This study will be conducted to evaluate the safety, efficacy, and pharmacokinetics of axatilimab monotherapy in Chinese participants with recurrent or refractory active chronic graft-versus-host disease after systemic therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
32
IV infusion
Peking University People'S Hospital
Beijing, China
West China Hospital of Sichuan University
Chengdu, China
The Second Affiliated Hospital, Army Medical University (Xinqiao Hospital)
Chongoing, China
Number of participants with Treatment-emergent Adverse Events (TEAEs)
Defined as adverse events reported for the first time or worsening of a pre-existing event, occurring after the first dose.
Time frame: Up to 2 years and 30 days
Objective Response in the First 6 Cycles
The overall response rate will be assessed by the number of participants with objective response by Cycle 7 (28-day cycles), Day 1, with responses defined by the 2014 NIH Consensus Development Project on Criteria for Clinical Trials in cGVHD.
Time frame: Up to Cycle 7 (Day 169)
Proportion of participants with a ≥ 7-point improvement in modified Lee symptom scale (mLSS) score
Time frame: Up to 2 years
Overall Response Rate
Defined by the 2014 NIH Consensus Development Project on Criteria for Clinical Trials in cGVHD.
Time frame: Up to 2 years
Duration of Response
Defined as the time from initial response of partial response or complete response until documented progression of cGVHD, start of new therapy, or death due to any cause, whichever occurs first.
Time frame: Up to 2 years
Organ-specific Response Rate
Organ-specific response is defined as the number of participants with objective response for the nine individual organs based on 2014 NIH Consensus Development Project on Criteria for Clinical Trials in cGVHD (skin, eyes, mouth, esophagus, upper gastrointestinal \[GI\], lower GI, liver, lungs and joints and fascia).
Time frame: Up to 2 years
Percent reduction in average daily dose (or equivalent) of corticosteroids
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Zhujiang Hospital of Southern Medical University
Guangzhou, China
Nanfang Hospital of Southern Medical University
Guangzhou, China
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, China
Shanghai Children'S Medical Center
Shanghai, China
Institute of Hematology, Chinese Academy of Medical Sciences
Tianjin, China
Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan, China
Time frame: Up to 2 years
Proportion of participants who discontinue corticosteroid use
Time frame: Up to 2 years
Percent reduction in average daily dose (or equivalent) of calcineurin inhibitors
Time frame: Up to 2 years
Discontinuation of calcineurin inhibitor use after study entry.
Time frame: Up to 2 years
Axatilimab pharmacokinetic (PK) in Plasma
Axatilimab concentration in plasma.
Time frame: Up to 2 years and 30 days
Change from baseline in colony-stimulating factor-1 (CSF-1) and interleukin (IL)-34 levels and its association with cGVHD response.
Time frame: Up to 2 years
Change from baseline in circulating monocyte number and phenotype (CD14/16).
Time frame: Up to 2 years
Number of Participants with Anti-Drug Antibody (ADA)
Time frame: Up to 2 years and 30 days