamen, Fujian, China
NOT_YET_RECRUITINGThe First Hospital of Lanzhou University
Lanzhou, Gansu, China
NOT_YET_RECRUITINGThe 904 Hospital of the Joint Service Support Force of the People's Liberation Army of China
Lanzhou, Gansu, China
NOT_YET_RECRUITINGGuangzhou First People's Hospital The First People's Hospital Affiliated to Guangzhou Medical University
Guangzhou, Guangdong, China
NOT_YET_RECRUITINGNanfang Hospital
Guangzhou, Guangdong, China
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