Status:

TERMINATED

Imatinib Mesylate and Mycophenolate Mofetil for Steroid-Refractory Sclerotic/Fibrotic cGVHD in Children

Lead Sponsor:

Seoul National University Hospital

Conditions:

Chronic Graft-versus-host Disease

Eligibility:

All Genders

Up to 21 years

Phase:

PHASE2

Brief Summary

In this study we will combine mycophenolate mofetil and imatinib mesylate to treat steroid-refractory sclerotic/fibrotic type chronic graft-versus-host disease (GVHD) to see the response rate and to f...

Detailed Description

Sclerotic/fibrotic type chronic GVHD is one of the most severe forms of the disease and is frequently refractory to standard treatment approaches. Imatinib mesylate, a tyrosine kinase inhibitor, has b...

Eligibility Criteria

Inclusion

  • Inclusion criteria
  • Patients must have a diagnosis of chronic GVHD with fibrotic/scleroderma-like features. This diagnosis can be made clinically or by histopathology.
  • Patients must have active disease with at least one of the following manifestations: skin sclerosis, symptomatic bronchiolitis obliterans, extensive lung fibrosis, pathologically demonstrated visceral fibrotic involvement of the gut.
  • Patients with corticosteroid refractory or dependant cGVHD are eligible. Steroid-refractory chronic GVHD is defined as chronic GVHD of sustained severity during the last full month during which the patients received the equivalent of prednisone 0.5 mg/kg or more per day or 1 mg/kg or more every other day.
  • Age under 21 years old
  • Exclusion criteria
  • Patients who have had chemotherapy, radiotherapy within 4 weeks prior to entering the study.
  • Patients who have not recovered from adverse events.
  • Prior treatment with imatinib mesylate or other tyrosine kinase inhibitor after the date of transplant.
  • Patients on pregnancy or lactating

Exclusion

    Key Trial Info

    Start Date :

    August 1 2013

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 14 2018

    Estimated Enrollment :

    9 Patients enrolled

    Trial Details

    Trial ID

    NCT01898377

    Start Date

    August 1 2013

    End Date

    February 14 2018

    Last Update

    October 23 2020

    Active Locations (1)

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    1

    Seoul National University Children's Hospital

    Seoul, Chongno-gu, South Korea